Ava Allan

Nutr 510
TTH 2:00 PM
10/11/18
A:
Patient History:
27-year-old female
Hospitalized for the last two years in various stages of malnutrition

Anthropometrics:
5’3”, 95#, BMI is 16.8 kg/m2 (underweight)
IBW is 115#, %IBW is 82.6% (low)

Nutrition History:
Patient states that she has financial worries and usually eats her kid’s
leftovers to make sure they have enough to eat first.

Biochemical Measurements:
N/A

Nutrition-Focused Physical Findings:

Hollow temples, sunken eyes, patient states being tired

Comparative Standards:
Calorie needs: 1,079.5-1,295.5 kcals (25-30 kcal/kg for underweight)
Protein needs: 43.2-51.8 g (1-1.2 g/kg for underweight)

D:
Suboptimal energy intake related to patient stated diet as evidenced by patient
states she has financial worries and usually only eats her kid’s leftovers.

I:
Intervention:
Recommend low-cost, high protein foods such as eggs, beans and nuts
Recommend patient gains weight
Recommend patient apply for Supplemental Nutrition Assistance Program
(SNAP)

Goal:
Patient eats 43.2-51.8 g protein/day
Patient consumes 1,079.5-1,295.5 kcals/day
Patient gains 1 lb/week
Patient receives SNAP assistance

M/E:
Monitor:
Monitor that patient eats 43.2-51.8 g protein a day
Monitor that patient consumes 1,079.5-1,295.5 kcals/day
Monitor that patient gains 1 lb/week
Follow up if patient was able to receive SNAP