Dietary assessment article
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Kristine Davis June 9, 2013 NameDate JW is usually an eighty six year old guy who lives at home with his wife of 31 years. He is in fair-good health. He has a history of prostate cancer, anginas, and coronary heart. He has had 5 stents put in his heart during the last 10 year. He recovered very well from the surgical procedures.
This individual has always been athletic and fit. He played racquet ball and very soft ball till he was 68 years old. He had his 1st Angina attack at sixty-eight. He had the radiation seen implants in 2010, which successfully removed the prostatic cancer.
His vital symptoms are as follows: 130/82 blood pressure, 72 pulse, 20 respirations, 98. 4 oral temperature, and 96% oxygen saturation. JW weighs in at 178 pounds and is your five feet 10 inch high. His BMI (Body Mass Index) is definitely 24. six. JW is usually alert and oriented. He seems incredibly sharp to get his era. He lives with his partner and a couple of dogs. He attends to his everyday living needs without assistance. This individual has a program of preparing his medicines and meals daily. His current medications consist of a multivitamin, Omega watches Fatty Acids, Asprin, Nitroglycerin, Coumadin, and stool softner.
JW’s nutritional examination is as employs: he keeps a regular diet plan, eating three or more meals a day. JW dons partial dentures, but does not require any assistance with feeding himself. This individual has a well balanced diet using essential foodstuff groups. He said that this individual drinks eight glasses of normal water daily as instructed by simply his medical professional. He likewise enjoys a glass of wine every evening. He has received a 3-5 pound weight loss in the last 3-4 months. He stated he changed his diet plan to frosty dinners because his wife had surgical procedure 3 months before.
She was unable to produce his foods on a regular basis till recently. JW is portico and self-sufficient. He explained his better half keeps him active and on his foot. He likes going to dinner once per week. This individual admits that he is happy that his wife is usually recovered by her surgery and returning to cooking intended for him. He tries to stay active and assist her with home work and folding laundry. JW lost his puppy of a decade, two months in the past. She had to be put to sleep because of cancer. He said losing his doggie had a significant impact on his emotional state, and his day to day routine.
He explained he would walk with his puppy, “Lucy, just about every morning and night in the event the weather allowed. After many weeks of grieving, his wife surprised him with a new puppy. JW seems that this puppy dog has brought back a sense of the companionship and joy that he shed when he shed his puppy. He is to his daily walking with all the puppy. JW seems well adjusted towards the new puppy. You will discover no mental concerns known. His intellectual functioning appears up to par. This individual spends for several hours a day examining and focusing on crossword puzzles in order to maintain his intellectual functioning.
JW’s skin is definitely dry and warm. His mucous walls are damp and red. There are simply no visible lesions or discomfort noted. He does not survey any problems chewing or perhaps swallowing. This individual said this individual moves his bowels 1-2 times daily without pain. JW’s MNA (Mini Nutritional Assessment) reveals that he can at risk to get malnutrition. His score was 11. He was informed with the importance of eating adequate portions of the foods from the fundamental food groupings including fruits, vegetables, grain, dairy, and proteins. This individual knows that he must avoid the bad fats and cholesterol in his diet.
However , he was encouraged to eat a heart proper diet including more fruits and vegetables. JW can continue to beverage the eight glasses of water per day and take daily walks for exercise. Having been encouraged inquire his medical doctor if the nighttime glass of wine was permitted, specifically considering his medication plan. JW’s aim is to be by adequate excess weight and BODY MASS INDEX for his size, as well as maintain very good nutritional position. He is still monitored simply by his principal physician, Cardiologist, Oncologist, and a doctor quarterly. This individual maintains annual dental exams.