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Nutrition-Case-Study-2

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I. Nursing History:
A. Patient’s Data:
Patient’s Initials: JF Age: 42 Nationality: African American
Height: 66 inches Weight: 77.8 lbs (35.4 kg)
BMI: 12.6 (underweight)
Ideal Weight and Range: Ideal weight for an individual of 66 inches would be between
118 to 148 pounds and a BMI of 19 to 24.
Activity Level: Non-Ambulatory, Bedridden
Vital Signs: N/A
B. Medical Diagnosis: Multiple Sclerosis
C. Signs and Symptoms:
Contractures: tightening of muscles in upper and lower extremities in the
absence of stimuli
Incontinence: urinary and bowel incontinence; patient wears adult diapers
Hypertension: increased BP; systolic over 140 and/or diastolic over 90
Dysphagia: difficulty swallowing
Extremity Weakness: related to MS; patient is unable to walk due to MS and is
bedridden
Muscle Stiffness: loss of muscle tone due to MS; patient unable to walk and is
bedridden
Stage One Decubitus Ulcer: nonblanchable erytherma of intact skin located on
the sacrum

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II. DIET
A. Patient’s Diet:
JF is on a therapeutic diet of high carbohydrates, high protein and low fat. She is also
on a consistency order diet. All foods are pureed and liquids are thickened.
B. Relationship of diet to disorder:
1. Normal Nutritional Needs:
According to the Food Pyramid Guide, there are five basic food groups that are
recommended for good nutrition. The guide is based on a 2000 calorie diet and the
amounts needed for each food group are as follows:
GRAINS: 6 ounces every day
VEGETABLES: 2 1/2 cups every day
FRUITS: 2 cups every day
MILK and MILK PRODUCTS: 3 cups every day
MEAT and BEANS: 5 1/2 ounces every day
The recommendation is also to have a healthy balance between food and physical
activity, including at least 30 minutes of physical activity daily. Fats, sugars and salts
should be used sparingly, including butter and margarine.
2. Reasons for Patient’s Diet:
Nutritionally balanced meals help the body work to its fullest potential and is particularly
important for people living with long term health conditions like Multiple Sclerosis. A
well-balanced diet can help control weight, decrease fatigue, maintain regular bowel
and bladder function, minimize the risk of skin problems, increase flexibility and improve
muscle strength and range of motion.
Protein is essential for building body tissue in growth, maintenance and repair. It is
particularly important in wound healing. Protein is also a source of energy, providing 4
kcal/g. For JS, high protein is important to help promote healing in regards to her
decubitus ulcers and help minimize additional risks for skin problems. It also serves as
an additional energy source for her fatigue.
The primary function of carbohydrates is to provide energy for cells. Consuming
adequate carbohydrates to meet energy needs has the effect of sparing protein from
being used for energy and is important whenever protein needs are high such as for
wound healing. Carbohydrates deliver 4 kcal/g. High carbohydrates are essential for
energy and help minimize the fatigue associated with MS. If unmanaged, fatigue can
lead to a decrease in appetite and activity.

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 I. Nursing History: A. Patient’s Data: Patient’s Initials: JF Age: 42 Nationality: African American Height: 66 inches Weight: 77.8 lbs (35.4 kg) BMI: 12.6 (underweight) Ideal Weight and Range: Ideal weight for an individual of 66 inches would be between 118 to 148 pounds and a BMI of 19 to 24. Activity Level: Non-Ambulatory, Bedridden Vital Signs: N/A B. Medical Diagnosis: Multiple Sclerosis C. Signs and Symptoms: Contractures: tightening of muscles in upper and lower extremities in the absence of stimuli Incontinence: urinary and bowel incontinence; patient wears adult diapers Hypertension: increased BP; systolic over 140 and/or diastolic over 90 Dysphagia: difficulty swallowing Extremity Weakness: related to MS; patient is unable to walk due to MS and is bedridden Muscle Stiffness: loss of muscle tone due to MS; patient unable to walk and is bedridden Stage One Decubitus Ulcer: nonblanchable erytherma of intact skin located on the sacrum II. DIET A. Patient’s Diet: JF is on a therapeutic diet of high carbohydrates, high protein and low fat. She is also on a consistency order diet. All foods are pureed and liquids are thickened. B. Relationship of diet to disorder: 1. Normal Nutritional Needs: According to the Food Pyramid Guide, there are five basic food groups that are recommended for good nutrition. The guide is based on a 2000 calorie diet and the amounts needed for each food group are as follows: GRAINS: 6 ounces every da ...
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