Mrs. Feinstein is an 81-year-old female admitted

Mrs. Feinstein is an 81-year-old female admitted with weight loss and difficulty breathing due to COPD. She has a history of smoking for the past 60 years, arthritis, macular degeneration, Parkinson’s disease, GERD, and hypertension. She also has a difficult time hearing. She was admitted for a COPD exacerbation. She currently lives alone and receives her meals from Meals on Wheels. She has had a 15% weight loss over the past two months. She is 5’6″ and has a weight of 104 lbs. Her BMI is 16. List all the factors that may affect Mrs. Feinstein’s nutrition? What risk factors put her at risk for malnutrition (include all)? What dietary supplements are needed for someone her age? What tools can you use to screen Mrs. Feinstein for nutritional problems? How does Mrs. Feinstein’s dyspnea affect the attainment of adequate nutrition? Feinstein is noted to have nutritional problems. What interventions can you provide to stimulate her appetite (include at least 2)? It is decided that Mrs. Feinstein will need to have an enteral tube inserted. What are the risks associated with enteral feedings? What kind of feeding solution is best suited for Mrs. Feinstein? A closed feeding system will be administered to Mrs. Feinstein. Describe a closed feeding system and it’s benefit over an open system. What things will you need to confirm or check prior to administering the feed (at least 4) What position should Mrs. Feinstein be in during the feed? Describe the other points in the procedure for administering feedings through a gastric tube. You are due to administer Mr. Feinstein his medications through his PEG tube. Feinstein has both liquid and oral medications. 13. What kind of medications should not be given through an enteral tube? Describe the steps for administering medications through an enteral tube. You are due to administer Mr. Feinstein his medications through his PEG tube. Feinstein has both liquid and oral medications. 13. What kind of medications should not be given through an enteral tube? 14. What supplies will you need for crushing medications? 15. Why should you only crush one pill at a time? 16. Prior to administering the medications through the enteral tube, what assessments should you make? 17. Describe the steps for administering medications through an enteral tube: 18. Why would you administer the medications slowly through the tube? 19. What patient teaching should you perform? 20. What documentation should you include? SCIENCE HEALTH SCIENCE NURSING PHYSICS 102

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