Reference no: EM133325510
Case: Mrs. justic is a 68-year-old female who comes to the clinic annually for a physical exam. A year ago her exam indicated good general health. Her primary complaint at this visit is tooth and gum pain.
Present Visit
Ht: 63"
Wt: 100 lbs.
Usual Weight: 113 - 116 Lbs.
Lab Data: Hgb-10.8
Hct: 30
Alb: 3.0
Physical Exam: Weight loss, gum disease, mild depression
Dr. Smith refers Mrs. justic to you for monthly nutrition counseling until she improves. Dr. Smith informs you that Mrs. Justice's husband died 8 months ago. She lives alone and is on a fixed income. She relies on public transportation. Mrs. Justice's does not have any relatives in town. Her only social activity is church on Sundays.
Findings from the diet history reveal the following:
Mrs. Justice's typical daily calorie intake is 1500 calories and 18 grams of protein.
She eats very little meat, vegetables or fruits because of her dental status.
She purchases most of her groceries from the local convenience store. She is afraid to go too far away from home and finds it difficult to bring groceries home on the bus.
Question 1. Assess Mrs. Justice's nutritional status. Support your answer.
Question 2. What are the nutrition concerns in the elderly?
Question 3. Describe assistance programs for which Mrs. Justice is eligible.
Question 4. Identify and prioritize nutrition counseling goals.
Question 5. Formulate a nutrition care plan for follow-up and referral.