Case Study Instruction
Read the scenario in the case study and answer the writing prompts. Provide rationale for each answer. All posts must contain at least (2) professional references, one may be the course textbook, properly cited in the current APA format. Do not rewrite the questions as it adds to the turnitin score. The turnitin score should be 20% or less
Purpose
The purpose of this case study is to successfully apply the components of Nutritional Assessment in the provision of appropriate nursing care and health promotion.
Case Study
C.M. is an 89-year-old woman who presents with her daughter to the providers office. The daughter is concerned because her mother has not been eating well. She has been having bleeding gums. Her past medical history includes HTN and Hypothyroidism. A, 24-hour diet recall reveals an intake of approximately 1100-calorie. The patient lives alone and the daughter lives nearby. Since she doesn’t drive, her daughter shops for her. The patient usually likes to cook and eat light meals. Her Vital signs shows T: 37 C , P: 72 bpm/min, R:12 breaths / min, BP 104/64 mmHg Weight: 104 lb. Her weight at the time of her last visit 3 months ago was 115 lb. Her height is 5 feet 1 inch. Her oral mucosa is dry. Her dentures seem loose. Poor skin turgor noted.
Writing Prompts
Develop a problems list from the objective and subjective data.
What nursing diagnoses can be derived from the problems list?
What should be included in the plan of care?
Calculate the patients body mass index.
How many calories a day does this patient need to maintain her current weight?
What laboratory studies would help determine the patients nutritional status?
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