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Interactions with other health care professionals and strategies to tackle malnutrition will be discussed.
Dietary assessment has become an integral part of clinical evaluation and nursing assessment. Good nutrition is not only important for preventing disease, but also for comprehensive management of a patient. Dietary assessment includes 24 hour recall of food intake, including the type and quantity, calories analysis, estimation of protein, fat and other important nutrients like vitamins and minerals and comparing with standard references for respective age, sex and physiological condition like pregnancy, lactation and adolescence. One day’s 24 hour recall of food may not be the best guide for nutrition assessment of a particular patient. However, it keeps matter simple for calorie calculation.
From what we can see from Anitas’s 24 hour food recall, the total calorie intake is about 1000 kcal, shortcoming of her requirement. Based on the age, sex, height, weight and lifestyle, the calorie requirement of Anitha is 1581 kcal per day. Her basal metabolic rate based on Harris-Benedict formula is 1318 kcal per day. The protein intake is about 20 grams when she needs about 45 grams (ICMR, 2010). Total fat is about 10% and mainly constituting saturated fat. Dietary fiber is only about 10% (when it should be 30%). Except for some iron and calcium in the breakfast and some vitamins in the snacks, her diet is poor in vitamins and minerals. The diet does not contain fresh fruits or vegetables or starchy staple foods. Nor does the diet contain adequate milk.
Malnutrition occurs when an individuals diet fails to provide nutrition that is required for growth, health and normal body function. Malnutrition can affect any system in the body. The most significant symptoms of malnutrition are fatigue, weight loss and dizziness. Anitha lost 6 kgs
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Considering the result of the biochemical analysis done for the patient, it can be concluded that the patient has not been monitoring his blood sugar effectively. Each of those outlined results point towards different analysis and help in the assessment of a poorly controlled blood sugar.
The patient started hearing voices since 3 years prior to consult (PTC), and receiving signals 1 year PTC, with it stopping only when he would bite his lip really hard or pull his hair. He also claims the voices can be drowned out by outside interferences such as wind-blowing.
One significant recent change is loss of weight by 6 kgs in 4 months’ period. This loss is attributed to poor intake of adequate nutritious diet secondary to decreased appetite. Implications of poor nutrition and the impact of malnutrition on existing disease process needs to be evaluated to help Anita combat her current health issues.
During the early fasting stage, i.e., several hours after a meal, the glucose levels in the blood of Boitel would have started to drop (Berg, 2002). This leads to decrease in insulin secretion and increase in glucagon secretion. Glucagon then mobilizes stores of glycogen.
It was decided a detailed history and clinical examination will be undertaken to reach a clinical diagnosis. In this study, the findings and a critical analysis of his findings are presented, which also includes evidence from literature as to how this clinician could reach a diagnosis from the available information.
It covers the topic of ethical issues in the practice of clinical supervision looking at them from both, the supervisor’s and the intern’s, sides. Lily began supervising an intern, Jack. Then Lily went to a medical leave for six months, since she was the
Elena says she has never seen them arguing and their marriage is an example for her. When she was talking about her fiancée she seemed sad and told that her parents had always been against their relationships;
5 Pages(1250 words)Case Study
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