Select two nutrition problems and complete the PES statement for each

Question

What will be an ideal response?

Answer 1

The following are PES statements for all of the possible problems. In this case, priority problems are most likely those that are a result of the admission diagnosis of ischemic stroke as these will provide the basis for the nutrition intervention while in the hospital and immediately post-discharge.
• Inadequate oral food/beverage intake related to dysphagia associated with the esophageal transit phase following an ischemic stroke as evidenced by patient currently being NPO
• Swallowing difficulty related to dysphagia associated with the esophageal transit phase following an ischemic stroke as evidenced by reduced esophageal peristalsis
• Chewing difficulty related to dysphagia associated with the esophageal transit phase following an ischemic stroke as evidenced by tongue deviation
• Excessive energy intake related to large portions of food and sweetened beverages as evidenced by typical daily intake of 1938 kcal compared to recommended daily average intake of 1600 kcal
• Excessive saturated fat intake related to frequent consumption of animal meats as evidenced by 10% saturated fat intake and usual consumption of 4-6 oz of fried pork chop and chicken.
• Excessive sodium intake related to frequent consumption of high-salt foods as evidence by usual sodium intake of 2712 mg/day and usual intake of saltine crackers and soup.
• Inadequate potassium intake related to minimum intake of fruits and vegetables as evidenced by typical daily intake of 3452 mg compared to recommended daily average intake of 4700 mg
• Overweight/obesity related to excessive energy intake as evidenced by BMI of 33.9.