Dinner at 6:00 - 6:30 3 to 4 dinner/wk: baked chicken breast or pork chop or turkey tenderloin or fish 1 dinner/wk: 8 oz rib eye OR bratwurst 1 dinner/wk: green chile chicken enchiladas or 1 large chimichanga or 3 beef tacos 1 dinner/wk take-out: hamburger or chicken strips 1-2 dinner/wk: some entrées noted above may be Italian or Asian inspired; Pt often uses garlic and onion in her cooking SIDE DISH depending on entrée: large baked potato OR baked sweet potato OR French fries OR onion rings OR ½-3/4 cup brown rice OR ½ cup beans (pinto, black or garbanzo, etc.) OR 1 cup pasta VEGGIES -steamed, roasted or stir-fried: green beans OR carrots OR cauliflower OR Brussels sprouts OR zucchini OR red cabbage OR asparagus OR bell pepper OR Mr. Brock O'Lee OR Mr. Artie Choke Most nights also has a side salad with mixed greens, spinach, cucumber, cherry tomatoes, etc. with vinaigrette and chopped walnuts About 1 dinner/wk: large entrée salad with raw vegetables and grilled chicken, shrimp or salmon Bread on some nights depending on entrée: hamburger bun OR cornbread OR rye bread OR garlic bread OR dinner roll Dessert about 2 nights/wk: small bowl of ice cream OR 1 slice cake OR pudding OR two cookies Iced tea, plain Friday night: 1 beer or 1 glass of wine Beverages thru out the day Water: about 4 to 6 eight-ounce cups Some days: apple juice and/or cranberry juice, one 4 to 8 oz. cup Iced tea, plain: one to two 8 oz. cups. Is change needed? Suggested change If yes, why? Is change needed? Suggested change If yes, why? • As we discussed in class, nutrition education was not appropriate during the initial visit due to her emotional state. You return in two days. She is tolerating the Low Fiber Diet and eating 75% or greater of her meals. Mrs. Flowers is calmer and seems to be adjusting to the colostomy. She has been assessed by the Wound/Ostomy Nurse who instructed her daily for three days on how to take care of her colostomy. Mrs. Flowers tells you that the surgeon is planning to takedown her colostomy in 3 to 4 months. . During your second visit with Mrs. Flowers you obtain a diet history for her typical intake at home. Indicate if a change is necessary for management of her ostomy and why. Also note your suggested change to her menu.

Your patient reports that she has a lack of appetite and hypersomnia.  What other factors will you assess? What is your initial impression or concern, based on this limited information? What findings would concern you most?  What referrals might you consider?

Sh notice a reddened area around his sacrum and dry skin on his back. You alert the While assisting Mr. Gomez with his morning care, he tells you his back is itchy. You Mr. Gomez is a 75 year old man who is a resident in the long term care facility. His history includes a CVA five years ago which resulted in swallowing difficulties, right sided weakness and an inability to walk. He mobilizes using an electric wheelchair 111 RD DRANE N COLLEGE HCA Activity Course Name Healing 3 Integrated Skills Case Study 5 Pass/Fail d obser Activity Title Weight ats shou s and ped. and can also have fluids by mouth if they are thickened to pudding consistenty to th nurse and she indicates it's a stage one pressure ulcer. As per his care plan provide him with A. M. care (Skill 1), demonstrate turning and moving the client in bed with a pressure ulcer (Skill 2), transfer the client from bec to wheelchair using the full mechanical lift (Skill 3), nd make an open bed, (Skil Please perform the necessary…

Mrs. Govinda, 75, was admitted to the hospital after repeated episodes of pneumonia.Despite aggressive antibiotic therapy, her condition rapidly deteriorated and she diedunexpectedly 1 week after being admitted to the hospital. Mrs. Govinda’s oldest son, wholived nearby and frequently cared for his mother, arranged for the funeral and visited withrelatives. He misses his mother and cries occasionally but managed to return to work thefollowing week. The youngest son had difficulty attending the funeral, has been unable tosleep or eat, cannot concentrate at work, and cannot believe that his mother is dead. Themiddle son did not weep at the funeral and had little to say to his brothers or other relatives.He returned home to another state but has remained distant. He is back to work but feelsvery fatigued and apathetic.a. From the data provided, describe the phase of bereavement being experienced byeach of the three surviving sons.b. How might your own feelings about death affect the care…