Richard is a 48-year-old Caucasian male who
Richard is a 48-year-old Caucasian male who lives with his wife and two children. Three months ago he visited his GP after noticing that he was jaundiced following a family wedding. He subsequently was diagnosed with decompensated liver disease due to previously undiagnosed liver cirrhosis secondary to alcohol.He is not completely abstinent but has significantly cut down his alcohol intake from 48 units to 12 units per week. Due to his initial diagnosis of alcohol related liver disease (ARLD) Richard has not been well enough to return to work as an accountant and is currently on reduced sick pay. He has noticed he has lost a lot of his muscle mass and his weight has dropped from 84 kg to 70 kg. He has moderate ascites. His appetite is poor. His GP has referred him to dietetic services for assessment and advice.9. What outcome measures would you use to monitor your objectives?10. Is there any specialist consideration you may have when increasing protein in Richards’s diet? SCIENCE HEALTH SCIENCE NURSING NUR 12
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