How the Patient Could Be Managed Nutritionally - Essay Example

 Enteral Feeding (Case Study) Outline: 1.0 How the patient could be managed nutritionally 2.0 Specific treatment plan 3.0 Calculation of the energy, proteins and liquids requirement 4.0 Equation used 5.0 Measures to avoid complications 6.0 Evaluation of the new feeding treatment How the patient could be managed nutritionally The fact that the patient cannot take food through the mouth makes matters complicated. This is because of the comments from the speech therapist who has advised that he cannot do that as it will interfere with his breathing system. The ideal method could then be injections using already easily digestible nutrients and food supplements (Malaika, 2011). These nutrients have to be in solution form so that they can easily flow into the blood stream (Haas & Levin, 2009). The reason why this is the best method is because definitely, there have to be a treatment method appropriate for Mr. George. Owing to his age, he cannot survive feeding through tubes. This could easily cause trauma in him and cause his death (James, 2009; Shah et al., 2012). Alternatively, Mr. George can feed on strictly liquid food. This can be safer for him compared to solids. Even though he has a great appetite, it is not a guarantee that he consumes solid food anyhow (McGinty, 2010; Rudolf, 2009). In that case, the fruits he has been consuming have to be converted into juices. Specific treatment plan This nature of sickness requires constant check and change of both medicine and diet. The treatment plan should be divided into a two week program (Weber & Zimmerman, 2010). The first week is a week of diet adjustment (Wildman, 2009). The doctor has to teach Mr. George how to use the best diet, while monitoring Mr. George’s condition. During this period, the doctor can only administer medical treatment through dripping or oral, but only for syrups or solutions. It also involves watching of the results to see how George responds to the treatment (Arora, 2012) and (McCarthy, 2008). The use of medicine in the first week should be less because he has not been eating well, and the body could be containing more chemicals than food substances. At the notice of any negative indicator, then it means there is need for a quick change, either in food or medication. According to the advice of Goldman (2009) and Turney (2010), the first week should see Mr. George recover his usual weight of 62 KG. In the second week, Mr. George’s condition should be stable enough for him to undergo a series of medication. The use of Riluzole in medication can resume at the point where Mr. George’s weight comes back to normal. The doctor can use the same quantity of 50mg after every interval of 12 hours (Mason et al., 2012; Rodríguez-Oliveros et al., 2011). Calculation of the energy, proteins and liquids requirement Mr George should be able to receive more energy than other nutrients. The amount of proteins he requires is minimal, but in a constant supply. His body requires a lot of fluid to avoid dehydration and to facilitate the flow of food substances and medicine in the body (Vaughan & Judd, 2009). In addition, fluid will be able to provide a cleaning effect in the blood; a process that will enable medication to function properly and quicken Mr. George’s recovery. As it is evident in the urea content of his blood, water is vital for the purpose of blood cleansing (Sokolowski & Banks, 2012). The transition between the first week and the second week doesn’t have to be a surprise to his body system, but can be a gradual process. Mr. George should avoid consumption of refined sugar at any cost. This is to reduce chances of developing diabetic conditions (Mason et al., 2012; Rodríguez-Oliveros et al., 2011). Equation There will definitely be a change in the eating formula, to ensure the largest amount of fluids, followed by energy food consumption then the smallest amount of proteins. We use the Mifflin’s nutrition equation for calorie calculation, which splits the food components in proportion of energy E, Liquid L and proteins P should be at least 11:54:6 (Dunford, 2006). It implies that any eating session should have 11 portions of energy, 54 portions of liquid and only 6 portions of proteins. This means that the food equation will depend on the variable combination, forming an eating equation as: Eq = 11E + 54L + 6P. The time schedule for Mr. George’s new eating formula will be as follows Donald’s brand of healthy nutrition for the aging (Donald, 2011). Breakfast: Liver, legume and backed cake. 2 Glasses of Fresh Milk and corn Flakes One Jug of blended Pineapple juice or passion fruit juice Two spoons of natural honey Lunch: Mushroom soup, rice, one glass of water and another of orange juice. Three pieces of meat, corn meal and cabbages and one spoon of Honey Dinner: One bawl of meat or mushroom soup, vegetables, either cabbages or spinach, one glass of orange juice and one bowl of milk cream. One glass of water, One cup of sugarless tea and One glass of Milk. Snack: One glass of warm milk with sausages with one tablespoon of drinking chocolate Two spoons of natural honey and one jug of water (Mason et al., 2012; Rodríguez-Oliveros et al., 2011). Measures to avoid complications In order to avoid complication, Mr. George should follow the eating formula strictly. He should not overuse one portion of the food combination (Donald, 2011). Secondly, Mr. George should not default on the medicine intervals. He should strictly follow the doctor’s prescription and change whenever he receives instructions from the doctor. There should be no cases of overdose of any medicine (Armstrong & Mechelen, 2008; Flynn et al., 2012). Of course the doctor will have to monitor his conditions and constantly advise of the necessary changes. Thirdly, he should avoid solid foods in the first phase of treatment, as per the directives of the speech therapist. This is because it may cause complications in breathing. At this age, Mr. George should avoid sugar at all costs, and where he must take sugar, it has to be in form of natural fruit juices or natural honey, but not refined sugar. There is a high risk of diabetes since his blood already indicates high content of urea. A person with a high content of urea in his blood faces a higher risk of diabetes or is prone to diabetes, hence should be very careful with what he/she eats (Haas & Levin, 2009; De-Regil et al., 2011). Evaluation of the new feeding treatment The new feeding treatment is a comprehensive formula that has combined all nutrients in the right proportion. This study recommends this for a patient of the age of Mr. George, but not necessarily suffering from a similar condition. It is a formula that takes into consideration the importance of healthy eating habits (Alastair & Fulford, 2009). This condition requires that Mr. George remains steadfast to the time table and doesn’t have to form any excuse as to why he can skip a portion of the time table. If he so does, then it leads to complications. Perhaps if there is a serious reason for change in the diet, it can only happen within a particular portion. For example, one can shift from cake to bread because they belong to the same category; energy foods (Noor & Zafar, 2011). Another example is a change from meat to liver, because they are both in the category of proteins (Goldstein et al., 2010). 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