Professional Documents
Culture Documents
2/12/17
N302L Case Studies
Nutrition Care Process (NCP): Albumin
Nutrition Assessment
Medications/supplements: Chemotherapy
Nutrition Diagnosis- PES format
Nutrition Intervention
Meals and snacks
o Breakfast- fruit smoothie with protein powder
o Lunch- quinoa salad with lean protein (fish or chicken)
o Dinner- Brown rice, roasted vegetables, lean protein
o Snacks- almonds, protein bars, protein shake
Nutrition-related medication management
o REC appetite stimulant
Goals
1) Dietary intake to meet > 75% of DRI needs
2) Weight gain of 1 pound per week until reaching UBW/IBW
3) Increase total protein and serum albumin to normal ranges
Nutrition Monitoring and Evaluation
1) Keep dietary food log
2) Follow up appointment in 3-4 weeks
3) Get new blood work in 3-4 weeks to measure serum albumin and total protein levels
4) Follow up phone call in 2-3 days
Kerry Linne
3/16/17
N302L Case Studies
Nutrition Care Process (NCP): Calcium
Nutrition Assessment
Imbalance of nutrients R/T high sugar and high protein diet AEB high urinary
calcium (300 mg), glucose (112 mg) and BMI (25.5)
Nutrition Intervention
Goals
1) Decrease body weight by 1-2 lbs/wk until IBW is reached or BMI is normal
2) Reduce protein intake to DRI recommended levels
3) Normalize urinary calcium levels within 2-3 weeks
4) Consume sufficient amounts of fluid to prevent dehydration given high volume of
urination
Kerry Linne
3/7/17
N302L Case Studies
Nutrition Care Process (NCP): Cholesterol
Nutrition Assessment
Obesity R/T excessive fat and energy intake and physical inactivity AEB high total cholesterol (240
mg/dl), %IBW (133.2), and BMI (32.5).
Nutrition Intervention
Goals
1) Decrease body weight by 1-2 lbs/wk until IBW is reached or BMI is normal
2) Normalize triglyceride values within 3-4 months
3) Begin regular exercise routine within 1-2 weeks
4) Lower kcal consumption within 1 week to recommended levels
Kerry Linne
3/2/17
N302L Case Studies
Nutrition Care Process (NCP): Diet lab
Nutrition Assessment
Inadequate fiber, Vitamin A, and Calcium intake R/T low energy consumption AEB 24-hour food
recall and nutrient analysis fiber (58%), Vitamin A (40%), Calcium (58%), and total energy (49.6%)
of DRIs.
Nutrition Intervention
Goals
1) Decrease body weight by 1-2 lbs/wk until IBW is reached or BMI is normal
2) Increase fiber, Calcium, and Vitamin A consumption to recommended levels
3) Increase total energy intake to recommended levels
Kerry Linne
2/14/17
N302L Case Studies
Nutrition Care Process (NCP): Blood Glucose
Nutrition Assessment
Medications/supplements:
Nutrition Diagnosis- PES format
Nutrition Intervention
Goals
1) Monitor blood glucose twice per day
2) Exercise three times per week
3) Lower blood glucose and Glycosylated hemoglobin to normal levels
Nutrition Monitoring and Evaluation
1) Follow-up phone call in 2-3 days
2) Ask patient to keep a food log
3) Follow-up appointment in 3-4 weeks to re-asses blood work for serum glucose and HbA
Kerry Linne
3/14/17
N302L Case Studies
Nutrition Care Process (NCP): HDL
Nutrition Assessment
High fat diet R/T smoking, family history, and coronary artery bypass graft surgery AEB high
cholesterol (240 mg/dl), triglyceride (250 mg/dl), IBW% (123.3), AST (76 U/L), LDH (322 U/L), and
CPK (268 U/L)
Nutrition Intervention
Goals
1) Decrease body weight by 1-2 lbs/wk until IBW is reached or BMI is normal
2) Begin eating a healthy diet immediately
3) Quit smoking/reduce within 1 month
4) Begin regular exercise routine within 1-2 weeks
Nutrition Assessment
Diagnosis: Unknown
Nutrition- related PMH, treatments, surgeries: Unknown
Age, Gender: 22, female
Dietary intake: PO intake
Food preferences, allergies, intolerances: Vegetarian
Exercise habits: None known
Knowledge, readiness for change: Fatigued
Functional/behavior behavior: Breastfeeding and stopped taking vitamins
Resources for obtaining, preparing food: Unknown
Symptoms: worn out/weakness
Anthropometric measurements
o Ht/wt: 64 in/ 162.56 cm and 108 lbs/ 49.1 kg
o BMI: 18.6 kg/m2 (normal)
o IBW= 120 lbs (mild malnutrition)
5’=100#, 4”x 5#= 20#, 100+20= 120 lbs
108#/120#= .9 x 100= 90% (mild malnutrition)
o % Weight loss= 10% (mild degree of malnutrition)
Inadequate energy and iron intake R/T lactation, vegetarian diet, and stopped
taking dietary supplements, AEB low value of Hgb 9.5 g/d, low value of Hct 30%,
and low IBW% of 90%
Nutrition Intervention
Goals
1) Increase caloric intake to more than 95% of the total energy recommended
2) Weight gain of 1 pound per week until reaching IBW
3) Normalize Hgb and Hct values within 3 months
4) Eat more iron rich plant sources
Nutrition Monitoring and Evaluation
1) Follow up phone call in 3-7 days
2) Keep dietary food log for at least 3 days
3) Get new blood work in 3-4 weeks to reassess Hgb and Hct values
4) See if patient is still breast-feeding at follow up appointment
Kerry Linne
2/23/17
N302L Case Studies
Nutrition Care Process (NCP): Triglyceride
Nutrition Assessment
Overweight status R/T preference high fat diet, AEB high blood glucose (145
mg/dl), high triglycerides (250 mg/dl), BMI 28.8 kg/m2, and %IBW 144.8%.
Nutrition Intervention
Meals and snacks
o Breakfast- Whole wheat toast with avocado, non-fat yogurt, fresh berries
o Lunch- Caesar salad with grilled salmon
o Dinner- Baked potato, grilled vegetables, and roasted chicken
o Snacks- Rice cakes, almonds, avoid chips, candy, soda
Nutrition-related medication management
o Refer to exercise physiologist for appropriate exercise routine
o Refer to diabetes educator for blood monitoring
Goals
1) Decrease body weight by 1-2 lbs/wk until IBW is reached or BMI is normal
2) Normalize glucose and triglyceride values within 3-4 months
3) Begin regular exercise routine within 1-2 weeks
4) Lower kcal consumption within 1 week to recommended levels