Question

Case Study-Chronic Obstructive Pulmonary Disease Mrs. Hemandez is a 72-year-old, underweight, African-American patient with a history of hypertension, depression, and chronic obstructive pulmonary disease (COPD). She was recently seen by her primary health care provider for signs of illness: fever, loss of appetite, fatigue, chills, and dyspnea. She was diagnosed with bronchitis and started on a bronchodilator and corticosteroid nebulizer treatments as well as an oral antibiotic. However, she continued to feel ill without improvement, and became very confused with increased shortness of breath. She was taken to the hospital by ambulance and admitted with a diagnosis of pneumonia, and then started on 2 liters of oxygen via a nasal cannula and intravenous antibiotics. Mrs. Hernandez was placed on a regular diet. However, she ate sparingly and was not receiving the nutrients she needed 1. What are the main goals of medical nutrition therapy for patients with COPD? 2. Consider her energy needs, how are her needs affected by her current condition/disease? 3. What factors interfere with food intake for patients with COPD? What are some interventions that may help increase her food intake? Consider her symptoms 4. What dietary recommendations might help Mrs. Hemandez get the nutrients that she needs during her hospitalization? 5. Consider her fluid needs due to her COPD diagnosis, how would you recommend meeting her needs and why? E囹1 Print Layout View Sec 1 Pages: 10 100% е Module 7

Answer 1

Question 1:

Main goal of medical nutrition therapy in COPD is Preventing and treating weight loss.

Question 2:

For COPD patient need more energy to meet their breathing needs.

COPD patient need 10 times of more energy than non- COPD clients.

Question 3:

Loss of appetite : Cause reduce food intake in COPD.

Intervention:

1. Eat small and frequent diet.

2. Provide attractive and nutritious diet.

3. Avoid greasy and fried food.

4. Eat with people with social.

5. Eat in large plate.

6. Pleasant environment for eating.

Question 4:

1. High protein diet

2. High carbohydrates diet.

3. Moderate amount of fat.

4. With high dietary fiber.

5. Increase fluid diet.

6. Adequate vitamins and minerals.

Question 5:

Fluid needs:

1. Fluid needs of COPD patient is about 2 to 3 liter.

2. Thus high fluid duet can helps to liquify the thick mucus secretions in to thin mucus.