Can you respond to the article below?

Can you respond to the article below? For this weeks’ post we were provided a case study which described an elderly patient who resides in a SNF (skilled nursing facility) the patient presents to the ED (emergency department) and ultimately was diagnosed with protein malnutrition after history was obtained that the patient has malabsorption syndrome. Cleveland Clinic, simply put, identified malabsorption syndrome as an umbrella term, meaning that it’s a broad term used to describe several types of disorders, ultimately though, malabsorption syndrome is the bodies inability to absorb nutrients consumed from food. This process mostly occurs within the small intestine (Malabsorption (Syndrome), n.d.). Kerr suggests that malabsorption syndrome may be genetic, citing a family history of the disease as a possible risk factor (2022). For this specific case study, the patient had complaints of edema to the extremities and the abdomen, the patient is most likely presenting with those symptoms, as their diagnosis would suggest, due to a protein malnutrition. McCance and Huether describe that a protein deficiency basically decreases the intestines’ ability to absorb nutrients, when this happens one of the consequences of this is the decrease in several proteins, one of which is albumin. The lack of albumin can cause a shift of fluid into the interstitium resulting in edema (2019 p.75), this edema can present in both the extremities and also within the abdomen as this patient was complaining of. The physiologic response (the edema) to the stimulus (the lack of protein absorption) most likely occurred due in part to the patients’ inability to eat due to the lack of dentures, coupled with the patients’ known history of malabsorption syndrome could have led to a lack of proper protein intake, which, as previously discussed, may have resulted in the edema the patient is experiencing. Mason teaches us that the cells responsible for this process are the enterocytes which are cells that line the intestinal tract. One of the pieces of information I would like to explore for this particular patient would be their medication list. Kerr also teaches us certain medications, such as the use of laxatives, could also contribute to malabsorption syndrome (2022). Since this is an elderly patient, there is a possibility that the use of laxatives could be the cause of some of this patients’ issues. Another piece of information I would be interested in would be the patients’ family history as well as their gender, for example, celiac disease is a genetic disorder, Bai et. al did a study where they determined that malabsorption occurred more often in men than women with celiac disease (2005). Some of the answer to these questions may change my response as to what is going on with this particular patient. References: Bai, D., Brar, P., Holleran, S., Ramakrishnan, R., & Green, P. H. R. (2005). Effect of gender on the manifestations of celiac disease: Evidence for greater malabsorption in men. Scandinavian Journal of Gastroenterology, 40(2), 183-187. https://doi.org/10.1080/00365520510011498 Kerr, M. (2022, June 2). Malabsorption Syndrome. Healthline. https://www.healthline.com/health/malabsorption Malabsorption (Syndrome). (n.d.). Cleveland Clinic. https://my.clevelandclinic.org/health/diseases/22722-malabsorption Mason, J. B. (2021, April 6). Approach to the adult patient with suspected malabsorption (D. Seres & S. Grover, Eds.). UpToDate. https://www.uptodate.com/contents/approach-to-the-adult-patient-with-suspected-malabsorption?search=malabsorption%20syndrome&source=search_result&selectedTitle=1~150&usage_type=default&display_rank=1 McCance, K. L., PhD, & Huether, S. E., PhD. (2019). Pathophysiology: The Biologic Basis for Disease in Adults and Children (8th ed.). Elsevier, Inc. SCIENCE HEALTH SCIENCE NURSING NURS 6501

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