Nutrition Through the Life Cycle (...
Nutrition Through the Life Cycle (...
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
Monitoring and Evaluation
How could Bridget ensure that Laura’s nutritional needs are met?
To determine: A method to be undertaken by the nutritionist to ensure that Person L’s nutritional needs are met.
Introduction: The importance of good health is very important in older adults who have already undergone medical care before or affected by chronic disorders That is near the upper limit of an average human lifestyle. Older adults are at a high risk of contracting diseases that are immunological and chronic in nature. Gastrointestinal problems are hugely common and potentially dangerous reasons for them to succumb to such conditions.
Person L who stands at 4ft 8 in and weighs 97 lb is currently a 87-year old widow residing at a residential continuing-care retirement facility where she is served food, though she longs to cook on her own citing her dislike towards the food. Her appetite is good and she does not face any major nutritional or health issues. However, in the past one year, she has reduced her salt intake because of the condition of fluid retention. Recently, Person L was hospitalised for three weeks at the skilled-care center where she was fitted with a nasogastric tube for feeding and was observed to be alert and aware inspite of the artificial fixation. On Monday morning, she suffered a right-sided stroke that paralyzed her left-side...
Chapter 19 Solutions
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