Question

Case:

MT is a 45-year-old female who lives alone. She has a history of Crohn’s disease that is relatively well controlled. She is currently in the hospital for the treatment of longstanding anemia. Upon assessment, MT reports that her appetite ‘comes and goes’. She states that food has lost its flavor and that she is not interested in eating. When she does it, she reports having mostly snack foods such as chips, crackers, and yogurt. She eats very little fruit and no vegetables. MT is 58kg, 5’ 4” tall and a non-smoker.

Questions:

1. What is MT’s BMI? Is this concerning for this patient? Why or why not?

2. Based upon MT’s age and BMI what dietary recommendations would you make for MT?

3. MT is admitted for longstanding anemia. What relationships may exist between her diet and her anemia?

4. MT has a history of Crohn’s disease. What is the pathophysiology and etiology of Crohn’s disease? What does Crohn’s affect and what are possible treatments for Crohn’s disease?

5. What additional nutritional recommendations does MT need based upon her history of Crohn’s disease?

6. MT states food has lost its flavor. What are potential causes of this?

During the past 24 hours of hospitalization, MT has eaten a bagel and vanilla yogurt for breakfast with 2 cups of black coffee, crackers and cheese for a snack around 2pm, and 1 bite of pizza for dinner. Before bed, MT did eat a turkey sandwich and a small bag of potato chips. She drinks water periodically during the day.

7. What assessments would you make about MT’s diet in the past 24 hours? What concerns do you have?

8. If MT’s diet continues to mimic her intake over the past 24 hours what nutritional deficiencies is she potentially at risk for? (Name 3).

9. Name a priority nursing diagnosis for MT related to her nutritional status.

10. Name 4 interventions for MT based upon the diagnosis chosen.

11. How will you evaluate the effectiveness of the interventions chosen? What follow-up care does MT need?

Answer 1

Answer: The BMI of MT is 21.9kg/m^{​​​​​2.} This is considered to be normal rate because more than 25kg/m^{​​​​​​2} is to be considered overweight or high prone to obesity. So, it is not issue of concern.

MT should include in her diet green vegetables and should eat adequate amount of diary products. He should take protein as egg is one of the best source of protein. She should avoid fried foods as well as junk foods.

Anemia may occur due to lack of insufficient diet or intake of green vegetables or foods rich in iron. Proper diet can maintain the level of the hemoglobin.

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