Krause’s Food and The Nutrition Care Process- 14th Edition
Case Study:
Mr. B, a 47-year-old man, 6 ft 2 in tall and weighing 200 lb, is
admitted to the hospital with chest pain. Three days after
admission, at patient care rounds, it is discovered that Mr. B has
gained 30 pounds over the last 2 years. Review of the medical
record reveals the following laboratory data: LDL: 240 (desirable
130), HDL 30 (desirable >50), triglyceride 350 (desirable
<200). Blood pressure is 120/85. Current medications:
multivitamin/ mineral daily. Cardiac catheterization is scheduled
for tomorrow. Diet history reveals frequent consumption of high fat
foods.
1. What additional information would you need to develop a
nutrition care plan?
2. What foods choices will
influence his lipid panel?
3. What behavior therapy
focuses on identifying and changing perceptions?
4. Using this counseling strategy, what tool would you use when
Mr. B states” I want to follow the new eating pattern, but I just
can’t afford it.”?
5. Mr. B states “I just don’t
know what to buy once I get to the grocery store. I end up with
burgers and chips or stop at fast food after work.” What
motivational interviewing tool would you use to respond?
What nutrition care goals would be
appropriate for Mr B?
6. What would you include
as part of the “I” portion of the ADIME documentation?
7. What would you use for the “M” and “E” portion of the ADIME
record?
8. What nutritional screening tool at Mr B’s admission to the
hospital would allow you to initiate intervention sooner?
