GERONIMO, CHELO JAN S.

NUTRITION IN ELDERLY

CASE STUDY

J. P. is a 70 year old man who is suffering from loss of appetite and weight loss for
several weeks. He has poor dentures and complains of difficulty in chewing and
swallowing. He also suffers from dry mouth and bland taste that makes him lose interest
in eating. He is 5’5” tall and now weighs 48kg. A month ago, his weight was 54kg.

GUIDE QUESTIONS:

1. What is his nutritional status?

Weight: 48kg Height: 5’5”, 65in, 165.1cm, 1.67m

48kg/1.67m2 = 16.6
BMI= 16.6 Underweight

2. What is his % weight loss? Is it significant

3. What is your recommended diet prescription for him?

DBW= 59kg
165.1cm – 100 = 65.1
65.1 – 6.51 = 58.5 or 59kg

59kg x 30 = 1,770 kcal

CHO: 1,770Kcal x 0.60 = 1,062/4 = 266g
CHON: 1,770Kcal x 0.15 = 67g
FAT: 1,770Kcal x 0.25 = 49g
DIET RX: Cal 1,770, C266g, P67g, F49g
3 meals, 3 snacks
 4. Make a 1-day sample menu for him.

# OF EX CHO CHON FAT ENERGY

Vegetable 3 9 3 - 48
Fruits 3 30 - - 120
Milk 2 24 16 20 340
Sugar 4 20 - - 80
Rice 8 184 16 - 800
Meat 2 LF 16 2 82
-
2 MF 16 10 172
Fat 2 - - 10 90
Total: 267g 67g 44g 1,732

BREAKFAST  Champorado (1cup)

 ¼ cup milk (Powdered)
 1pc Tinapa
A.M. SNACK  Coffee with 2tsp sugar
 1 banana
LUNCH  1cup Rice
 ½ cup ginataang kalabasa
 1pc Galunggong
 1 slice watermelon
P.M. SNACK  Coffee with 2tsp sugar
 1 Pan de monay with cheese
DINNER  1cup Rice
 Sardines in tomato sauce with petchay
 ½ cup misua with patola
 1 mango
MIDNIGHT SNACK  1 cup Milk
5. What are your recommendations to address the eating problems he is
experiencing and improve his food intake?

6. Consider your answers in #5 when planning your menu.