Write a brief progress note to summarize current updates

Reference no: EM133385946

Case Study - Mr G

Mr. G is a new resident in your LTC facility. Prior to visiting with him for a new resident interview, you have obtained the following information from Mr. G's admission records.

Mr G is 87 years old and has been diabetic x 25+ years. He is on the following medications for his diabetes: metformin 500mg BID and glyburide 60mg OD, Mr G's most recent HgA1C was 6.0. His weight is stable and he has a good appetite.

Q1. Based on the information you have (listed above):

Is Mr. G type I or type II diabetic?
How do you know?

Q2. Mr G is taking two medications for his diabetes.

List both medications and the family/classification of medications each belongs to
Describe the method in which each medication helps control blood sugars

You have gone to meet with Mr. G for his new resident interview. And have learned the following additional information about him.

Mr. G doesn't like regular coffee and instead drinks decaf coffee. Mr. G does not like soups other than cream of mushroom and he prefers cold cereal for breakfast instead of hot cereals. Mr. G has also been drinking an average of 1.5 bottles or Boost Plus Calories at home for afternoon snack the past year or so and prefers the strawberry flavor.

Q3. How would you communicate your findings with the healthcare team?

List 3 specific actions you would take to communicate. It should be clear in your answer who you want to communicate to (eg. the dog or dentist) and what communication method you will use to do so.

Q4. Find the information missing in blanks below 1.5 bottles of Boost Plus Calories/day =

_______ calories ________ grams fat _____ grams protein _______ grams carbohydrate /4

Q5. Based on the information available to you:

Do you think Boost Plus Calories a good snack for Mr. G?
Please provide a professional (not personal) response as to why you feel this is or is not a good snack for him.

Q6. There are many different types of nutritional supplements that can be included in a nutrition care plan. Read the descriptions below (1-4) and match with the appropriate category of nutrition supplement (A-D)

Specific vitamin or mineral
Multivitamin
Protein powder
Oral nutrition supplement

Most often available in a liquid format and provide calories and macronutrients in addition to micronutrients
Most often a tablet although also available in liquid format, this type of supplement can be used when trying to increase intake of several nutrients in order to help meet RDAs
Available in tablet, capsule, liquid or intramuscular injection this type of supplement contains a specified dose of a desired micronutrient
Available commercially, this type of supplement is most often found in powder format although can be a liquid or gel and is used to increase intake of a macronutrient

Q7. Mr. G's son from out of town comes to visit him at the LTC home, he has recently attended a health and wellness expo where one of the speakers was a nephrologist and spoke about chronic kidney disease. He asks why his father isn't on a 'renal diet' since there is a strong link between diabetes and chronic kidney disease. While in some LTC homes, this could be a question that would be directed to the dietitian or doctor to answer, let's assume it is customary for you to answer questions like this. Drawing from your course learning what do you think would be an appropriate response to this question?

One year later Mr. G returns to your LTC facility after a brief hospital stay for a stroke. Due to a new diagnosis of dysphagia, Mr. G now has a G-tube for feeding and comes back to your facility on the following feeding regimen

Resource Diabetic 75 ml/hr which runs for a total of 16hrs. During the 16hrs that his tube feed runs, he also receives a flush of 120mL of water every 4hrs, plus some extra water to flush down medications also given to him via the tube.

Q8. How much nutrition is Mr. G getting via his tube feed regimen. rounded appropriately.

As a Nutrition Manager, it is your responsibility at this facility to figure out how many cans/tetra packs of nutrition supplement product need to be sent to the unit for residents on tube feeding regimens.

Q9. How many tetra packs of Resource Diabetic would need to be sent to the unit each day for Mr. G

Q10. Using SOAP note format, write a brief progress note to summarize current updates to care plan now that Mr. G has returned to the LTC home with a feeding tube.

Reference no: EM133385946

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