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Citation:
Study Design:
Class:
Quality Rating:
Research Purpose:
Inclusion Criteria:
Exclusion Criteria:
Description of Study
Protocol
Data Collection
Description of Actual
Data Sample:
Summary of Results
Author Conclusion:
Review Comments:
Nutrition Prescription (The patients/clients individualized recommended dietary intake of energy and/or selected foods or nutrients based on
current reference standards and dietary guidelines and the patients/clients health condition and nutrition diagnosis):
Energy needs (35-40 kcal/kg): 2,730-3,120 kcal/day
Protein needs: (1.0-1.2 g/kg): 78-93 g/day
Fluid needs: 2-3 L/day
Assess
Interpret data needed to identify
nutrition related problems, their
causes, and significance
Priority
1
Anthropometrics:
13YOWM
Ht: 63.4
Wt: 156.2 lbs
BMI: 30.13 kg/m2
>97%ile
Biochemical tests/procedures:
Labs:
BUN
13 mg/dL
Glucose
103 mg/dL
Sodium
135 mmol/L
(L)
Potassium
4.3 mmol/L
Chloride
99 mmol/L
(L)
Calcium
10.4 mg/dL
Albumin
4.9 gm/dL
Diagnosis (PES
Statement)
______RT______
AEB_______
Inadequate oral
intake RT decreased
appetite secondary to
appendicitis AEB
reported abdominal
pain and vomiting,
NPO for three days.
Intervention
What are you going to do to
fix the problem?
-Encourage intake of >75%
of meals
-Recommend advancement of
diet as patient tolerates (clear
liquid, full liquid, to GI soft
diet as symptoms resolve)
-Recommend Ensure
supplement if patient unable
to consume adequate energy
and protein
-Inform patient and family on
patients weight status
(obesity >97%ile) and health
risks
-Determine current diet
according to 24-hour recall.
Inquire about usual intake and
offer recommendations for
improvement
-Discuss with parents the
importance of preparing
Monitoring
What data do you
need to assess your
intervention?
-Reported intake
according to patient
and nurses reports
-Patients tolerance
to diet according to
reported symptoms
and appetite
-Follow-up 24-hour
recalls
-Patient height,
weight, weight
percentile according
to growth chart
Evaluation
Quantifiable goal(s)
-Intake >75% of all
meals and
supplements
-Improvement in diet
according to 24-hour
recall (decreased fast
food, energy dense
foods, increased
servings of fruits,
vegetables, low-fat
dairy, lean meats,
whole grains)
-Weight maintenance
or gradual weight
Clinical:
Dx: Appendicitis
C/o: abdominal pain in lower
left quadrant; vomiting, malaise,
lack of appetite
Patient alert/oriented, post-op
appendectomy day #2
Reported hx: reflux
Family hx:
-Father cancer/stroke
-Grandmother cancer
-Grandfather CAD/HTN
3
Medications:
Melatonin
Morphine
Ondansetron
Zofran
Diet history:
NPO prior 3 days due to
symptoms and surgical
procedure
Improvement in appetite post-op
day #1, advanced to clear liquid
diet
Reported consuming some of
breakfast tray and some cheerios
Regular diet consumed prior to
loss
-Weight-for-height
percentile
approaching healthy
range (<85%ile)
-Physical activity
minutes per week
according to log
-Patient height,
weight, weight
percentile according
to growth chart
-Improvement of
physical activity
approaching 150
minutes/week and
progressing to 300
minutes/week
-Weight maintenance
or gradual weight
loss
-Weight-for-height
percentile
approaching healthy
range (<85%ile)
admission/onset of symptoms
including McDonalds, chicken,
pasta, green beans, juice, milk
Eco-social:
Mother is primary caregiver
Reported no involvement in
sports or regular physical
activity