Question

James Roberts, a 72-year-old African American male, is admitted to University Hospital with dehydration and acute respiratory failure. Mr. Roberts’ past medical history includes hypertension and chronic obstructive pulmonary disease (COPD). His current medications include clonidine (anti-hypertensive), prednisone (corticosteroid), and albuterol (bronchodilator). Since the death of his wife one year ago, Mr. Roberts lives alone and does not cook for himself. Per patient’s daughter, Mr. Roberts receives home-delivered meals from the food assistance program, Meals on Wheels. In addition to the one meal per day from Meals on Wheels, he relies on ready-to-eat foods, such as cereal, toast, canned fruit, cheese, processed deli meats (e.g. bologna), and snacks, such as potato chips and cookies. Due to ill-fitting dentures, Mr. Roberts does not eat fresh fruits and vegetables or unprocessed meats often. Mr. Roberts has been placed on a mechanical ventilator due to his respiratory failure. Dr. Connors, the physician, wants to start nutrition support in the next 24 hours. As his nurse, you listen for bowel sounds and they are positive in all four quadrants of the abdomen. The following information was recorded on admission: Height: 5’10” Weight: 155 lbs Usual weight (3 months ago): 170 lbs

Discuss the reasons for Mr. Roberts' increased protein needs.

Answer 1

Reasons of Increased protein needs.

1.Taking a good source of protein help maintain strong respiratory muscles,repairing respiratory muscle.

2.Protein diet strengthen your immune system,its help to avoid further infection due to respiratory problems.

2.Increased protein diet helps to lose weight,all ready Mr james is in over weight.

3.By protein diet,patient respiratory muscle will be more strong and the recovery period from respiratory failure is very fast as per the reserches.

4.Heigh protein diet will dehydrate the body compare to other food.so Mr james is allready dehydrated and have respiratory failure.so along with protein rich food will advice to drink more water along with food.

Food Source of Protein

1.Beef ,fish and pork.

2.Beans ,pears.

3.Nuts ,seeds.

4.Dairy products,like milk ,cheese,yogurt etc

5.Tofu, soy milk, soybeans, tempeh

6.Whole grains such as quinoa, farro, brown rice

Getting adequate protein during respiratory disease treatment is crucial to promote healing and help you function with daily tasks soon.