The patient, a 68-year-old male with a history of glossectomy, hypertension, and hyperlipidemia, was diagnosed with malnutrition based on a BMI of 20.6 kg/m2, moderate weight loss of 29%, and meeting less than 50% of his estimated calorie needs for two years due to his partial glossectomy and decreased appetite. His nutrition intervention plan includes a mechanically soft diet with supplements, medication management, a referral to speech pathology, and increasing his calorie intake. The goals are for him to meet at least 75% of his estimated needs, normalize lab values and fluid balance, and gain 1-2 pounds per month. Enteral nutrition should be considered.
The patient, a 68-year-old male with a history of glossectomy, hypertension, and hyperlipidemia, was diagnosed with malnutrition based on a BMI of 20.6 kg/m2, moderate weight loss of 29%, and meeting less than 50% of his estimated calorie needs for two years due to his partial glossectomy and decreased appetite. His nutrition intervention plan includes a mechanically soft diet with supplements, medication management, a referral to speech pathology, and increasing his calorie intake. The goals are for him to meet at least 75% of his estimated needs, normalize lab values and fluid balance, and gain 1-2 pounds per month. Enteral nutrition should be considered.
The patient, a 68-year-old male with a history of glossectomy, hypertension, and hyperlipidemia, was diagnosed with malnutrition based on a BMI of 20.6 kg/m2, moderate weight loss of 29%, and meeting less than 50% of his estimated calorie needs for two years due to his partial glossectomy and decreased appetite. His nutrition intervention plan includes a mechanically soft diet with supplements, medication management, a referral to speech pathology, and increasing his calorie intake. The goals are for him to meet at least 75% of his estimated needs, normalize lab values and fluid balance, and gain 1-2 pounds per month. Enteral nutrition should be considered.
The patient, a 68-year-old male with a history of glossectomy, hypertension, and hyperlipidemia, was diagnosed with malnutrition based on a BMI of 20.6 kg/m2, moderate weight loss of 29%, and meeting less than 50% of his estimated calorie needs for two years due to his partial glossectomy and decreased appetite. His nutrition intervention plan includes a mechanically soft diet with supplements, medication management, a referral to speech pathology, and increasing his calorie intake. The goals are for him to meet at least 75% of his estimated needs, normalize lab values and fluid balance, and gain 1-2 pounds per month. Enteral nutrition should be considered.
Nutrition Assessment Diagnosis: Diagnosed with Malnutrition. Nutrition-related PMH, treatments, surgeries: Glossectomy, History of hypertension, hyperlipidemia, family history of lung cancer, Peripheral vascular disease. Age, gender: 68y/o male Dietary intake: %PO intake, typical diet, appetite-mechanical soft, IV Food preferences, allergies, intolerances: n/a Exercise habits: none Functional/behavioral factors: glossectomy/mastication Resources for obtaining, preparing food: spouse. Symptoms: fatigued/lack of energy to accomplish tasks. Anthropometric measurements Ht/wt: Ht: 185.42cm. Wt:70.9kg BMI= 20.6kg/m2 IBW= 184#/83.6kg, %IBW:84% mild Malnutrition. %UBW: 70.9% moderate malnutrition % Weight change—29% weight change which is indicated as severe weight change.
Energy, protein and fluid needs --- use equations specified for each case study o Total Energy= 2283 calories based on the Mifflin-st.-Jeor formula. o Protein=1.25-1.5g/kg=88g-106g of protein. o Fluid=1,950ml/day needed.
