Phlebotomy Essentials
6th Edition
ISBN: 9781451194524
Author: Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher: JONES+BARTLETT PUBLISHERS, INC.
expand_more
expand_more
format_list_bulleted
Related questions
Question
Review Case Study Annie
Annie is an 80-year-old widow who lives alone. She has a long history of hypertension and diabetes and suffers from the complications of CHD and neuropathy. She has diabetic retinopathy, which has left her legally blind. She has never been compliant with a diabetic eating plan but takes insulin as directed. She is 5 ft 5 in. tall and weighs 170 pounds, down from her usual weight of 184 pounds 5 months ago.
Annie reluctantly agreed to receive Meals on Wheels, so she does not have to prepare lunch and dinner except on weekends. Her daughter buys groceries for Annie every week, and her grocery list generally consists of milk, oatmeal, two cans of soup, two bananas, a bag of chocolate candy, a layer cake, two doughnuts, and mixed nuts. Her weekend meals consist of whatever she has available to eat.
1. What is Annie's BMI? How would you assess her weight status?
2. Is her recent weight loss significant? Is it better for her to lose weight, maintain her present weight, or try to regain what she has lost?
3. What would you recommend Annie eat for breakfast? For snacks? For weekend meals? Would you discourage her from eating sweets?
4. What arguments would you make for her to eat better?
NOTE: answers in 1 (BMI) and 3 can be get from the resources in the photo attached
Transcribed Image Text:for breakfast:
• shake
• muffin parfait
• whole grain cereal
• scrambled eggs and toast
• breakfast burrito
for lunch:
• includes soup
grilled veg sandwich on high fiber bread
• three cheese vegetable sandwich
• chicken breast,pumpkin seeds,and beans in
lettuce cups with salsa
●
almonds and fruits
for snacks:
• hard boiled eggs
●
●
yogurt with berries
handful of almonds
veggies and hummus
• avocado
• sliced apples with peanut butter
• roasted chickpeas
Transcribed Image Text:here the patient's weight is 170 pounds .in kilogram it
is approximately 77 kg
here the patient's height is 5 feet 5 inch .in meters it is
approximately 1.65
BMI = weight in kg/ height in meter square
= 77/1.65 * 1.65
= 28.28
here the patient's BMI is 28.28
here the patient has a long history of hypertension
and diabetes, and also she is experiencing the
complications of diabetes now a days.she didn't
follow any sort of diabetic diet. here the BMI index
shows that her weight is not ideal to her height.as
compared to previous years now she has lost weight
.it indicates she is improving in her diet .weight
should be reduced to some extend also.but
considering her age which is 80 yrs indicates she is
old.she can maintain the preset weight,but no need
to improve the weight to other extend.
she has to change her diet, because her diet is not in
a proper way.she has to follow a diabetic diet.it siply
means eating the healthiest food in moderate
amount and sticking to regular meatimes.it is
naturally rich in nutrients and low in fat and
calories.key elements are fruits ,vegetables and whole
grains
Expert Solution
This question has been solved!
Explore an expertly crafted, step-by-step solution for a thorough understanding of key concepts.
This is a popular solution
Trending nowThis is a popular solution!
Step by stepSolved in 5 steps
Knowledge Booster
Similar questions
- Case Study Armando Reyes Armando Reyes (preferred pronouns he, him) is a healthcare professional working at a community health center. Today, he is planning to provide education to a caregiver support group. Most of the caregivers in attendance are caring for toddlers. Recommended Not Recommended Question 4/6 Note: You will not have another attempt on this question if you navigate away. Please take your time answering this question before moving forward. Generating Solutions: Immunizations Several immunizations are recommended during the toddler years. Click to specify which immunizations are recommended and which are not recommended. Haemophilus influenzae type b (Hib) COVID-19 Pneumococcal conjugate (PCV13) Rotavirus (RV) Varicella Measles, mumps, rubella (MMR) Hepatitis A 0000000 |0|0|0|0|0|0|0arrow_forwardFATIGUE CASE STUDY is a 34-year-old mother of two children: a 10-year-old and a lively 6-year-old. Her husband is very supportive. J. was diagnosed with colon cancer 4 years ago and was treated with resection, colostomy, and radiation treatments. Unfortunately an abdominal CT scan performed 1 year ago revealed liver metastases. Chemotherapy failed to help, and J. knows that her time is limited. She is determined to be at home for as long as possible. Problems with pain and nausea are under reasonable