Evaluate Mrs. Caldwell's diet history and 24-hour recall. Is her ...

[JGIBBSON]

Evaluate Mrs. Caldwell's diet history and 24-hour recall. Is her usual diet consistent with her inpatient diet order?
 
  What will be an ideal response?

Question 2

From the nutrition history, assess Mr. Campbell's usual dietary intake. How does this compare to the requirements that you calculated for him? Can your evaluation of his dietary intake contribute to the evidence for diagnosing malnutrition?
 
  What will be an ideal response?

[janieazgirl]

Answer to Question 1

AM: Egg McMuffin, 6 oz orange juice, coffee
Lunch: Cheeseburger, fries, apple pie, and 12 oz Coke
Dinner: Roast beef au jus; 3 small oven-browned potatoes, 1/4 c broccoli, iced tea, roll with butter
kcal: 2270 kcal
95 g protein
3004 mg sodium
565 mg calcium
3798 mg potassium
1244 mg phosphorous
This is higher than her prescribed energy needs and high in phosphorous and potassium.

Answer to Question 2

Estimated using USDA SuperTracker (http://www.choosemyplate.gov/supertracker-tools/supertracker.html):
Breakfast: 1 boiled egg: 77 kcal, 6 g protein; coffee: 2 kcal; few bites toast: 57 kcal, 3 g protein
Lunch: 1 cup chicken noodle soup: 63 kcal, 3 g protein; 1 cup low-fat (1) milk: 102 kcal, 8 g protein
Dinner: few bites ground meat: 104 kcal, 11 g protein; few bites mashed potatoes: 56 kcal, 1 g protein
Snacks: 1 can Ensure Plus: 355 kcal, 13 g protein
Total: 816 kcal, 45 g protein
Estimated requirements: 1800-2400 kcal, 85-124 g protein. This is approximately 984-1584 kcal short of needs and 40-79 g protein short of needs. This represents a 34-45 intake of energy needs for several months, which is consistent with severe chronic malnutrition in adults (<75 for more than 1 month). Thus, evaluating dietary intake can be supportive of a diagnosis for malnutrition.

[JGIBBSON]

Thanks

[janieazgirl]

Welcome