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    Discussion Board Five

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    Barbara Jones
    Gayle is an 86-year-old widow who was admitted to the hospital after falling and breaking her hip. She laid on the basement floor for two days until being discovered. She had hip replacement surgery and was discharged to a nursing home. Despite her ordeal, she is doing relatively well but her weight has dropped from 130 to 120 lbs in 3 weeks on her low-fat, low-cholesterol diet at the nursing home. Her doctor wants her to continue this diet but she is eating less than half and complains the food tastes bad.

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    Discussion Board Five

    Uploaded by

    Barbara Jones
    176 views2 pages
    Gayle is an 86-year-old widow who was admitted to the hospital after falling and breaking her hip. She laid on the basement floor for two days until being discovered. She had hip replacement surgery and was discharged to a nursing home. Despite her ordeal, she is doing relatively well but her weight has dropped from 130 to 120 lbs in 3 weeks on her low-fat, low-cholesterol diet at the nursing home. Her doctor wants her to continue this diet but she is eating less than half and complains the food tastes bad.

    Original Description:

    Gayle is a new admission to Harvest Manor Nursing Center.

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    Gayle is an 86-year-old widow who was admitted to the hospital after falling and breaking her hip. She laid on the basement floor for two days until being discovered. She had hip replacement surgery and was discharged to a nursing home. Despite her ordeal, she is doing relatively well but her weight has dropped from 130 to 120 lbs in 3 weeks on her low-fat, low-cholesterol diet at the nursing home. Her doctor wants her to continue this diet but she is eating less than half and complains the food tastes bad.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    176 views2 pages

    Discussion Board Five

    Uploaded by

    Barbara Jones
    Gayle is an 86-year-old widow who was admitted to the hospital after falling and breaking her hip. She laid on the basement floor for two days until being discovered. She had hip replacement surgery and was discharged to a nursing home. Despite her ordeal, she is doing relatively well but her weight has dropped from 130 to 120 lbs in 3 weeks on her low-fat, low-cholesterol diet at the nursing home. Her doctor wants her to continue this diet but she is eating less than half and complains the food tastes bad.

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    Discussion Board Five

    Worth 50 Points

    Gayle is a new admission to Harvest Manor Nursing Center. She is an 86 year old widow. Her only son
    lives in England. She fell down the basement steps on a Friday afternoon and broke her hip. She laid
    on the basement floor until Monday. The postal carrier heard her crying and called for help.

    She was admitted to the hospital for a hip replacement and discharged to the nursing home. Despite
    her ordeal she is doing relatively well and hopes to return to her home in 2 to 3 months.

    Upon Medical Profile


    Medical Profile Admission 3 weeks later
    Height 5'1" 5'1"
    Weight 130 lbs 120 lbs
    Wrist circumference 6" 6"
    Albumin 2.7 gms
    PAB 14 mg/dL
    HCT 19%
    Hgb 8 gms
    MCV elevated
    Cholesterol 275 mg/dL
    Blood pressure 135/89 120/70

    Calculate her BEE.

    Gayle has been healthy all of her life. She has never had major surgery until her hip replacement. She
    does not have any chronic diseases. Her doctor orders a low fat low cholesterol calorie controlled diet.
    Why do you think the doctor ordered this diet for Gayle? Explain why you agree or do not agree with
    this diet order.

    Gayle is eating <50% of her low fat low cholesterol calorie controlled diet. She has lost 10 lbs in 3
    weeks. She tells you the food is tough and tasteless.

    1. What can you as the Certified Dietary Manager do to help Gayle and improve her intake?
    2. Look at Gayle's lab report. What are the normal values for the labs?
    3. What might the albumin and total protein tell you about protein status and intake history?
    4. What factors might influence these lab values?
    5. Look at Gayle's lab report. What does her lab report tell you about her iron status?
    6. What are normal values for iron status lab tests?
    Instructions:

    1. Create a new thread and in 250 words answer the question(s) in the discussion board forum.
     Your initial post is due by Friday at 11:59 p.m. (check course due dates)
    2. Respond with at least 150 words to at least two of your classmates posts.
     Responses are due by Monday at 11:59 p.m. (check course due dates)
    3. A Minimum of three posts per discussion board thread.

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