A 74-year-old man was admitted to a nursing home for the first time following hospitalization for an exacerbation from heart failure, which is being controlled with Lasix 120 mg a day at this time. While the patient was in the hospital, he fell on the way to the bathroom and sustained a fractured hip, which required an ORIF. He had spinal anesthesia for the fractured hip.
He lives alone at home and has three grown children who live in the same town. He would like to return home. He has been widowed for 9 months. He had been married for 50 years and worked outside the home as a banker. His wife prepared all his meals for him.
During hospitalization, his dietary intake was 10 to 20% of the food provided. He did not receive any food from family or friends to offset his hospital meals. Since admission to the nursing home two days ago, he has eaten only 10% of his diet, which was a low-NA diet, mechanical soft (due to improperly fitting dentures). He was a 20-year smoker, one pack a day. He reports minimum alcohol intake.
He states that since his wife died, he has been leading a sedentary lifestyle, not going out very often. He reports no “real exercise” activities.
The Medications Discharge from Hospital:
Answer these questions:
Some of the additional subjective information which can be dashed to the patient are
The objective data which can be seen are
The laboratory test needed for this patient is
The factors which are affecting the current nutritional status and hydration are
Some of the recommendations to alter his nutritional status are
A 74-year-old man was admitted to a nursing home for the first time following hospitalization for...
A 74-year-old man was admitted to a nursing home for the first time following hospitalization for an exacerbation from heart failure, which is being controlled with Lasix 120 mg a day at this time. While the patient was in the hospital, he fell on the way to the bathroom and sustained a fractured hip, which required an ORIF. He had spinal anesthesia for the fractured hip. He lives alone at home and has three grown children who live in the...
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