Select two high-priority nutrition problems and complete the PES statement for each

Question

What will be an ideal response?

Answer 1

The following are possible PES statements. It may be helpful for students to initially write more than two nutrition diagnoses and then prioritize as to the ones that are most likely to have immediate nutrition interventions.
Upon admission:
• Inadequate oral food/beverage intake related to decreased appetite over past several weeks as evidenced by only sips and bites of food at meals and no between-meal snacks
• Inadequate protein-energy intake related to decreased appetite over past 2 weeks as evidenced by estimated intake of 113 kcal and 10 g of protein from 24-hr recall compared to recommended intake of 1600-1700 kcal and 67-83 g protein
• Underweight or Involuntary weight loss related to inadequate energy intake as evidenced by current weight of 122 pounds compared to UBW of 135 pounds (demonstration of critical thinking by students would note that 122 pounds may be inaccurate based on presence of edema)
During hospitalization:
• Inadequate intake from enteral/parenteral nutrition infusion related to intolerance demonstrated by high residuals as evidenced by only 400 mL delivered before discontinuation providing only 480 kcal and 17 g protein compared to recommended intake of 1600-1700 kcal and 67-83 g protein
• Excessive intake from enteral/parenteral nutrition infusion related to infusion of both Isosource at 50 mL/hr and ProcalAmine at 100 mL/hr as evidenced by calorimetry RQ of 0.95 and increased production of CO2