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Welcome to your final project. In this paper you to assess a client nutritionally from start to finish. The purpose of this paper is to assess the and discuss their nutritional needs, and finally counsel them on some basic changes that they can make to but be improve their overall nutritional status. There is no one right answer, however, be sure to provide support/reasoning behind what you counsel them on. Provide as much detail as possible based on what you have learned over the entire semester. Be sure to include your assessment of medical problems that can be nutrition related; physical and visual assessments; analysis of their calorie and nutritional needs based on what you feel is their activity level, how social history can affect their current intake; what improvements can be incorporated. This paper is due on the last day of class. As always, please reach out to me if you have any questions!
Scenario:
85 year old man
Medical History: Slightly elevated blood pressure, Arthritis, diabetes (well controlled). History of heart attack 15 years ago.
Social History: Wife passed away 4 months ago (she was the chef of the house). Lives alone. Retired. Lives in a senior apartment complex. Does have social gatherings weekly.
Anthropometrics: 5’8” 150#, 30# weight loss since his last visit 3 months ago. BP 145/95.
Activity level: Limited. Uses a walker. (1.3 activity level)
Appearance: Sunken eyes, frail in appearance; visible protruding clavicle bone, dentures.
Labs: B12 Low; A1C 6.3; Total Chol 208
Physical Activity: Limited due to arthritis.
Food Recall:
Breakfast: English muffin with butter; 1 c black coffee.
Snack: Pastry
Lunch: Can of soup with a few crackers.
Snack: Few cookies.
Dinner: Hot dog or kielbasa, salad or canned vegetable, instant mashed potatoes, or macaroni and cheese.
Fluids: 1 c regular coffee, 1 c decaf coffee, Orange juice, 4 oz/day; 16 oz water.

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