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Nursing Assessment

Mrs. Joe Mary, a 60-year-old teacher, attends a community hospital-sponsored health fair. She approaches the nutrition information booth, and the clinical specialist in nutritional support gathers a nutritional history. Mrs. Mary is very upset about her 9-kg (20-lb) weight gain. She relates to the nurse clinician that since the death of her husband 1 month ago she has lost interest in many of her usual physical and social activities. She no longer attends YMCA exercise and swimming sessions and has lost contact with her couple’s bridge group. Mrs. Mary states she is bored, depressed, and very unhappy about her appearance. She has a small frame and has always prided herself on her petite figure. She says her eating habits have changed considerably. She snacks while watching TV and rarely prepares a complete meal.

Physical Examination                          Diagnostic Data

Height: 162.6 cm (5′ 4′′)                     CBC normal, urinalysis negative,

Weight: 63.6 kg (140 lb)                     chest x-ray negative, thyroid

Temperature: 37°C (98.6°F)             profile within normal limits

Pulse: 76 BPM

Respirations: 16/minute

Blood pressure: 144/84 mm Hg

Triceps skinfold: 21 mm

Small frame, weight in excess of 10% over ideal for height and frame

Using the Mini Care plan Assignment Form complete the assignment. Answer questions below using the care plan form

Questions

Develop a daily meal plan with a well-balanced diet, reduced calories, and reduced fat.
Facilitate identification of eating behaviors to be changed.
Complete the Nutritional Mini Care Plan .Use accepted nutritional standards to assist Mrs. Mary in evaluating adequacy of dietary intake

 

SCIENCE
HEALTH SCIENCE
NURSING
NRG 2001

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