Question

Scenario

• O.H.N. is a 85 year old male who has been diagnosed with the following health conditions:
  • Diabetes (diagnosed since 68 years old)
  • Hypertension (diagnosed since 50 years old)
  • High Cholesterol (diagnosed since 65 years old)
  • Obesity (diagnosed since 65 years old)
  • Gum Disease (diagnosed since 55 years old)
• The following medications have been prescribed:
  • Tanzieum – taken once weekly
  • Crestor
  • HCTZ
  • Lasix
  • Lisinopril
• O.H.N. often has dry mouth which affects the way food tastes and his bridge fits his mouth.
• O.H.N. is living in a low-income seniors’ apartment in the community.
• O.H.N. has Medicare and Medicaid for his insurances.
• O.H.N. has meals delivered through Meals on Wheels, based upon recommendations from the registered dietitian.
• O.H.N. has three children who take him out to dinner occasionally (birthdays/holidays).

O.H.N. has mints in his pocket which he takes often when his mouth is too dry and also often drinks carbonated beverages to keep his mouth moist

1. What concerns do you have for O.H.N. regarding oral health and nutrition? (Note: Explain what conditions may lead to adverse effects such as gum disease as well as methods to address his chronic health concerns.)

Answer 1

Answer: O.H.N most of the time have dry mouth which causes no taste to him. He becomes unable to find taste in food, due to which he consumes less food. This is one of the major concern as low food intake will lead to lack of nutrients. He won't be able to get the nutrients that are necessary for his health. To keep his mouth moist he consumes carbonated beverages which will causes his hum disease more severe and also effects the diabetic condition.

He occasionally eats sweets and dessert which is not good for him as he is diabetic, he should avoid eating outside. He should avoid drinking carbonated drinks as it make his chronic condition more severe and will delay the time of healing.