Call/WhatsApp/Text: +44 20 3289 5183

Question: Examine and evaluate how nutritional requirements are influenced and the impact of diseases on nutritional status.

28 Oct 2022,7:39 PM

 

  1. Examine and evaluate how nutritional requirements are influenced and the impact of these diseases on nutritional status.
  2. Appraise new advances, guidelines, and issues in dietetic practice to inform clinical reasoning and changes in evidence- based dietetic practice.
  3. Critically discuss ethical decision-making relevant to the practice setting.

 

Your case

 

Scott Summers is 63 years old, his usual weight is 14 stone and height is 5’ 10’’. He lives with his wife Sandy and they have one son who lives locally and one daughter who lives 2.5 hours away. A few months ago he was admitted to hospital with confusion as a neighbour found him wandering in the street during the day. During this admission he was diagnosed with early-onset dementia and was discharged home with support from his family. His wife Sandy is 52 years old and continues to work full time in an office job, so whilst she is able to get him ready in the morning and spend time with him in the evening, she is unable to watch him during the day. Recently she has been struggling to cope and is finding it more difficult to get him to eat and drink. Before she leaves for work she prepares sandwiches and makes him a jug of squash for during the day, however when she comes home these are usually untouched. Scott often gets distracted when eating breakfast and his evening meal so has not been having very much of these either. His son also works full time in construction so is only able to see him in the evenings and his daughter visits around once per month with his 2 grandchildren.

 

He has been re-admitted to hospital this week with delirium secondary to a urinary tract infection and poor intake of fluids which require antibiotics and intravenous fluids to treat. His weight on admission is 68kg and he has a MUST score of 3. The nursing staff on the ward have raised concerns of minimal intake of food and drink. Scott complains of being hungry and thirsty, but he gets agitated when ward staff keep prompting him to eat and drink. He has had a mental capacity assessment and is deemed not to have capacity at current to make his own decisions. Medical staff are worried he will rapidly decline unless his nutritional intake improves and have attempted to insert a nasogastric tube (NGT) in Scott’s best interest. However, he has already pulled out 2 NGTs related to agitation. When you speak to the medical team on the ward, they are discussing whether it would be appropriate or not to insert another NGT with the addition of a bridle.

 

The following biochemical results were obtained on admission (reference ranges in brackets):

 

Sodium

147mmol/L

(135-145mmol/L)

Urea

7.1mmol/L

(3.0-6.5mmol/L)

Creatinine

130µmol/L

(60-125µmol/L)

Potassium

3.4mmol/L

(3.5-5.0mmol/L)
Phosphate
0.7mmol/L
(0.8-1.5 mmol/L)		 Magnesium
0.5mmol/L
(0.7-1.05 mmol/L)

C-reactive protein  127 mg/L

(<10 mg/l)

White Blood Count   9.0 x 109/L

(4.0-11x109/L)

 

 

Expert answer

 

There are a variety of diseases that can impact nutritional requirements and cause malnutrition. Some of the more common examples include:

 

Celiac disease: This autoimmune disorder damages the small intestine, preventing it from properly absorbing nutrients.

 

Crohn's disease: This chronic inflammatory bowel disease affects the digestive system, making it difficult to absorb nutrients.

 

Cystic fibrosis: This genetic disorder causes problems with the lungs and digestive system, making it difficult to absorb nutrients.

 

These diseases can lead to deficiencies in essential vitamins, minerals, and other nutrients. Malnutrition can have serious health consequences, including weakened immunity, impaired cognitive function, and increased risk of infection and other chronic diseases. Early diagnosis and treatment of these diseases is essential to prevent malnutrition and its associated complications.

Stuck Looking For A Model Original Answer To This Or Any Other
Question?

Related Questions

A 32-year-old female presents to the ED with a chief complaint of fever, chills, nausea, vomiting, and vaginal discharge

Scenario 1: A 32-year-old female presents to the ED with a chief complaint of fever, chills, nausea, vomiting, and vaginal discharge. She states these symptoms started about 3 days ago, but she thought she had the flu. She has begun to have LLQ pain and notes bilateral lower back pain. She denies dysuria, foul-smelling urine, or frequency. States she is married and has sexual intercourse with her husband. PMH negative. Labs: CBC-WBC 18, Hgb 16, Hct 44, Plat 325, ­ Neuts & Lymphs, sed rate 46 mm/hr., C-reactive protein 67 mg/L CMP wnl Vital signs T 103.2 F Pulse 120 Resp 22 and PaO2 99% on room air. Cardio-respiratory exam ...
You work in the Department of Foreign Affairs and Trade of Australia. Your department will.....

Problem Description: You work in the Department of Foreign Affairs and Trade of Australia. Your department will be hosting a workshop on the Global Value Chains, challenges, and opportunities for Australia, with participants from academia, industry, government, and non-profit organizations. To prepare for this workshop, you plan to first write a report on GVCs by giving a relevant example. To appeal to the audience, you wish to focus on a GVC in which Australia participates, that is, Australian inputs are used to produce (deliver) final products (services). Your report should: Give an example of GVC which involves at least three ...
Critically examine the memorialisation or commemoration of an event said to be defining of a given society’s collective.......

  Select a relevant piece of artwork (i.e. documentary, exhibition, film) and/or artist and critically assess the artist’s/artwork’s contribution to understandings of how societies remember.   OR   Critically examine the memorialisation or commemoration of an event said to be defining of a given society’s collective or social memory, in which digital technologies/media/archives are seen as highly significant in the formation of remembrance.     DRAFT / STUDY TIPS: The Role of Digital Technologies in the Memorialization of Collective Memory: A Critical Examination Introduction Memorialization and commemoration are crucial aspects ...
You hold the HR directorship of a local company in Durham, which employs 100 workers

You hold the HR directorship of a local company in Durham, which employs 100 workers (all in a managerial position). The company usually offered an incremental pay rise of 3 per cent every year. It also offered some benefits such as health insurance, life insurance, and private pension plan. The cost of living and the high inflation are influencing the organisational revenue. You were asked to rethink the Employee Rewards including the pay rise and the benefit system and to consider withdrawing the private pension plan. Based on that information please answer the following:   1)    What external influences do ...

What Clients Say About Us

Copyright © 2012 - 2024 Apaxresearchers - All Rights Reserved.

WhatsApp us