QUESTION 1 Calculate the patient's: 1. % IBW 2. % UBW 3. $ weight loss (Interpret her % weight loss as not significant, significant, or severe.) 4. BMI (Round BMI calculation to one decimal place.) Interpret her BMI. QUESTION 2 Estimate her resting energy expenditure using the Mifflin St. Jeor equation. Multiply by an activity factor for ambulatory patients engaging in light activity. REE (9.99* wt) + (6.25 * ht) - (4.92 * age) -161 Add 250-500 kcals to her RMR for weight gain. = QUESTION 3 Calculate her protein needs as 1.0-1.2 g/kg. QUESTION 4 List 2 additional questions you will ask as you obtain a diet history from EG. QUESTION 5 Provide two specific suggestions for this patient to increase kcals and protein while adhering to the dietary laws she follows.

Nutrition Now
8th Edition
ISBN:9781337415408
Author:Brown
Publisher:Brown
Chapter23: Good Things To Know About Minerals
Section: Chapter Questions
Problem 17RQ
icon
Related questions
Question
Read the case study and answer the questions.
Instructions
EG is a 76-year-old female who presents to your outpatient
clinic. After her husband died 2 years ago, EG moved to the
United States from Tel Aviv, Israel. She now lives with her adult
son and his family in Tuscaloosa, Alabama. Her physician is
concerned because she has experienced an unintentional
weight loss over the past six months. EG is fluent in English, so
a translator isn't necessary for your visit. However, she is
unfamiliar with medical terminology and medical jargon.
During your interview, you learn that EG strictly adheres to
Kashrut, or the Jewish dietary laws. She typically eats 3 meals
per day, but she finds large meals stressful and frustrating. "My
family always tells me to eat more at my meals, but I feel full and
tired quickly."
Ht: 60"
Wt: 93 lbs
UBW: 115 lbs six months ago
Visual acuity screen: WNL
Dental health: partial upper dentures
Blood pressure: 120/80 mm/Hg
PMH: Not significant
Transcribed Image Text:Read the case study and answer the questions. Instructions EG is a 76-year-old female who presents to your outpatient clinic. After her husband died 2 years ago, EG moved to the United States from Tel Aviv, Israel. She now lives with her adult son and his family in Tuscaloosa, Alabama. Her physician is concerned because she has experienced an unintentional weight loss over the past six months. EG is fluent in English, so a translator isn't necessary for your visit. However, she is unfamiliar with medical terminology and medical jargon. During your interview, you learn that EG strictly adheres to Kashrut, or the Jewish dietary laws. She typically eats 3 meals per day, but she finds large meals stressful and frustrating. "My family always tells me to eat more at my meals, but I feel full and tired quickly." Ht: 60" Wt: 93 lbs UBW: 115 lbs six months ago Visual acuity screen: WNL Dental health: partial upper dentures Blood pressure: 120/80 mm/Hg PMH: Not significant
QUESTION 1
Calculate the patient's:
1. % IBW
2. % UBW
3. $ weight loss (Interpret her % weight loss as not
significant, significant, or severe.)
4. BMI (Round BMI calculation to one decimal place.)
Interpret her BMI.
QUESTION 2
Estimate her resting energy expenditure using the
Mifflin St. Jeor equation. Multiply by an activity
factor for ambulatory patients engaging in light
activity.
REE = (9.99 * wt) + (6.25 * ht) - (4.92 * age) -161
Add 250-500 kcals to her RMR for weight gain.
QUESTION 3
Calculate her protein needs as 1.0-1.2 g/kg.
QUESTION 4
List 2 additional questions you will ask as you obtain
a diet history from EG.
QUESTION 5
Provide two specific suggestions for this patient to
increase kcals and protein while adhering to the
dietary laws she follows.
Transcribed Image Text:QUESTION 1 Calculate the patient's: 1. % IBW 2. % UBW 3. $ weight loss (Interpret her % weight loss as not significant, significant, or severe.) 4. BMI (Round BMI calculation to one decimal place.) Interpret her BMI. QUESTION 2 Estimate her resting energy expenditure using the Mifflin St. Jeor equation. Multiply by an activity factor for ambulatory patients engaging in light activity. REE = (9.99 * wt) + (6.25 * ht) - (4.92 * age) -161 Add 250-500 kcals to her RMR for weight gain. QUESTION 3 Calculate her protein needs as 1.0-1.2 g/kg. QUESTION 4 List 2 additional questions you will ask as you obtain a diet history from EG. QUESTION 5 Provide two specific suggestions for this patient to increase kcals and protein while adhering to the dietary laws she follows.
Expert Solution
steps

Step by step

Solved in 3 steps

Blurred answer
Similar questions
Recommended textbooks for you
Nutrition Now
Nutrition Now
Health & Nutrition
ISBN:
9781337415408
Author:
Brown
Publisher:
Cengage
Curren'S Math For Meds: Dosages & Sol
Curren'S Math For Meds: Dosages & Sol
Nursing
ISBN:
9781305143531
Author:
CURREN
Publisher:
Cengage
Nutrition Through The Life Cycle
Nutrition Through The Life Cycle
Health & Nutrition
ISBN:
9781337919333
Author:
Brown, Judith E.
Publisher:
Cengage Learning,
Nutrition Through the Life Cycle (MindTap Course …
Nutrition Through the Life Cycle (MindTap Course …
Health & Nutrition
ISBN:
9781305628007
Author:
Judith E. Brown
Publisher:
Cengage Learning
Health Safety And Nutrition F/Young Child
Health Safety And Nutrition F/Young Child
Health & Nutrition
ISBN:
9781305144767
Author:
MAROTZ
Publisher:
Cengage