control. The clinician visits J. at home one afternoon. Her husband has taken the children out to a movie and J. begins by saying that she is feeling “exhausted.” She adds that she has not been sleeping at night or, rather, has to wake up to take her pain medication every 4 hours. WHAT ARE YOUR PHYSICAL FINDINGS? WHY DOES J HAVE FATIGUE? WHAT ARE THE INFLUENCING FACTORS? WHAT ARE YOUR NURSING PROBLEMS AND WHAT WOULD YOU DO TO HELP CORRECT J’S SIGNS OF FATIGUE? MEDS? INTERVENTIONS? WHAT…arrow_forwardBIO 168 Case Studies Unit 5- Review View O Tell me AaBbCcDdEe AaBbCcD AaBbCcDdE AaBb AaBbCcDdEe > A y H v Styl Pa No Spacing Heading 1 Heading 2 Title Case Study #2 A 35 y old man goes to his family physician because he has been exhibiting the following symptoms over the past few weeks and they have been worsening: weakness, spasticity in the right leg, difficulties with balance, fatigue and malaise. Lab results reveal abnormalities in CSF and MRI brain scan. Diagnosed with Multiple Sclerosis. 1. Describe in detail how the deterioration of nervous system strength and stability causes the physical symptoms. 2. Describe in détail how CSF imbalance causes the physical symptoms.arrow_forward
- Case Study, Chapter 59, End-of-Life Care Ingrid is a 62-year-old retired labor and delivery nurse. She was diagnosed with terminal pancreatic cancer with metastasis 2 weeks ago. She is divorced and has three adult children who live in other cities. Home care was not an option so Ingrid agreed to be admitted for palliative care in the local hospice. On the second day after her arrival, the nurse finds Ingrid crying and holding her abdomen. died I ye ce his Ingrid states, "After all the years I nursed people and looked after so many regular and does not test strangers, why do I have to be alone now when I need someone? It's not fair." 1. What would an appropriate and therapeutic response be to Ingrid's comment? 2. What interventions should be included in the nurse's plan of care for the day? 3. What can be done for symptom management? for would Lanarrow_forwardGive written answer with explanation and conclusionarrow_forwardFamil Back to Case Study, Chapter 30, Basic Nutrition Ann Atta is a 56-yearold female who is obese and has been obese all her life. She consults a nutritionist to help her control her weight. She admits that she likes eating out at fast food restaurants and does not like to cook at home. She is an office secretary and is starting to feel a pain running down the side of her left leg while sitting at her desk. (Learning Objectives 1, 4, 5 1. List six classes of major nutrients. 2. Discuss BMI. Explain to Ann how to determine her own BMI. 3. Explain the difference between LDL and HDL cholesterol. Page 1/ Download 7:18 PM 7/18/2022arrow_forward
arrow_back_ios
arrow_forward_ios
Recommended textbooks for you
- Phlebotomy EssentialsNursingISBN:9781451194524Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)Publisher:JONES+BARTLETT PUBLISHERS, INC.
Gould's Pathophysiology for the Health Profession...NursingISBN:9780323414425Author:Robert J Hubert BSPublisher:Saunders
Fundamentals Of NursingNursingISBN:9781496362179Author:Taylor, Carol (carol R.), LYNN, Pamela (pamela Barbara), Bartlett, Jennifer L.Publisher:Wolters Kluwer, 
Fundamentals of Nursing, 9eNursingISBN:9780323327404Author:Patricia A. Potter RN MSN PhD FAAN, Anne Griffin Perry RN EdD FAAN, Patricia Stockert RN BSN MS PhD, Amy Hall RN BSN MS PhD CNEPublisher:Elsevier Science
Study Guide for Gould's Pathophysiology for the H...NursingISBN:9780323414142Author:Hubert BS, Robert J; VanMeter PhD, Karin C.Publisher:Saunders
Issues and Ethics in the Helping Professions (Min...NursingISBN:9781337406291Author:Gerald Corey, Marianne Schneider Corey, Cindy CoreyPublisher:Cengage Learning
Phlebotomy Essentials
Nursing
ISBN:9781451194524
Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:JONES+BARTLETT PUBLISHERS, INC.
Gould's Pathophysiology for the Health Profession...
Nursing
ISBN:9780323414425
Author:Robert J Hubert BS
Publisher:Saunders
Fundamentals Of Nursing
Nursing
ISBN:9781496362179
Author:Taylor, Carol (carol R.), LYNN, Pamela (pamela Barbara), Bartlett, Jennifer L.
Publisher:Wolters Kluwer,
Fundamentals of Nursing, 9e
Nursing
ISBN:9780323327404
Author:Patricia A. Potter RN MSN PhD FAAN, Anne Griffin Perry RN EdD FAAN, Patricia Stockert RN BSN MS PhD, Amy Hall RN BSN MS PhD CNE
Publisher:Elsevier Science
Study Guide for Gould's Pathophysiology for the H...
Nursing
ISBN:9780323414142
Author:Hubert BS, Robert J; VanMeter PhD, Karin C.
Publisher:Saunders
Issues and Ethics in the Helping Professions (Min...
Nursing
ISBN:9781337406291
Author:Gerald Corey, Marianne Schneider Corey, Cindy Corey
Publisher:Cengage Learning