Identify two nutrition problems and develop a PES statement for each
What will be an ideal response?
Nutrition problems:
• Inadequate oral intake
• Inadequate energy intake
• Altered nutrition related lab values
• Inadequate fluid intake
Below are examples of PES statements for several of the problems stated above.
• Inadequate oral intake related to oral motor dysfunction, limited food preferences, and prolonged time needed to finish meals as evidenced by reported energy intake of ~60% estimated needs and decreased growth velocity..
• Altered nutrition related lab values (vitamin D) related to inadequate intake, increased vitamin D metabolism secondary to Phenytoin use, and decreased sunlight exposure as evidenced by 25-hydroxyvitamin D level(16 ng/mL) indicative of clinical deficiency.
• Inadequate fluid intake related to limited beverage intake between meals as evidenced by dry skin/mucous membranes, pt meeting ~70% estimated fluid needs per 24 hour recall, and elevated BUN..
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