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Nutrition Through the Life Cycle (...

6th Edition
Judith E. Brown
ISBN: 9781305628007

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BuyFindarrow_forward

Nutrition Through the Life Cycle (...

6th Edition
Judith E. Brown
ISBN: 9781305628007
Textbook Problem

Just because she lives at Lenoir Manor, a continuing-care retirement facility, Laura, a petite (4 ft 8 in., 97 lb) widow of the local college dean, does not consider herself as old. She is 87. She has had no major nutritional or health problems and her appetite is good. She had been a good cook and entertained graciously, but in the residential care facility, meals are prepared for her. Because she has had slight fluid retention over the past year, she no longer adds salt to her meals. She tells Bridget Doyle, her nutritionist, that yes, occasionally she does not like her meals and misses cooking for herself.

One Monday morning, Laura is found in bed with her left side paralyzed. The diagnosis is a right-sided stroke, resulting in three weeks of hospitalization. Back at the skilled-care wing of Lenoir, Laura needs a nasogastric tube for feeding. She is alert and knows people but is limited in speech. Overnight, Laura’s care has changed from an individual needing routine nutritional monitoring to someone with many interrelated problems:

  • Inability to communicate her overall medical and nutritional concerns clearly
  • Weight loss of 9 lb during the three-week hospital stay
  • Intense dislike of the nasal tube, as demonstrated by repeated attempts to pull it out, leading to restraint of her hands

Diagnosis

The interdisciplinary care team wants to meet Laura’s needs in a dignified and respectful manner. How can the care team address both clinical and ethical concerns?

Summary Introduction

To address: Both clinical and ethical concerns of person L.

Introduction: Good health is very important in older adults who are at higher risks of contracting immunological and chronic diseases. Gastrointestinal problems are one of the most common ones among them and are potentially dangerous. Older adults have high possibilities of succumbing to such conditions. Thus, the intervention of an interdisciplinary team of healthcare personnel is required in order to ensure good health and well being.

Explanation

Person L, who stands at 4ft 8 in and weighs 97 lb is currently an 87-year old widow residing at a residential continuing-care retirement facility. Her appetite is good and she does not face any major nutritional or health issues as she is being served food. However, in the past year, she has reduced her salt intake because of a condition of fluid retention and she desires to cook on her own citing her dislike towards the food. Recently, Person L was hospitalized for three weeks at the skilled-care center where she was fitted with a nasogastric tube for feeding. She was observed to be alert and aware in spite of the artificial fixation.

One morning, she suffered a right-sided stroke that paralyzed her left side. It was discovered that she had lost 9 lb of weight and suddenly started displaying intense dislike of the nasal tube. Also, she was not clearly able to communicate her overall medical and nutritional concerns.

According to the case summary, Person L is currently compromised with several health problems and requires the attention of an interdisciplinary care team...

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