Mr. Salim is a 58-year-old carpenter recently admitted to the hospital with chest pain. He is 67 inches tall and his weight on admission is 194 pounds. He reports to the admitting nurse that he has unexpectedly lost 10 pounds recently in spite of increased hunger and thirst. His medical record reveals a history of some drug addiction for which he is currently under treatment. Mr. Salim states he avoids milk because “it gives me gas.” He takes medication for high blood pressure and smokes “about a half pack” of cigarettes a day. While in the hospital, blood tests reveal a high serum glucose level indicative of diabetes. The doctor has ordered a nutrition assessment for this patient. 1.What medical problems may be associated with Mr. Salim’s risk for malnutrition? 2.What nutrition-related problems identified on admission may help the dietitian make a nutrition diagnosis? 3. Base on available information kindly make a PES statement. 3.what method would you choose to easily determine Mr. Salim’s usual food intake? Why would you choose this method? 4.Based on his medical history, what additional laboratory tests would be especially helpful to assess this patient’s nutritional status? Give reasons for ordering each test. Which tests may help determine whether Mr. Salim has liver disease that may compromise his nutritional status? 5.What additional personal and social information would be helpful in planning an appropriate nutrition intervention and education for Mr. Salim ?
Mr. Salim is a 58-year-old carpenter recently admitted to the hospital with chest pain. He is 67 inches tall and his weight on admission is 194 pounds. He reports to the admitting nurse that he has unexpectedly lost 10 pounds recently in spite of increased hunger and thirst. His medical record reveals a history of some drug addiction for which he is currently under treatment. Mr. Salim states he avoids milk because “it gives me gas.” He takes medication for high blood pressure and smokes “about a half pack” of cigarettes a day. While in the hospital, blood tests reveal a high serum glucose level indicative of diabetes. The doctor has ordered a nutrition assessment for this patient.
1.What medical problems may be associated with Mr. Salim’s risk for malnutrition?
2.What nutrition-related problems identified on admission may help the dietitian make a nutrition diagnosis?
3. Base on available information kindly make a PES statement.
3.what method would you choose to easily determine Mr. Salim’s usual food intake? Why would you choose this method?
4.Based on his medical history, what additional laboratory tests would be especially helpful to assess this patient’s nutritional status? Give reasons for ordering each test. Which tests may help determine whether Mr. Salim has liver disease that may compromise his nutritional status?
5.What additional personal and social information would be helpful in planning an appropriate nutrition intervention and education for Mr. Salim ?
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