Question

In: Nursing

You are providing care to a 88 year old male who is status post CVA. He...

You are providing care to a 88 year old male who is status post CVA. He is NPO secondary to dysphagia. List 3 different options for nutrition delivery and explain how each would be effective.

Solutions

Expert Solution

Nutritional screening and assessment

Assess the change in nutrition pattern due to dysphagia. Check the body weight periodically. Malnutrition reduces the body mass index.

Enteral nutrition

Enteral route is used to prevent malfunction. Patients with dysphagia are at risk of aspiration pneumonia. Enteral feeding can be continued until safety of oral feeding is established.

Formula feeds

Formula feeds contains intact proteins. It helps to maintain digestive and absorptive function of gastrointestinal system.

Selection of formula feeding should be based on fluid, electrolyte and metabolic needs, digestion, absorption capacity, ability to digestion and characteristics of formula feeds.

Feed delivery

Intermittent bolus feeding is appropriate to administer by nasogastric or percutaneous gastric tube. It is useful in ambulatory patients.

Parenteral nutrition

Total parenteral nutrition is needed in patients with short bowel or gastrointestinal intolerance. In general, parenteral nutrition should be considered if energy intake has been inadequate for more than 7 days and enteral feeding is not feasible.


Related Solutions

You are assuming care for Mrs. Jones, a 36-year-old G2 P1 who is status post-primary cesarean...
You are assuming care for Mrs. Jones, a 36-year-old G2 P1 who is status post-primary cesarean section.  The indication for the cesarean section was failure to progress in active labor secondary to Cephalopelvic disproportion. (20 points) 1.    Describe two risk factors for postpartum hemorrhage and provide three initial nursing interventions for postpartum hemorrhage from uterine atony. 2.    Identify three factors for the development of Deep Vein Thrombosis (DVT) in the post-partum patient, including two patient signs or symptoms that may indicate a possible...
Fred is an 83-year-old male who is being admitted to the medical-surgical unit status post fall.
  Fred is an 83-year-old male who is being admitted to the medical-surgical unit status post fall. He is alert and oriented and reports that while visiting a local casino with his wife Margaret earlier this evening, he tripped over a curb and fell landing on his right side. After receiving morphine in the emergency room prior to transfer to your unit, Fred is rating his pain at 6/10. He has multiple bruises from his jawbone to his knee as...
Fred is an 83-year-old male who is being admitted to the medical-surgical unit status post fall....
Fred is an 83-year-old male who is being admitted to the medical-surgical unit status post fall. He is alert and oriented and reports that while visiting a local casino with his wife Margaret earlier this evening, he tripped over a curb and fell landing on his right side. After receiving morphine in the emergency room prior to transfer to your unit, Fred is rating his pain at 6/10. He has multiple bruises from his jawbone to his knee as well...
38 year old single male patient the other day who had had his second CVA in...
38 year old single male patient the other day who had had his second CVA in five months, obese, he is 5"11, 350+ lbs. He ate fast food for nearly all his meals. (Single, no kids, doesn't know how to cook.) He snacked on chips and coke/pepsi, Smoke, and had a morbidly obese family member who died (2 years ago today) at age 58. Question : What childhood risk factors did the patient have? Question: If you were that patient’s...
J is a 64 year old male with R CVA ( cerebrovascular accident or stroke) with...
J is a 64 year old male with R CVA ( cerebrovascular accident or stroke) with L hemiparesis(complete paralysis of half of the body can be caused by stroke) . and neglect(not having any sensory loss to that side of the body) . The patient is currently hospitalized in the acute wing of the hospital. To return home to live with their spouse, J must be S with transfers and ADL Utilize universal precautions. Precautions: cardiac, fall, IV antibiotics delivered...
This is Mr. Burns. Mr. Burns is an 88-year-old male who had an emergent partial gastrectomy...
This is Mr. Burns. Mr. Burns is an 88-year-old male who had an emergent partial gastrectomy today because of a perforated ulcer. Mr. Burns has a history of CHF, hypertension, and he takes warfarin for atrial fibrillation. Because of the perforation, Mr. Burns lost quite a bit of blood prior to surgery, so he received 3 units of packed red blood cells in addition to 2 units of fresh frozen plasma for an elevated INR (it was 5 prior to...
Patient is a 68 year old male with hx of CVA (no residuals), HTN, IDDM (type...
Patient is a 68 year old male with hx of CVA (no residuals), HTN, IDDM (type 2), COPD, asthma, CHF, CKD (stage 3), last seen in the ED on 10/4/20 for evaluation of altered mental status. He was admitted with dx of right foot gangrene. He was discharged in 10/20/20. On 10/22/20 the patient presented to ED again via AMR from restorative care center for complaints of SOB, hypoxia, and was found to have evidence of pneumonia. He was placed...
Patient is a 68 year old male with hx of CVA (no residuals), HTN, IDDM (type...
Patient is a 68 year old male with hx of CVA (no residuals), HTN, IDDM (type 2), COPD, asthma, CHF, CKD (stage 3), last seen in the ED on 10/4/20 for evaluation of altered mental status. He was admitted with dx of right foot gangrene. He was discharged in 10/20/20. On 10/22/20 the patient presented to ED again via AMR from restorative care center for complaints of SOB, hypoxia, and was found to have evidence of pneumonia. He was placed...
2. You are assigned to care for David Ramsey, a 22-year-old male patient who sustained a...
2. You are assigned to care for David Ramsey, a 22-year-old male patient who sustained a back injury secondary to being thrown from a motorcycle. He did not damage the spinal cord, but the computed tomography revealed a compression fracture at L-2 (lumbar area). David complains of severe lower back pain with numbness and tingling in the lower extremities. You identify the following nursing diagnosis: Impaired Physical Mobility. (Learning Objective 4) What assessments are indicated based on this nursing diagnosis?...
Case Scenario 80 year-old male that presented with a clinical history of CVA with right hemiparesis...
Case Scenario 80 year-old male that presented with a clinical history of CVA with right hemiparesis and aphasia, chronic atrial fibrillation, and currently on anticoagulants. Patient’s had developed abdominal, constipation, wheezing, and shortness of breath 1-week PTA. The patient was diagnosed with a 1.5 cm ureteral stone, pulmonary congestion, and bilateral pleural effusions. Labs: WBC 15.0. Hgb 5.8 MEWS: 2 Interventions: 1 Unit PRBC VS: Pre- Transfusion: BP 120/75, Temp 97.5, HR 80 bpm, RR- 20 on 2 lpm at...
ADVERTISEMENT
ADVERTISEMENT
ADVERTISEMENT