Lisa Sawrey is an 80-year-old retired businesswoman who has been a widow for 10 years. She uses a walker and has poorly fitting dentures. She was recently admitted to the hospital with pneumonia and also has heart failure and diabetes. She routinely takes several medications to control her blood glucose levels, hypertension, and heart function. In addition to these medications, the physician has recently ordered antibiotics to treat the pneumonia. During an initial nutrition screening, Mrs. Sawrey stated that she had been eating very poorly over the past two weeks. She said that she usually weighs about 125 pounds—a fact that was documented in her medical chart from a previous visit. Although she felt she was losing weight, she didn’t know how much weight she may have lost or when she started losing weight. Upon admission to the hospital, Mrs. Sawrey weighed 110 pounds and was 5 feet 3 inches tall. Her serum albumin level was 3.0 grams per deciliter. A physical exam revealed edema, and several other laboratory tests confirmed that she was retaining fluid. As a result of the nutrition screening, Mrs. Sawrey was referred to a nurse for a nutrition assessment.
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types of assLisa Sawrey is an 80-year-old retired businesswoman who has been a widow for 10 years. She uses a walker and has poorly fitting dentures. She was recently admitted to the hospital with pneumonia and also has heart failure and diabetes. She rou
Lisa Sawrey is an 80-year-old retired businesswoman who has been a widow for 10 years. She uses a walker and has poorly fitting dentures. She was recently admitted to the hospital with pneumonia and also has congestive heart failure and diabetes. She routinely takes several medications to control her blood glucose levels, hypertension, and heart function. In addition to these medications, the physician has recently ordered antibiotics to treat the pneumonia. During an initial nutrition screening, Mrs. Sawrey stated that...
E. L. is an 88-year-old widow who has advanced dementia. She is a retired secretary and is cared for in the home of her divorced daughter, who is her power of attorney for health affairs. E. L. requires assistance with all activities of daily living. She spends most of the day sitting in her orthopedic recliner (she has had bilateral hip replacements) or lying in bed. She does not speak or acknowledge the presence of others. Recently, E. L. has...
Mrs. Reese is a 36-year-old woman who was diagnosed with Crohn’s disease two years ago. She was recently admitted to the hospital with an exacerbation of her Crohn’s disease. She was severely malnourished and was found to have complete bowel obstruction with multiple adhesions. She is 5’ 4” tall and weighs 108 pounds, with a usual weight of 122 lbs. She is scheduled for surgery, and undergoes a small bowel resection to remove the diseased bowel and create a temporary...