Mr. K is a 60-year-old diabetic client on the medical surgical floor of the local hospital. He was admitted for nausea, vomiting, and loss of appetite
He is suspected of being malnourished, and has lost more than 8 pounds recently since his symptoms began. The nurse practitioner has diagnosed him with gastroparesis and ordered a pureed diet with: 1. Liquid nutritional supplements three times a day. 2. High fiber to stimulate peristalsis. 3. High fat to provide calories for energy. 4. No spices to avoid gastrointestinal upset.
1
Rationale: Gatroparesis is a motility disorder of the stomach that causes low gastric emptying and results in nausea, vomiting, and loss of appetite which can lead to malnutrition. Liquid nutritional supplements may be used to ensure adequate caloric and nutritional intake. High-fiber foods are avoided to prevent obstructions. High-fat foods are avoided due to slower gastric emptying. The addition of spices has no effect on this condition.
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