snacks, Ensure When BUN learning patient’s Muscle Health, or and creatinine food likes and dislikes ProGelatein = 1 are elevated, and working with point an them to modify those individual’s favorite foods to be appetite is higher in greatly calories/protein. impacted. Gastrointestinal -Veteran is edentulous and has -For chewing and Symptoms dentures. I suspected the swallowing: Veteran Veteran’s weight was a reflection of had a consult with volume overload and his current speech. Per speech weight was less than his As a recommendations, the result his dentures fit poorly and Veteran’s diet needed N/V were the culprit to his chewing to be downgraded to a difficulties. If unable to chew solid consistency that could foods, Veteran would likely consume be chewed and a reduced percentage at meals. swallowed safely. Chewing issues = 1 point -For nausea/vomiting: -Veteran had experienced 2 bouts of Veteran may benefit choking and coughing up food when from consuming on the AHA diet. Swallowing liquids separately difficulties = 2 points from foods, -Veteran presented with nausea with consuming cold food occasional vomiting since prior to items, consuming admit. Uremia as a result of renal foods with weak failure, likely the cause and a aromas, asking primary reason for appetite changes. nursing to remove Nausea issues greater than 3 days = 1 tray lid from food point outside of room, and -Veteran experienced diarrhea as a consuming bland/dry result of receiving Kayexelate for food items. hyperkalemia. Large volumes of Monitoring of
snacks, Ensure Muscle Health, or ProGelatein = 1 point When BUN and creatinine are elevated, an individual’s appetite is greatly impacted. learning patient’s food likes and dislikes and working with them to modify those favorite foods to be higher in calories/protein. Gastrointestinal Symptoms N/V -Veteran is edentulous and has dentures. I suspected the Veteran’s weight was a reflection of volume overload and his current weight was less than his As a result his dentures fit poorly and were the culprit to his chewing difficulties. If unable to chew solid foods, Veteran would likely consume a reduced percentage at meals. Chewing issues = 1 point -Veteran had experienced 2 bouts of choking and coughing up food when on the AHA diet. Swallowing difficulties = 2 points -Veteran presented with nausea with occasional vomiting since prior to admit. Uremia as a result of renal failure, likely the cause and a primary reason for appetite changes. Nausea issues greater than 3 days = 1 point -Veteran experienced diarrhea as a result of receiving Kayexelate for hyperkalemia. Large volumes of -For chewing and swallowing: Veteran had a consult with speech. Per speech recommendations, the Veteran’s diet needed to be downgraded to a consistency that could be chewed and swallowed safely. -For nausea/vomiting: Veteran may benefit from consuming liquids separately from foods, consuming cold food items, consuming foods with weak aromas, asking nursing to remove tray lid from food outside of room, and consuming bland/dry food items. Monitoring of
allison_k_fassler_clinical_case_study.docx