Case Study Elderly Assignment Help: How to Answer This Question
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Original Question
Case Study: Elderly – 50 points Directions: Type and answer each part in question/short answer format. Show your work where math is needed. Part 1 (10 points) Complete case study 18.1 on page 475 titled “JT- Spiraling Out of Control”. What would you ask JT about his food and fitness routine? Calculate JT’s BMI. How does it compare to guidelines? He wants to know whether BMI is an accurate measure of his body fat. How might you answer? As his dietitian, what nutrition remedies would you explore to help JT? What fluid recommendations would you make? What sort of monitoring and evaluation plan could you and JT devise to track his weight management? Part 2(20 points) Estimating the Nutritional Requirements for the Elderly Use the information from Chapter 18 (Nutrient Recommendations, p. 466). Determine the estimated calorie requirements using the Mifflin-St. Jeor Energy Estimation (for weight maintenance) for John, a 78-year-old male, who weighs 146#, is 5’11” and is considered sedentary. Does John need to gain or lose weight? How might this change his estimated calorie requirements? Hint: Calculate his BMI to determine if his current BMI puts him at increased health risk. Determine John’s estimated protein requirements. John has difficulty chewing due to missing many teeth, so he avoids eating many types of meats. What suggestions do you have to help him consume an adequate amount of protein? Determine John’s estimated fluid requirements. John’s usual food intake is listed below. What suggestions do you have to help him reduce his risk for chronic disease using dietary modifications? Coffee, pastry, tuna salad on white bread, cola, potato chips, canned beans, hot dogs, coffee, and pie. Using the list of Nutrition Diagnoses posted in E-learning, use NCP to write a PES statement for John. (Review The Nutrition Care Process on pg 66-68) Format: Choose a diagnosis (use intake domain if possible) that is appropriate for John’s nutrition problem. A PES statement (or Nutrition Diagnosis Statement) is a standardized structured sentence that describes the specific nutrition problem that you (the dietitian) identified and will be treating and monitoring. It should include the diagnosis, the cause/s of the problem and the evidence that this problem exists. The Problem (P)- the Nutrition Diagnosis The Etiology (E)- the cause/s of the nutrition problem (Nutrition Diagnosis) The Signs and Symptoms (S)- the evidence that the nutrition problem (Nutrition Diagnosis) exists. Ex: Inadequate fluid intake related to high intake of caffeinated beverages as evidenced by pt describes drinking only 30 oz/day of mainly caffeinated coffee and soda; labs indicate dehydration. Ex: Obesity r/t excessive energy intake AEB pt report of frequent fast food meals, high in fat and calories; BMI of 32. Part 3 (20 points) Heart-Healthy Nutritional Requirements Directions: Using the information from Chapter 16 and Chapter 17 on nutrition interventions for cardiovascular disease, complete this worksheet. Calculate the estimated calorie requirements for a 58-year-old female who is 5’8″, 160# and is moderately active, using the Mifflin-St. Jeor Energy Estimation Formula (Chapter 16, p. 409). Calculate the maximum amounts of saturated fat, monounsaturated fat, and polyunsaturated fat (in grams) that this person should consume. Some of these include ranges, but please use the percentages below for your calculations. 35% fat of total calories 5% saturated fat of total calories 10% polyunsaturated of total calories 20% monounsaturated of total calories Calculate the amount of total fat (in grams) that this person would require. (See percentage above from question 2.) Calculate the amount of carbohydrates (in grams) that this person would require. How many calories per day should this person consume to promote weight loss of one pound per week? Taking into account the expenditure of 200 calories per day in physical activity, how many calories should this person consume daily to promote weight loss of two pounds per week? Do you recommend the calorie level estimated in question #6? Why or why not?
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