Question

In: Nursing

Although she lives at Lenoir Manor, a permanent care retirement institution, Laura, a petite woman (1.42...

Although she lives at Lenoir Manor, a permanent care retirement institution, Laura, a petite woman (1.42 m; 44 kg weight) widow of the rector of a local university, does not consider herself old. Does not show significant nutritional or health problems and has a good appetite. Years before, she was an excellent cook and a good party hostess, but in the residential institution other people prepare her food. Because you have had slight fluid retention for the past year, you no longer add salt to your food. She tells Bridget Doyle, her nutritionist, that yes, sometimes she doesn't like food and misses cooking for herself. On a Monday morning, the nurse finds Laura in bed with paralysis of the left side of the body. The diagnosis is a right stroke, leading to three weeks of hospitalization. Back in the specialized care ward, Laura requires a nasogastric tube to feed her. He is alert and recognizes people, but his speech is limited. From one day to the next, their care has changed from that of a person who requires routine nutritional monitoring to someone who has many interrelated problems:
• Inability to clearly communicate your medical and nutritional concerns.
• Weight loss of 4.08 kg during your three-week hospital stay.
• Intense dislike for the nasal tube, as evidenced by her repeated attempts to remove it, leading to her hands being tied.


apply nutritional assessment, nutritional diagnosis, nutritional intervention and nutritional surveillance

Solutions

Expert Solution

Nutritional Assessment

Nutritional Diagnosis

Nutritional Interventions

Nutritional Surveillance

Subjective Data:

(none)

Obejective Data:

· Weight loss of 4.08KG during 3 week

· Frequent attempts to remove Nasogastric tube

Imbalanced Nutrition :Less than body requirements related to inability to take food orally and discomfort arised due to nasogastric tube insertion

· Discuss eating habits including food preferences.

· Evaluate daily food intake/output.

· Proceed for removal of NG tube and oral feed trial gradually.

· Weigh regularly.

· Encourage the patient to choose her foods.

Monitor daily Intake/output monitoring

Nutritional Assessment

Nutritional Diagnosis

Nutritional Interventions

Nutritional Surveillance

Subjective Data:

(none)

Obejective Data:

· Weight loss of 4.08KG during 3 week

· Frequent attempts to remove Nasogastric tube

Imbalanced Nutrition :Less than body requirements related to inability to take food orally and discomfort arised due to nasogastric tube insertion

· Discuss eating habits including food preferences.

· Evaluate daily food intake/output.

· Proceed for removal of NG tube and oral feed trial gradually.

· Weigh regularly.

· Encourage the patient to choose her foods.

Maintain daily Intake/output monitoring

Nightingale answered 2 years ago
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