Question

Mr. T.P. is 68 years old and of French descent. He spends quiet time with his dog in his little old house near the city. His wife passed away 10 years ago in a car accident. Fortunately, he has enough money to live well and stay in their house. M r. T.P.’s two sons had to move out of town a year ago for work, but faithfully call him once a week. Mr. T.P. often feels lonely and isolated. For the last week his sons had not been able to reach him, even though they left numerous messages on his answering machine. They started to become worried after not talking to him for many days. They decided to come visit him and found him in bed. Mr. T.P. said he had been too tired to come out of bed for the last 5 days, so they took him to the nearest hospital, where he was admitted for an assessment.

At first, you find the following information in his medical record:ht5’7”; current BW: 105 lb.

Hematologic Test Values of Mr. T.P.
Blood Tests
Serum Albumin	2.3
Serum Ferritin	15
CBC
Total WBC Count	3.9 x 10^3
Hct	39
Hb	11
MCV (of RBC)	72
MCH (of RBC)	22

Afterwards, you gain additional information while doing the complete nutrition assessment: Mid-upper-arm circumference:8.7 inches(22.0 cm )M id-upper-arm m usclearea:19.5 inches2 (31 cm2 )T ricepsskinfoldthickness:0.16 inch(4.0 mm) Elbow breadth:3.36 inches(74 mm) Finally, you obtain the following information during an interview with Mr. T .P .: He used to weigh about 145lb, but he fell on an ice patch and broke his right leg last winter. Since then, he has had very little appetite, feels weak, and has lost weight progressively during the last 6 months. He stays around the house and calls the grocery store for home delivery once a week. Mr. T.P. said that he had always been healthy before breaking his leg. He never took any medications. He does not keep alcohol at home, and he smokes a pipe of tobacco after dinner. While talking to Mr. T.P., you observe some hollowing near his temples, as well as protrusion of his clavicles and shoulder bones. He is telling you that his hair is now dry and dull, and that he is losing it easily. Mr. T.P. said that since he broke his leg, his usual daily intake has included the following:

Breakfast:

1 medium banana, fresh (118 g)1 slice of white enriched bread (25 g)1 tsp (5 mL) butter 1 Tbsp (15 m L) black cane molasses 1 cup (237 m L) tea, brewed

Lunch:

1.5cup (355mL) tomato soup made from: -1 cup (237mL) tomato juice, canned-1⁄2 cup (118 mL) spaghettini noodles, wheat, cooked 5– 7crackers (15– 21 g) 1⁄2 cup (118mL) apple juice, canned, unsweetened

Dinner:

1 cup (237mL) Special K cereal 1 cup (237mL) homogenized milk 1⁄2 cup (118mL) peach gelatin dessert mix prepared with water1 cup (237 mL) herbal tea

7. What is his ideal body weight, using the Hamwi method?

Answer 1

according to Hamwi's method, BW = 106 lb for first 5 feet+ 6 lb for each additional inch

in this case, M.r. T.P's height is 5'7''

BW= 106+6*7

=106+42= 148 lb.