5/20/17-Resident has experienced a decline in meal intake the past week r/t UTI with ABT therapy. She denies any difficulty chewing or swallowing. Currently eating 25-50% of meals, which is down from her usual 50-100%. Weight taken on 5/3/17 was 136# and was stable between 133-138# for 180 days. IBW is 100#. BS range from 125-200. Labs-5/18/17: Na 146H; K 3.7; Cl 110; Hgb 11.2L; Hct 38L; BUN 25H; Creat 1.0; GFR >60; Glu 137H. Skin is intact. Needs: 1545-1854 Kcals (BWx25-30) and 49-62 grams of protein (BWx.8-1.0) and 1854 mL in 24 hours (BWx30); Meals provide approx. 700-800 Kcals and 22-27 grams of protein. Would benefit from nutrition supplement. Spoke with resident and she agreed to try our Diet House supplement.
Nutrition Diagnosis: Inadequate meal intake related to recent infection and ABT therapy as evidenced by leaving 50% or more of meals
Recommend: 1) 120 mL SF House Supplement tid-following each meal. 2) Weekly weights 3) Encourage fluids-give an extra 120 mL q shift. Follow prn.
This is an excerpt from: The Top Fifty Questions from Student RDNs about Long-Term Care, an e-book created by Doreen Rodo, M.Ed, RDN
$6.99 Kindle Edition on Amazon
Dementia Mealtime Assessment Tool
The Foodie Dietitian
Soulful and Spirit Filled
Fresh. Practical. Scientific.
My journey and experiences, to help your journey. For the aspiring or accomplished Registered Dietitian.
helping you feel energized with crohn's & ulcerative colitis through nutrition
Helping Women Find Their Happy Weight & Ditch Dieting for Good
The Inside Scoop on All Things Lose It!
Powered by ADSA (Association for Dietetics in South Africa)
Research Your Future - Strategic Career Planning for Schools & Colleges
Thoughts and stories of failures, successes, school and life of a registered nurse
Debunking myths and uncovering the truth on food and nutrition by a Registered Dietitian
Nutrition consultations from a registered dietitian
A site for practical nutrition information for student dietitians, DTRs and RDNs...featuring guest blogs from students or RDNs who would like to gain writing experience.
Eating healthy no longer means your family has to go broke.
Live well, eat clean, go vegetarian!