Mr. P is a 68-year-old client with COPD that lives alone. He is independent with activities of daily living (ADLs), but must take extra time to accomplish all tasks since he tires easily and often becomes short of breath
He relies on food deliveries from a local grocery store. The visiting nurse monitors his weight weekly, and has noticed a downward trend in the past two months. When asked about his appetite, Mr. P admits that he often tires out before finishing his meal. The nurse recommends that he: 1. Eat small meals consisting of mostly carbohydrates.
2. Include foods that are high in calories and protein to provide adequate energy.
3. Add foods that require less vigorous chewing to conserve energy.
4. Plan more time for meals and eat as slowly as possible.
2
Rationale: Clients with COPD require increased calories and proteins in their diets in order to restore lean body mass and provide adequate energy to meet their needs. Although carbohydrates are a good source of calories, proteins are needed to replace lean muscle mass. Adding foods that require less vigorous chewing can help to reduce energy needs, but it is nutritional value more than consistency that is important. Planning enough time to eat at a reasonable pace is important; however, longer meals often result in cold food that is less appetizing and early satiety.
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