Question

Medical nutrition theraphy question using ADIME format On se stes Case 1: Continuous Enteral Feeding Consult Mrs. F is a 92 year old female admitted to your facility s/p CVA. Her height is 5' 2" and her weight is 120 lbs. She has significant swallowing difficulty, and based on the modified barium swallow exam the Speech therapist recommended that Mrs. F be NPO. Her physician has ordered for a NG tube to be placed, and has ordered a RD Consult for enteral feeding recommendations. Mrs. F's nutrition labs are WNL. Her past medical history is significant only for osteoporosis and hypothyroidism, treated with levothyroxine (synthroid). The facility uses Abbott enteral feeding products. Assessment Summarize your assessment dat here. Show how you calculated anere. pro applicable assess the energy protein and fluid content of the current m a n Nutrition Diagnosis: PES Statement: Intervention/Plan: Irude the energy protein and fluid provided by the nutrition support order your Order you recommend. Show your calculations

Answer 1

ADIME stands for assessment , diagnosis , intervention , management and evaluation .

#. Assessment made are :-

Age of the patient - 92 years

Weight of the patient - 120lbs = 54kg

Height of the patient is 5foot 2inches

Is ordered to be NPO based on barium swallow examination

Has history of Osteoporosis and Hypothyroidism

Taking thyroxine for hypothyroidism

# Diagnosis - CVA

# Intervention :-

- Her energy ,protein and fluid intake according to the assessment done :-

Energy required - 1600 to 2000 calories for a women who is sedentary to active

Protein requirement = 0.9g/ kg /day

= 0.9× 54/ day

= 48.6 gm of protein is required

Fluid intake per day = 1500 ml is the minimum water intake with 15ml fluid per kg to be added for the actual weight minus 20 kg.

= 1500+ (15× 54) - 20

= 1500+ 510 ml

= 2010 ml is her fluid requirement.

#. Management include medical management for CVA and Nutritional management providing deficit nutrients .

# Evaluation - revaluation of the patients condition post implementation of interventions .