Identify at least two pertinent nutrition problems and the corresponding nutrition diagnoses
What will be an ideal response?
• Nutritional problem post-surgery: After surgery, vitamin and mineral deficiencies are very common since the absorptive function of the GI tract is being altered by the roux-en-Y procedure.
- Inadequate vitamin intake (B12) related to decreased absorption as evidenced by reports of adequate vitamin B12 sources in diet with low serum levels.
• Another nutritional problem is the fact that the patient is obese.
- Obesity related to excessive energy intake as evidenced by BMI of 59 (BMI >30).
• Another post-surgery problem may be that the patient may have a hard time consuming adequate protein because the stomach capacity is reduced but the protein needs are increased.
- Inadequate protein intake related to recent altered absorption and digestion from recent surgery as evidenced by increased estimated protein needs of 75-90 g/day.
- Nutrition-related knowledge deficit related to changes in diet due to recent RYGB surgery as evidenced by patient reports.
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