Question

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.

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.

1. (5 points) What assessments would you make about MT’s diet in the past 24 hours? What concerns do you have?

2. (15 points) 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).

3. (10 points) Name a priority nursing diagnosis for MT related to her nutritional status.

4. (20 points) Name 4 interventions for MT based upon the diagnosis chosen.

5. (15 points) How will you evaluate the effectiveness of the interventions chosen? What follow-up care does MT need?

Answer 1

The following assessment can have been done with the diet of MT's in last 23 hours

• Quantity of food eaten
• Type of food chosen by the patiwnt
• Calculation of the amount of calorie intake
• The dietis categorized into fast

The main concern here is the patient is at risk of getting malnutrition

Vegetables and fruit are less in calorie and energy.Avoiding vegetables can increase weight.Some of the nutritional deficiencies are iron deficiency, vitamin B deficiencies.She is at high risk of getting heart disease, diabetes, cancer, eye sight problems ,digestive problems.

Imbalanced nutrition less than body requirements related to disease conditions as evidenced by loss of appetite,anaemia

Nursing intervention and rationale

• Plan a diet which is rich in fruits and vegetables,to meet or balance the lost nutrients and imotive the iron  cintent
• Encourage to verbalize patients preferred food ,this will enhance and make the patient voluntarily to eat with willingness
• Calculate the patients BMI ,to plan the diet
• Administer medication s per order ,to increase the haemoglobin level

The effectiveness of the intervention can be assessed by

• Following a well balance diet
• Patient not eating any fast food
• Maintaining weight as per the BMI
• Patient coming for regular follow up