NURS 6540 Week 7 Discussion Essay.
NURS 6540 Week 7 Discussion Essay.
Nutrition and Hydration
Geriatric patients have many nutritional and hydration concerns that impact their health and ability to acquire sufficient nutrients. Advanced practice nurses evaluating these patients must be able to account for all barriers that prevent elders from obtaining adequate nutrition, including medical conditions, transportation, finances, physiologic changes, and functional abilities. When evaluating patients, it is important to consider how they eat, what their diet consists of, and whether they have any special dietary needs that are not being met. Assessment tools, such as the Lawton Instrumental Activities of Daily Living (IADL) Scale, are an integral part of this evaluation process as they help providers identify potential obstacles for patients. In this Discussion, you assess a patient at your current practicum site and consider strategies for improving any nutrition or hydration issues. NURS 6540 Week 7 Discussion Essay.
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To prepare:
Review this week’s media presentation, as well as Chapters 28 and 29 of the Flaherty and Resnick text.
Assess a patient using tools for inpatient and long-term patient care, such as the Lawton IADL Scale. Note: You should coordinate this opportunity with the Preceptor at your practicum site.
Consider whether nutrition and/or hydration might be impacted by the patient’s functional abilities. Reflect on whether the patient is able to go out and get food to eat, cook meals, safely use the stove, etc.
Consider the patient’s diet and whether they have any special dietary needs due to medical conditions, such as congestive heart failure, end-stage kidney disease, diabetes, oral health issues, etc. Reflect on whether or not the patient is attempting to compensate for a medical issue and thus creating a deficiency or excess in his or her diet.NURS 6540 Week 7 Discussion Essay.
Based on your patient assessment, think about strategies for improving any nutrition issues that might have presented (e.g., nutritional supplements, community resources such as Meals on Wheels, referral to a nutritionist or dietician, etc.).
Post on or before Day 3 a description of the patient assessment you performed using a tool for inpatient and long-term patient care, such as the Lawton IADL Scale. Explain whether nutrition and/or hydration might be impacted by the patient’s functional abilities. Then, describe the patient’s diet and whether he or she has any special dietary needs due to medical conditions. Address whether or not the patient is attempting to compensate for a medical issue and thus creating a deficiency or excess in his or her diet. Finally, explain strategies for improving any nutrition issues that might present during the patient assessment.
Read a selection of your colleagues’ responses.
Respond on or before Day 6 to at least two of your colleagues on two different days in one or more of the following ways:
Suggest additional strategies for improving nutrition issues for your colleagues’ patients.
Offer and support an alternative perspective based on your own experience and additional literature search.
Validate an idea with your own experience and additional literature search.
Click on the Reply button below to reveal the textbox for entering your message. Then click on the Submit button to post your message.
NURS 6540 week 7 Quiz
1 Which of the following nutritional parameters is an indicator for functional decline among older adults? a. Fasting blood glucose of 100 mg b. A body mass index greater than or equal to 35 c. Total serum cholesterol of 175 mg d. A planned weight loss of 1 pound per week as a result of healthy dietary changes Question 2 Which two laboratory test results provide evidence of malnutrition in hospitalized older adults? a. Low albumin and cholesterol b. Elevated hemoglobin and hematocrit c. Low sodium and potassium d. Elevated liver enzymes and CRP Question 3 Strict adherence to therapeutic diets in hospitalized frail older adults is a. Essential to control disease states until the end of life b. Essential to conform to nursing home regulations c. Not essential if the patient is at risk for malnutrition or diet results in poor quality of life d. Not essential because old people don’t eat that much anyway Question 4 In what way does functional disability contribute to malnutrition? a. The functionally disabled stomach does not absorb nutrients adequately from the food b. Dietary restrictions of functionally disabled individuals cause low caloric intake c. NURS 6540 Week 7 Discussion Essay.The person with functional disability has little money to buy food d. Declining functional ability interferes with shopping, preparing meals, or feeding Question 5 For patients in whom protein energy supplements are indicated, when should these supplements be provided? a. At bedtime b. With breakfast and lunch c. Between meals as tolerated d. Before breakfast Question 6 Which of the following is the first step in managing chronic constipation? a. Order saline enemas twice per week b. Order 8 ounces of warm milk at bedtime c. Stop constipating medicines when possible d. Order opioid antagonists daily Question 7 The average older adult requires the following fluid intake to maintain health a. 1 gallon of water per day b. As much fluid as required to diminish thirst c. 30 mL per kilogram of body weight per day d. None of the above Question 8 Which class of laxatives is NOT useful in managing opiod-induced constipation? a. Osmotic laxatives b. Bulk-forming laxatives c. Saline laxatives d. Stimulant laxatives Question 9 For undernourished, frail older adults, effective medications to promote weight gain include a. Dronabinol b. Megestrol acetate c. Ensure Plus d. No medications are FDA-approved to promote weight gain in older adults Question 10 Which of the following medications is constipating? a. Erythromycin b. Morphine c. Lipitor d. Synthroid
NURS 6540 Week 7 Discussion Essay.
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