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DIETETICS
PRACTICUM I
Manchester Manor
December 3, 2014
DIET 3155
Esha Fletcher
PATIENT
Name: AC
Age: 85
Sex: Female
DOB: 7/23/29
%IBW: 95%
Race: Caucasian
NUTRITION HISTORY
She has a small appetite, eats less than half of her food
(25-50% consumption)
She is able to feed herself and likes eating in the dining
slowly
Complains of normal food getting stuck in throat
No known food allergies
CHIEF DIAGNOSIS
Dysphagia Oral Phase
Definition: When patient has difficulty swallowing
Malnutrition
Dehydration
Respiratory Problems
Atrial Fibrillation
Pneumonia
(CHF)
Chronic Airway
Obstruction (COPD)
Urinary Tract Infection
Difficulty Walking
Osteoporosis
Malignant Neoplasm of
Breast
SIGNIFICANT MEDICATIONS
Ensure Plus: supplement; 350 calorie supplement/meal
OTHER MEDICATIONS
Atorvastatin Calcium
Hyperlipidemia
Cardura Tablet
HTN
Coreg Tablet
Cardiac Arrhythmia
Digoxin Tablet
Cardiac Arrhythmia
Diovan Tablet
HTN
Dementia
Isosorbide Mononitrate ER
Tablet
Angina
Methimazole Tablet
Hyperthyroidism
PARoxetine HCL
Depression
Xarelto
Afib
COPD
Clindamycin HCL
Pneumonia
TREATMENTS/THERAPIES
SLP: Swallow evaluation & consistency with speech
therapist
Recreation Therapy: Musical entertainment, watching TV,
BIOCHEMICAL DATA
Lab Name
Patients Results
WBC
91
4.0-10.5
Albumin
2.9
3.5-5.0
BUN
35
7-17
Creatinine
0.8
0.5-1.0
Potassium
3.4
3.5-5.1
Normal Values
DIETARY SIGNIFICANCE
Current Diet Order
Regular Diet
Nectar Consistency
Appropriate?
NUTRIENT NEEDS
Harris Benedict:
SAMPLE MENU
Breakfast
Snack
1 small banana
1 scrambled Egg
cheddar cheese
1 cup oatmeal
cup of Ensure
cup Ensure
Dinner
Snack
2 ounce of Fish
Lunch
Snack
Soup
FOLLOW UP
10/29/14: Original visit with patient, viewed chart and
glucose
QUESTIONS?
REFERENCES
http://www.drugs.com/omeprazole.html
http://www.webmd.com/drugs/2/drug-3776-8043/lasix-oral
/furosemide-oral/
details
http://www.mayoclinic.org/diseases-conditions/dysphagia/b
asics/definition/con20033444
http://medical-dictionary.thefreedictionary.com/bolus