Respiratory Stress Impact on Nutrition-Case Study
Samuel was diagnosed with chronic obstructive pulmonary disease (COPD) 7 years ago and has had recurrent bronchitis over the past 40 years. He is 68 years old, 5 ft. 9 in. tall, and weighs 134 pounds. About three years ago he had a normal adult weight of 150 to 155 pounds. He has lost 7 pounds in the last month due to lack of appetite and early satiety. He complains of a dry mouth, and that food has lost its taste. He is currently on multiple medications, including a bronchodilator, an inhaler, and an antibiotic. He uses oxygen as needed. During his recent hospitalization for pneumonia, the dietitian told him he should be eating at least 2000 calories, but he doesnt have the energy to prepare or eat that much food. His usual intake is as follows:
Breakfast: Coffee with creamer, 2 pieces of white toast with jelly
Lunch: Cheese and crackers, banana, coffee with creamer
Dinner: Canned soup with oyster crackers, ice cream, coffee with creamer
Group 1: What factors contribute to Samuels poor appetite and intake?
Group 2: What specific strategies would you recommend he implement to improve his intake?
Group 3: Evaluate Samuels current BMI and normal adult weight. Calculate his percent weight loss over the past month. Is it significant?
Group assignments are below in your instructor’s launch post below.
Initial Discussion Response Participation Requirements:
It is anticipated that your initial discussion response should be a minimum of 250 words.
Please add your total word count at the bottom of your post.
Citations and references will not be included in your total word count.
All responses need to be supported by a minimum of one scholarly resource.
All questions on the topic must be addressed.
Response posts must demonstrate topic knowledge and scholarly engagement with peers.
Please proofread your response carefully for grammar and spelling.
Citation and reference must adhere to APA format.
Please review the rubric to ensure that your response meets the criteria.
Discussion Peer/Participation Requirements:
It is anticipated that your peer or instructor responses will be substantive and should be a minimum of 150 words.
Substantive means that you add something new to the discussion, you arent just agreeing. This is also a time to ask questions or offer information surrounding the topic addressed by your peers. Personal experience is appropriate for a substantive discussion and should be correlated to the literature.
Instructor follow-ups count toward one of your peer responses.
Remember: Please respect the opinions of others, even if their views differ. In other words, disagree professionally and respectfully.
Plagiarism is never acceptable give credit when credit is due – cite your sources.
Be sure to post your initial response by Wednesday 11:59 PM MT and reply to at least 2 other posts per discussion question by Sunday 11:59 PM MT, adding to the discussion (see the grading rubric to meet the criteria to earn your discussion points).
It is an important aspect of nursing care to apply nutritional information to each patient’s unique situation. If we do not assess the patient, our knowledge is ineffective. The parameters of developmental level, health status, gender, cultural diversity, and belief systems must be assessed. This discussion question allows you to explore this in more depth.
This question will incorporate the course learning outcome:
CO3: Assess nutritional requirements for diverse patient populations, including development level, health status, gender, cultural diversity, and belief systems (PO7)
Key concepts: Patient teaching and support
Samuel was diagnosed with COPD 7 years ago and had had recurrent bronchitis over the past 40 years. He is 68 years old, 5 ft. 9 in. tall, and weighs 134 pounds. About 3 years ago, he had a normal adult weight of 150 to 155 pounds. He has lost 7 pounds in the last month due to a lack of appetite and early satiety. He complains of a dry mouth, and that food has lost its taste. He is currently on multiple medications, including a bronchodilator, an inhaler, and an antibiotic. He uses oxygen as needed. During his recent hospitalization for pneumonia, the dietitian told him he should be eating at least 2000 calories, but he doesnt have the energy to prepare or eat that much food. His usual intake is as follows:
Breakfast: Coffee with creamer, 2 pieces of white toast with jelly
Lunch: Cheese and crackers, banana, coffee with creamer
Dinner: Canned soup with oyster crackers, ice cream, coffee with creamer
1. If your last name begins A – D: What factors contribute to Samuels poor appetite and intake?
2. If your last name begins E – R: What specific strategies would you recommend he implement to improve his intake?
3. If your last name begins S – Z: Evaluate Samuels current BMI and normal adult weight. Calculate his percent weight loss over the past month. Is it significant?
Note: My last name
