What are the most common nutritional concerns for someone with COPD? Why is the patient diagnosed with COPD at higher risk for malnutrition?
What will be an ideal response?
• Nutritional concerns are two-fold. First, COPD does cause symptoms that interfere with adequate oral intake.
These include:
• Loss of appetite
• Early satiety
• Changes in saliva production (sensation of taste)
Individuals with emphysema also may experience an overall increase in energy and protein requirements due to the excessive use of accessory muscles to breathe.
Other symptoms such as dyspnea, bloating, fatigue, and constipation interfere with ability to chew, swallow, and even prepare food.
• Secondly, when someone with COPD experiences malnutrition, there is risk that this may worsen respiratory function.
Malnutrition can cause a wasting of respiratory muscles that will then make the work of breathing more difficult.
• This dyspnea leads to fatigue which may further cause food preparation and consumption more difficult.
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