Identify factors that you will need to monitor to ensure adequacy ...

[ap345]

Identify factors that you will need to monitor to ensure adequacy of her nutrition intervention.
 
  What will be an ideal response?

Question 2

The tube feeding was discontinued because of continued intolerance. Parenteral nutrition was not initiated. What recommendations could you make to optimize Mrs. Maney's oral intake?
 
  What will be an ideal response?

[bigcheese9]

Answer to Question 1

 Intake by mouth with modified diet via diet recall
Whether or not she is following recommendations/strategies
 Protein modifications with medication use
 Weight changes, GI motility/output, GERD
 Functional capacity with UPDRS
 Labs (albumin, iron status, hydration)
 The need for alternative nutrition support (compliance with use/care of feeding tube)

Answer to Question 2

 If she is able to eat, provide her with foods that she likes with increased nutrient density.
 Small, frequent feedings work well to minimize the volume of food consumed and stress on both the cardiac and respiratory systems.
 Within her fluid allowance, use of a nutrient-dense liquid supplement may be easier than attempting to consume solid food.
 Consume fluids between meals to prevent their contribution to fullness during mealtime

[ap345]

Excellent

[kthug]

Thanks for the timely response, appreciate it