breakfast tray before moving to the other items. -Inadequate oral -Food &/OR Nutrient -Food/Nutrition-Related -Food & Nutrient -Added fruit punch intake Delivery: Nutrition History: Food & Intake: Not Met ProGelatein three times Supplement Nutrient Intake→ -Macronutrient daily with meals for Therapy→ Medical Monitor food intake (Protein) Intake: Not additional calories/protein. Food Supplement (amount and types of Met Per Veteran’s family he Therapy (Commercial foods/beverages), total -Food & Nutrient likes gelatin. food, ProGelatein), energy intake, modified Administration: Not -Added prune juice to his Enteral and Parenteral diet order tolerance Met breakfast tray because Nutrition→ Enteral -Food/Nutrition-Related Veteran was dealing with Nutrition History: Food & some constipation. Relief (Recommend insert Nutrient Intake→ of constipation could enteral feeding tube) Macronutrient Intake improve overall intake. -Nutrition Education: (monitor total protein -Provided additional Nutrition intake, high biological nutrition education to Nutrition value protein intake) family related to the 6/27/16 relationship to -Food/Nutrition-Related importance of health/disease History: Food & calorie/protein intake when (Importance of Nutrient undergoing CRRT/HD. calories/protein with Administration→ Diet Also discussed frozen CRRT/HD) History (Enteral frozen meal -Coordination of nutrition order) & options. Provided handout Nutrition Care by a Enteral and Parenteral from the Journal of Renal Nutrition Professional: access (enteral access) Nutrition. Collaboration and -Compiled two sets of Referral of Nutrition enteral nutrition Care→ Collaboration recommendations: one with other providers tailored to meet Veteran’s needs on CRRT and the other one tailored to meet his needs should he transition back to HD.
breakfast tray before moving to the other items. 6/27/16 -Inadequate oral intake -Food &/OR Nutrient Delivery: Nutrition Supplement Therapy→ Medical Food Supplement Therapy (Commercial food, ProGelatein), Enteral and Parenteral Nutrition→ Enteral Nutrition (Recommend insert enteral feeding tube) -Nutrition Education: Nutrition Nutrition relationship to health/disease (Importance of calories/protein with CRRT/HD) -Coordination of Nutrition Care by a Nutrition Professional: Collaboration and Referral of Nutrition Care→ Collaboration with other providers -Food/Nutrition-Related History: Food & Nutrient Intake→ Monitor food intake (amount and types of foods/beverages), total energy intake, modified diet order tolerance -Food/Nutrition-Related History: Food & Nutrient Intake→ Macronutrient Intake (monitor total protein intake, high biological value protein intake) -Food/Nutrition-Related History: Food & Nutrient Administration→ Diet History (Enteral nutrition order) & Enteral and Parenteral access (enteral access) -Food & Nutrient Intake: Not Met -Macronutrient (Protein) Intake: Not Met -Food & Nutrient Administration: Not Met -Added fruit punch ProGelatein three times daily with meals for additional calories/protein. Per Veteran’s family he likes gelatin. -Added prune juice to his breakfast tray because Veteran was dealing with some constipation. Relief of constipation could improve overall intake. -Provided additional nutrition education to family related to the importance of calorie/protein intake when undergoing CRRT/HD. Also discussed frozen frozen meal options. Provided handout from the Journal of Renal Nutrition. -Compiled two sets of enteral nutrition recommendations: one tailored to meet Veteran’s needs on CRRT and the other one tailored to meet his needs should he transition back to HD.
allison_k_fassler_clinical_case_study.docx