Edentulous -Changes in edema, and improve with LOC likely weight status. due to -Learn patient’s food dentures medications, likes/dislikes to disease provide a diet rich in processes, or calories/protein the Mild pain. patient is more likely bilateral -Mild muscle to consume. muscle and -If intake continues to wasting of subcutaneous be poor and the temporal fat loss malnutrition is of and indicative of major concern, use of interosseous inadequate oral nutrition regions calorie/protein supplements or Mild intake. enteral nutrition may -Frail arms be warranted. fat loss of with thin skin -For ecchymosis, the orbital likely due to supplementation of regions advanced age. vitamin K and Frail arms -Ecchymosis vitamin C may be with thin indicative of warranted with skin vitamin K, educating patient on by other ascorbic acid, foods rich in those health care or nutrients. providers: -For pitting edema Ecchymosis deficiencies. caused by volume on bilateral -Pitting overload, encourage can be related patient to adhere to extremities to overall fluid restrictions. 2+ pitting fluid status Provide patient with along with education on how to extending all inadequate better control thirst. the way up
Edentulous with dentures Mild bilateral muscle wasting of the temporal and interosseous regions Mild fat loss of the orbital regions Frail arms with thin skin by other health care providers: Ecchymosis on bilateral extremities 2+ pitting extending all the way up -Changes in LOC likely due to medications, disease processes, or pain. -Mild muscle and subcutaneous fat loss indicative of inadequate calorie/protein intake. -Frail arms with thin skin likely due to advanced age. -Ecchymosis indicative of vitamin K, ascorbic acid, or deficiencies. -Pitting can be related to overall fluid status along with inadequate edema, and improve weight status. -Learn patient’s food likes/dislikes to provide a diet rich in calories/protein the patient is more likely to consume. -If intake continues to be poor and malnutrition is of major concern, use of oral nutrition supplements or enteral nutrition may be warranted. -For ecchymosis, supplementation of vitamin K and vitamin C may be warranted with educating patient on foods rich in those nutrients. -For pitting edema caused by volume overload, encourage patient to adhere to fluid restrictions. Provide patient with education on how to better control thirst.
allison_k_fassler_clinical_case_study.docx