Posted: February 21st, 2022

Nutrition Care Plan for COPD

  
Task: Nutrition Care Plan for COPD
Unit outcomes addressed on this Task:
· Clarify the affect that ventilator help has on an individual’s dietary necessities.
· Clarify the position that dietary consumption performs within the administration of COPD.
Course consequence(s) addressed on this Venture:
NS335-Three: Create a vitamin care plan for a selected illness state utilizing the vitamin care course of.
NS335-6: Select the suitable kind of vitamin help for a affected person who’s unable to eat a standard oral weight-reduction plan.
Directions:
Evaluate the next case examine particulars for a affected person with COPD and respiratory failure:
Mr. C is a 72-year-old male who was admitted to the hospital complaining of shortness of breath. Mr. C has an advanced medical historical past that features: COPD, HTN, melancholy, weight problems, and sleep apnea. Mr. C has smoked because the time he was a youngster. He’s a retired auto-mechanic and is married to his spouse, Mrs. C. Mr. C is 5’10″ and 240 kilos. He has been instructed to comply with a coronary heart nutritious diet and to drop some weight, however his spouse studies that he’s non-compliant with any dietary remedy. He’s at present taking a diuretic, a blood stress remedy, and an antidepressant, and he makes use of an inhaler when SOB (shortness of breath). The affected person makes use of a respiration masks at evening as a result of his sleep apnea historical past. His spouse studies that she just lately purchased him a particular multi-vitamin containing omega Three fatty acids. It’s designed to Help older males’s hearts and different medical points.
Upon admission to the hospital, Mr. C’s respiratory standing declines, and the ER doctor decides to intubate the affected person with the intention to ship correct oxygenation. The MD additionally begins the affected person on IV fluids consisting of NS (regular saline) for hydration. Whereas on ventilator help, the affected person is sedated and is unable to speak or eat an oral weight-reduction plan. The medical chart notes from the pulmonologist reveal that there are not any speedy plans to extubate the affected person (wean from the ventilator). Presently, the laboratory lab values of the affected person are all inside regular limits (WNL). Nevertheless, upon admission and earlier than vent help was initiated, his labs had been irregular. Some affected lab values had been: CO2, BUN/Cr, pH, and Na. The affected person has had an NPO (nothing by mouth) weight-reduction plan order standing for Four days and has solely obtained IV fluids for consumption. The nursing notes reveal that he has regular urine output and bowel sounds are current and regular.
As a vitamin skilled working at this hospital, you’re to begin the vitamin care course of on this affected person. Your hospital has a protocol to see all sufferers which have NPO weight-reduction plan orders and/or are on the ventilator for greater than Four days. You have got NOT obtained a physician’s seek the advice of for a tube feeding (enteral) order; nonetheless, it’s crucial that this affected person is assessed and acceptable vitamin suggestions are made.
For this Task, you’ll write a descriptive essay regarding COPD. The essay will embrace an in depth definition and clarification of COPD. The affected person’s customized ADIM/E chart be aware (vitamin care plan) ought to embrace an acceptable vitamin intervention based mostly on the affected person’s present dietary drawback (vitamin analysis). You MAY use the ADIM/E Chart Observe TEMPLATE situated in Course Assets.
This descriptive essay ought to embrace the next:
1. Describe COPD, its danger components, and its widespread therapies.
2. Clarify Mr. C’s present standing. Describe why he was intubated and the way vent help can affect a affected person.
Three. What are the vitamin remedy objectives for a affected person with COPD receiving vent help?
Four. What are your particular vitamin remedy suggestions for Mr. C whereas he’s on ventilator help? Embody estimated calorie and protein necessities and the strategy(s) for how he ought to obtain these vitamins (enteral, parenteral, or oral weight-reduction plan/dietary supplements). You do not want to incorporate particulars of particular manufacturers, quantities/serving sizes and/or infusion charges.
5. When the situation of the affected person improves and he’s taken off the vent, what are your suggestions for vitamin remedy for Mr. C upon discharge from the hospital? What are particular weight-reduction plan plans, oral drink dietary supplements, or vitamin/natural therapies which will profit Mr. C? Appendix: Write a Nutrition Care Plan/Chart be aware on this COPD affected person, addressing the present scientific state of affairs of the affected person. Write this be aware as if you had been the vitamin skilled caring for this affected person in a hospital setting. See the Nutrition Diagnostic Terminology PDF file in Course Assets together with Field 10-2, Desk 10-Three and Desk 10-Four for examples of vitamin diagnostic (PES) statements. You might make the most of/edit the TEMPLATE for the ADIM/E Chart be aware TEMPLATE out there in Course Assets for this part of the task. Then, connect your chart be aware with task essay into the dropbox. 
Necessities:
· Your descriptive essay must be written in paragraph format, together with an introduction, physique, and conclusion. Consult with the construction supplied beneath. The perspective and objective of this essay must be clearly established and sustained.
Your writing must be nicely ordered, logical and unified, in addition to authentic and insightful. Your work ought to show superior content material, group, type, and mechanics.
Your writing ought to:
·  
o Observe the conventions of Customary American English (appropriate grammar, punctuation, and so forth.).
o Embody a title web page and reference web page.
o Observe APA type format and citations pointers, together with Occasions New Roman 12-point font and double spacing. The minimal web page requirement is 2 pages not together with the title web page, reference web page, and appendix.
o Embody not less than Four references. References might embrace your textbook, different textbooks, and scholarly web sites and journal articles. Use APA type for all citations, together with course supplies.
o For added help, make the most of the GEL 1.02 Common Writing Rubric and the Writing Middle sources out there within the Educational Success Middle: Writing Middle.
Please set up your essay within the following paragraph format. Please see the Educational Success Middle: Writing Middle for extra data relating to essay and paragraph format.
Part 1: Introductory paragraph(s) (embrace your response to Question Assignment 1)
Part 2: Physique paragraph(s) (incorporate your response to Question Assignment 2)
Part Three: Physique paragraph(s) (incorporate your response to Question Assignment Three)
Part Four: Physique paragraph(s) (incorporate your response to Question Assignment Four)
Part 5: Concluding paragraph(s) (incorporate your response to Question Assignment 5)
Part 6: Appendix: ADIM/E/Chart be aware. Make the most of/edit the TEMPLATE for the ADIM/E Chart be aware TEMPLATE out there in Course Assets for this part of the task See the Nutrition Diagnostic Terminology PDF file in Course Assets together with Field 10-2, Desk 10-Three and Desk 10-Four for examples of vitamin diagnostic (PES) statements.

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