Describe Mrs. Washington's potential nutritional problems upon discharge. What recommendations could you make to her husband to prevent each problem you identified? How would you monitor her progress?
What will be an ideal response?
• Acute nutritional problems may involve impairment of the ability to chew, swallow, or self-feed, which may lead to weight loss and generalized malnutrition.
• Aspiration may occur. I would educate the husband on how to thicken liquid or soft foods to a consistency tolerable for his wife.
• This would include use of gelatin, pureed thick vegetables, pureed fruits or applesauce, baby rice cereal, and baby apple flakes.
• Additionally, there are many commercial thickeners available for use.
• Mrs. Washington's progress could be monitored by use of 24-hour recalls, monitoring her weight, and also updates from a speech-language pathologist.
You might also like to view...
Maya and Bob have been married for 5 years, have graduated from college, and have decided to start a family. Maya's mother gives her a book, How to Have a Successful Pregnancy. Bob and Maya are eager to start reading the book and give their baby the best start in life possible. Let's see how much you already know by answering the following questions.Maya takes Accutane (isotretinoin) for acne and
hopes to continue using it during her pregnancy. What advice would you give her? a. Stop taking it immediately as it causes major birth defects, and consult your doctor. b. Continue taking it as it won't affect the outcome of the pregnancy. c. Take half the usual dose and stay out of direct sunlight. d. Stop taking it until after the first trimester; then it is safe to resume again. e. Replace the Accutane with an herbal product since this would be a safe, natural alternative.
The National Academy of Sciences developed which of the following?
a. REE b. EER c. indirect calorimetry d. Harris Benedict
What is the preferred method for feeding the postsurgical client? ?
A) ? orally B) ? via nasogastric tube C) ? parenterally D) ? intravenous solution
Vitamin D deficiency disease in children is called
a) osteopenia. b) osteoporosis. c) osteomalacia. d) rickets.