Post 8

1. Jamee, a 50-year-old female, was pulled from her burning home. On review by the physicians, it was estimated that 30% of her body was burned with second-degree burns. Jamee’s usual body weight is 175 pounds and she is 5 feet, 5 inches tall.
A. Using the Harris-Benedict formula, calculate her kcalorie needs, including an injury factor of 1.7 for the burns and an activity factor of 1.2.
B. Describe the nutritional goals for Jamee.

2. A 30-year-old mother of two has terminal breast cancer. She has clearly stated that she wants no heroic measures to maintain life. The doctor says that the only way to feed her now is through total parenteral nutrition (TPN).
A. Discuss the issues related to the decision to use this feeding method.
B. State your decision and defend it.

Post 7

1. Joe, a 40-year-old, has just been diagnosed with kidney stones. His mother and aunt also had kidney stones. When questioned about his dietary intake, Joe seems surprised, asking what that has to do with kidney stones. A review of his diet and supplement intake reveals that Joe does not drink many fluids during the day because his job limits his access to beverages. His dietary intake includes a high percentage of protein because he believes meats help maintain muscle mass. He consumes few foods that contain calcium and tends to eat snack and processed foods that are salty. In addition to his beliefs about protein, he believes that vitamin C keeps him from developing colds, so every day he ingests 1500 mg of vitamin C. What general dietary advice should be discussed with Joe to reduce his risk of developing future stones?

2. Renee developed type 1 diabetes mellitus (T1DM) when she was 12 years old. She is now 25 years old, and she and her husband are considering having children. Her diabetes is mostly well controlled using intensive therapy, but she is concerned about becoming pregnant. How will Renee need to adapt her diabetes self-care?

Post 6

1. Richard recently had an ileostomy placed after resection of part of his colon because of cancer. He is having a difficult time with his bag being distended and having foul-smelling contents. What can he do about this problem?

2. Sally has been a “yo-yo” dieter for years. She has tried every diet known and has invented a few herself. She was most successful with very low-calorie diets. Although she has maintained a healthy weight for many years, she has been diagnosed with cholecystitis and has had a cholecystectomy. What impact might her weight loss history have on her diagnosis?

Post 5

1. Mary Ellen is a first-time mom and is having much difficulty learning how to breastfeed her newborn son, Ethan. What tips could you give her?

2. You have been asked to provide a 30-minute presentation to approximately 30 older adults on the topic of eating healthy during the later years. Develop a presentation outline incorporating five items that you would like to share.