For each PES statement and the responses to #19, establish an ideal goal (based on the signs and symptoms) and appropriate interventions (based on the etiology)
What will be an ideal response?
• Excessive energy intake related to large portion sizes as evidenced by an estimated energy intake of ~2900 kcal/day per 24-hr recall (900 kcal more than estimated needs) and large dinner consisting of 8 oz of filet mignon, large baked potato w/butter, salad with ranch dressing, and 6 oz white wine.
Goal: Meet energy requirements for weight loss (1300-1500 kcal/day).
Intervention: Consume smaller portions, reduce excessive fat intake (including fat added to foods), and increase her consumption of fiber rich fruits/vegetables and whole grains for her earlier meals (breakfast through lunch) to maintain satiety.
• Excessive alcohol intake related to food- and nutrition-related knowledge deficit as evidenced by 12 oz (> 2 servings) of white wine per 24-hr recall.
Goal: Limit alcohol consumption to less than 1 drink (5 oz glass of wine) per day.
Intervention: Patient education on importance of limiting alcohol consume and advise to consume only one 5-oz glass for dinner or her evening snack.
• Excessive fat intake related to food- and nutrition-knowledge deficit and consumption of high-fat meals as evidenced by 45% energy intake from fat and reported intake of 8 oz of filet mignon and fat-dense additives to foods (e.g. egg, mayonnaise, butter, ranch dressing).
Goal: Meet dietary recommendations to obtain 20%-35% of energy from fat.
Intervention: Patient education on reducing added fat to foods and flavoring options (such as spices) to use instead.
• Undesirable food choices related to food- and nutrition-related knowledge deficit as evidenced by consumption of 8 oz of filet mignon.
Goal: Limit consumption of red/processed meats to less than 18 oz per week.
Intervention: Patient education and counseling on the importance of avoiding/limiting red meat and proper portion sizes (e.g. palm of hand). Suggest to consume no more than 2.5 oz/day or 3 oz/day for 6 days of the week.
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Mr. Bradley is a 70-year-old man with a long medical history including uncontrolled diabetes mellitus since age 45 who presents to the West Smithtown Dialysis Center with new-onset end-stage kidney disease. Mr. Bradley lives in an assisted living facility where he receives full-time nursing care. As a dialysis nurse, your role is to review the nutrition guidelines with Mr. Bradley, who has
diabetic retinopathy and loss of vision. He is a non-ambulatory war veteran, former smoker, and former alcohol abuser whose BMI is normal, though he has lost 3% of his body weight since being diagnosed with kidney failure one month ago. A food frequency questionnaire shows that Mr. Bradley generally meets his recommended intakes of all food groups, but his fiber intake is low, and his dairy foods consumption exceeds the recommendation by double due to his love of milk, ice cream, cheese, and other dairy products. Mr. Bradley's comprehension of the need for a lower-phosphorus diet is reflected by his statement that: a. "I will need to eat fewer fatty meats." b. "I will need to avoid legumes." c. "I will need to limit dairy products." d. "I can eat all the bread I want." e. "Becoming a vegetarian would best meet my protein needs."
The female athlete triad and anorexia nervosa share similar features. In both disorders, women develop
A. amenorrhea. B. improved performance. C. improved bone density. D. strong self-esteem.
Which diuretic is usually used to mobilize fluids when a patient has edema?
A) hydrochlorothiazide B) furosemide C) aldactone D) spironolactone
Sue is the mother of a two-year-old named Tara. Sue wants to protect Tara from pesticides, chemicals, and other harmful contaminants on the food she serves her daughter. She is committed to only purchasing organic foods and preparing them in a healthy manner. What recommendations would you make to Sue?Manuel tells Sue there are some benefits to the use of pesticides for farmers and consumers
What characteristic is unlikely to be a benefit of pesticides? a. Pesticides can boost crop yields. b. Pesticide use contributes to the relatively low cost of fruits and vegetables. c. Pesticide use allows for a wide variety of crops to be grown. d. Some pesticides like DDT remain active for years and so do not need to be reapplied. e. Pesticides may help keep wildlife populations in check.