Question

In: Nursing

emma is a 72-year-old retired accountant who lives independently in her own home. emma weighs 90...

emma is a 72-year-old retired accountant who lives independently in her own home. emma weighs 90 kg and is 156 cm tall. Her waist circumference is 100 cm. emma enjoys a quite lifestyle. She uses alcohol infrequently and consumes restaurant food a few times a week. She currently takes 400 IU of vitamin D daily.

emma wants to undergo cataract surgery to improve her vision, however the surgeon has advised her to take off at least 10 kg of weight before the operation.

1. What indications would lead you to believe emma is adequately caring for her health?

2. What additional laboratory tests and dietary health information are needed to perform a comprehensive nutritional assessment?

3. What conclusions can you draw from the information available about emma's weight status?

4. Using Canada's new Food Guide, released in January 2019 (available at https://food-guide.canada.ca/en/), what suggestions would you make to emma to help her achieve weight loss?

Expert Solution

Patients undergoing surgery are the risks of postoperative infection and poor wound healing.

1.Daily exercise, she stoped eating restaurant food and alcohol.

2. A comprehensive nutritional assesment include

*Anthroprometric measurements of body composition

* Biochemical measurement of serum protien, micronutrients, and metabolic parameters.

* Clinical assesment of altered nutritional requirements and social or psychological issues that may preclude adequate intake

* three different plasma protiens are measured to assess protien status

* serum albumin,

* Testing vitamin deficiancies,thiamine,

3. As per emma's data she is obese and she has to take of her body weight for healthy recovery after surgery.

4. Canadas new food guide is a good reference for balanced eating

- have plenty of vegetables and fruits

- eat protiens foods

-make water your drink of choice

-choose whole grain foods

Nightingale answered 7 months ago

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