Older Adult Case Study

Older Adult Case Study

Through this interactive case study, you will identify nutritional concerns for the client and determine future recommendations.

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Older Adult Case Study

Scenario

Lily is 79 years old. Her husband died a year ago and she lives alone. She has lost approximately 15 pounds since he died. Her family is beginning to notice that her clothes are rather loose, and they are concerned about her health. She has told them that sometimes she forgets to eat, and she finds it hard to decide what to cook for just herself. She also complains that foods taste bitter or bland. She still drives and shops for herself. She has three children who live fairly close, but they are all busy with their jobs and families, so she sees them each approximately once a month. She is actively involved in her church and attends a quilting group once a week. Assessment as follows: VS: 97.0 F, HR 95, RR 16, BP 90/50, pulse ox 96% on RA HR irregular, pulses 2+ radius and pedal; breath sounds clear bilat., respirations nonlabored; Abdomen is soft, flat, with active BS, cracked corners noted to mouth; skin is dry, flaky, pale with bruising, weak but equal strength to extremities.

Lily is 79 years old. Her husband died a year ago and she lives alone. She has lost approximately 15 pounds since he died. Her family is beginning to notice that her clothes are rather loose, and they are concerned about her health. She has told them that sometimes she forgets to eat, and she finds it hard to decide what to cook for just herself. She also complains that foods taste bitter or bland. She still drives and shops for herself. She has three children who live fairly close, but they are all busy with their jobs and families, so she sees them each approximately once a month. She is actively involved in her church and attends a quilting group once a week. Assessment as follows: VS: 97.0 F, HR 95, RR 16, BP 90/50, pulse ox 96% on RA HR irregular, pulses 2+ radius and pedal; breath sounds clear bilat., respirations nonlabored; Abdomen is soft, flat, with active BS, cracked corners noted to mouth; skin is dry, flaky, pale with bruising, weak but equal strength to extremities. Black text indicates pertinent information. Click on text box to continue.

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Older Adult Case Study

Risk Factors for Malnutrition

Use the space below to write a short response highlighting the client's nutritional risks.

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Older Adult Case Study

Risk Factors for Malnutrition

a. Lives alone; Husband died; Family close but busy b. Forgets to eat (also altered taste) c. Cooking for 1 d. Age, Female (79 y.o.) e. Weight loss as evidenced by "loose clothes"

Older Adult Case Study

Nutrient Deficiency

Cheilosis- cracked corners of mouth

Skin dry & poor skin turgor

Pale

Poor memory

Bitter or bland taste

Once complete, please go to next page.

Older Adult Case Study

Recommendations

Older Adult Case Study

Recommendations

a. Increase protein intake (Fe, B12, B2, B6) b. Nutrient dense foods (whole grains) c. Increase healthy fats (unsaturated)– avocado, Greek yogurt (probiotics) d. Meal plan/prep e. Family meals when possible f. Nutrition supplement shakes, substitute milk for water in recipes (increase protein)

Older Adult Case Study

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