Mr. Jones is a 67-year-old patient on the medical surgical floor who recently underwent a bowel resection. He is post-op Day 2 and has been NPO since surgery. He has been receiving IV fluids but has been asking about when he can resume eating.
- What assessments should be performed to determine if the patient’s diet can be progressed?
- What are the first steps during dietary transition from NPO status?
Mrs. Casey is a 78 year-old widow who recently had a stroke and continues to experience mild right-sided weakness. See Figure 14.14 for an image of Mrs. Casey. She is currently receiving physical therapy in a long-term care facility and ambulates with the assistance of a walker. Mrs. Casey confides, “I am looking forward to going home, but I will miss the three meals a day here.”
Her height is 5’2″ and she weighs 84 pounds. Her recent lab work results include the following:
Hgb: 8.8 g/dL, WBC 3500, Magnesium 1.4 mg/dL, Albumin 1.0 g/dL
- What is Mrs. Casey’s BMI and what does this number indicate?
- Analyze Mrs. Casey’s recent lab work and interpret the findings.
- Describe focused assessments the nurse should perform regarding Mrs. Casey’s nutritional status.
- Create a PES nursing diagnosis statement for Mrs. Casey based on her nutritional status.
- Create a SMART outcome statement for Mrs. Casey.
- Outline planned nutritional interventions for Mrs. Casey while she is at the facility, as well as when she returns home.
- How will you evaluate if your nursing care plan is successful for Mrs. Casey?