Identify the steps you would take to monitor Mr. Campbell's nutritional status while he is hospitalized. How would this differ if you were providing follow-up care through his physician's office?
What will be an ideal response?
• While hospitalized: monitor intake/ output; monitor patient satisfaction with high-calorie, high-protein supplements, modulars, and food provided; monitor daily weight and lab values (concern for K+, Mg2+, and Pi due to potential for refeeding syndrome)
• If providing follow-up care through his physician's office, you could track intake/output and weight over time (weeks-months) to get a more accurate picture of the patient's actual energy and protein requirements. Can also monitor changes in functional indicators (grip strength, etc.) and body composition (edema, muscle loss, loss of fat mass) over time.
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