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    Edna

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    Jonah Maasin
    Edna, a 78-year-old woman, was seriously injured in a car accident requiring multiple surgeries. She was initially on IV nutrition but transitioned to oral intake, though was only eating 40-50% of meals. Her wounds were healing slowly and she fatigued easily. The dietitian suspected low protein intake was hindering her recovery and ordered a calorie count to assess her nutrition.

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    Edna

    Uploaded by

    Jonah Maasin
    33 views2 pages
    Edna, a 78-year-old woman, was seriously injured in a car accident requiring multiple surgeries. She was initially on IV nutrition but transitioned to oral intake, though was only eating 40-50% of meals. Her wounds were healing slowly and she fatigued easily. The dietitian suspected low protein intake was hindering her recovery and ordered a calorie count to assess her nutrition.

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    Edna, a 78-year-old woman, was seriously injured in a car accident requiring multiple surgeries. She was initially on IV nutrition but transitioned to oral intake, though was only eating 40-50% of meals. Her wounds were healing slowly and she fatigued easily. The dietitian suspected low protein intake was hindering her recovery and ordered a calorie count to assess her nutrition.

    Copyright:

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

    Edna

    Uploaded by

    Jonah Maasin
    Edna, a 78-year-old woman, was seriously injured in a car accident requiring multiple surgeries. She was initially on IV nutrition but transitioned to oral intake, though was only eating 40-50% of meals. Her wounds were healing slowly and she fatigued easily. The dietitian suspected low protein intake was hindering her recovery and ordered a calorie count to assess her nutrition.

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    CASE IN POINT

    EDNA: RECOVERING FROM A SERIOUS ACCIDENT


    Edna is a 78-year-old Caucasian female who was the driver in a very serious car accident with her
    husband, Tom. The emergency medical team had to cut open the car to get them out. Miraculously,
    Tom had only scrapes and bruises. But Edna suffered bilateral leg fractures, head injury, and internal
    abdominal injuries. Edna required numerous lifesaving surgeries. Although Edna had been seriously
    injured, the doctors were confident that she would survive.

    Initially, Edna was on intravenous feedings of hyperalimentation (see Chapter 22). The hospital
    dietitian monitored her nutritional status closely. Finally, Edna made the transition to oral nutrition.
    Edna was going to be hospitalized for at least 3 more weeks, followed by 6 to 8 weeks of bed rest
    for her fractures. She was eating between 40% and 50% of her meals and at times forced herself to
    eat. The most recent note by the physician read, “Her wounds are healing, but slower than
    expected.” The physical therapist documented, “She can tolerate only 15 minutes of range-of-
    motion exercises and complains about being too tired to continue.” The dietitian ordered another
    48-hour calorie count.

    ASSESSMENT
    1. What information do you have about Edna and her nutrition?
    Edna is a 78 yr old Caucasian Female, she was eating 40% and 50% of her meals.
    2. What deficit does the dietitian suspect?
    Protein Deficiency / Inadequate protein intake
    3. What does the physician suspect?
    Because Edna is low in Protein, this is causing a slow improvement/healing to her injuries.
    4. How significant is the problem?
    Protein plays a big role in building and repairing muscles and tissues, although in a daily life this may
    sound or seem unimportant but Protein really helps an injured person recover and heal quickly if right
    amount is consumed.
    5. If Edna were 5 feet 2 inches tall and weighed 110 pounds before the accident, what would her
    daily protein requirements be?
    6. What two benefits of protein is Edna missing?
    Build and Repairing Muscles and Tissues

    DIAGNOSIS
    7. What is the cause of Edna’s nutritional problem? Protein Deficiency
    8. Complete the following nursing diagnosis statement: Edna’s imbalanced nutrition less than
    body requirements, related to inadequate protein
    resulting in slow healing of wounds.

    PLAN/GOAL
    9. What is your goal for Edna?
    - make a regimen that will improve her lack of proteins
    - do ROM exercises for atleast 15mins

    IMPLEMENTATION
    10. What will the calorie count reveal?
    11. What do you need to know about Edna’s food preferences?
    It has something to do with her being a Caucasian. Her food preference might have hinder her form
    consuming the desired amount of protein.
    12. What could Tom do to help during meals?
    Encourage Edna to eat protein rich food such as meat, egg, dairy products and fruits like guava and
    avocado.
    13. What should be the size and frequency of Edna’s meals?
    If you want to gain or maintain muscle, you must consume enough protein. According to most
    studies, 0.7-1 gram per pound (1.6-2.2 grams per kg) of lean mass is sufficient.
    14. Should appetite stimulants be used?
    No. Edna is able to finish her food, and she knows how important every meal is which is why she’s
    forcing herself tofinish every meal that is served for her.
    15. Should liquid nutritional supplements be used?
    Yes. This will help Edna a tons since Liquid nutrition supplements are drinks that contain calories,
    protein, vitamins, and minerals. They are intended to supplement her regular diet.
    16. Which proteins could provide the highest quality per bite?
    Lean meats, poultry, fish and seafoods and dairy products.

    EVALUATION/OUTCOME CRITERIA
    17. What criteria would the doctor, physical therapist, and dietitian use to evaluate the
    effectiveness of the plan?
    Edna is able to increase her protein intake, and results to a much faster healing of her wound and
    recovering of her muscles.
    18. Would weight gain be an effective criterion? If not, why not?
    Yes. After following a regimen that is focused on increasing her protein it is normal that Edna would
    gain weight because that also means that she gain muscles.

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