Question

James Robert, a 72-year-old african american make, 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 freah fruits and vegetables or unprocessed meats often.

Mr.Roberts has been placed on mechanical ventilator due to his repiratory failure. Dr.Connors, the physician, wants to start nutrition support in the next 24 hours. As his nurse, you listen for bowel sounds and thhey 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

Q. Based on Mr.Robert's history, list two factors that place him at nutritional risk, and explain how each factor increases his risk of malnutrition.

Answer 1

Answer: Nutrion is one of the most important components that is required for our body to stay fit and healthy. The history of client reveals that patient doesn't have proper food. The patient eats potatoes, as well as meal once in a day. The patient doesn't eat vegetables and fresh fruits. Hence the lack of fruits and vegetables reduces the nutrional value. There is lack of macronutrients intake such as proteins, vitamins, carbohydrates, sufficient amount of water. Hence this increases risk of malnutrition. It also increases the risk of development of other diseases. The improper food intake decreases the metabolism rate. The lack of iron, calcium as well as protein from the vegetables and fresh fruits such as spinach, broccoli , diary products etc. causes risk of malnutrition.