Status: Assigned
I have a case study questions and I do have the answers as well all what I need is re write the answers in your own words and the calculator questions just write the numbers as is don't need to change anything I will attach all the answers for the question and I attached the nutrition assessment form as part of the questions and will send picture on what you put in it as well
Date Posted: 28/10/2020
Category: Health Care
Due Date: 28/10/2020
Due Date: 28/10/2020
Instruction
see attachment
Because of the pain GW was having, and because of the weakness he was experiencing from the loss of blood and not eating, he was difficult to get out of bed and walk as was ordered. His inactivity caused a pressure ulcer to begin to develop on his coccyx. This was being treated by the wound care team. 3 days after slow initiation of the TF, GW began to tolerate his tube feeding, complaining less of N/V, but still had some problems with diarrhea and abd cramping. His goal rate of the TF was reached. In a week, he gained two pounds and GW was taking some food by mouth so the NGT was removed. He continued to have diarrhea (severe at times) and was tested for CDiff, which was negative; probiotics were initiated. He did not like the colostomy and complained of abdominal cramps almost continuously. GW’s main problem now was eating and gaining his strength back. The patient refused SNF and rehab options. There was nothing else they could do for him in the hospital and the physician thought that his home environment would be more conducive to GW eating so he discharged him with home health care. Prior to DC the family agreed to a PEG placement and were instructed by home health on how to use it. He also had the following prescriptions:
Advil (ibuprofen) OTC
Megace (megestrol acetate) 4 tsp/d 40mg/ml
Lomotil (diphenoxylate hydrochloride with atropine sulfate) 2.5mg
Donnatal Tablets 1 or 2 qid
Kopectate, OTC
Research the following drugs and describe their function, side effects, and nutritional implications. (5 points)
Megace:
Lomotil:
Donnatal Tablets:
Kaopectate:
Advil:
What are probiotics and how could they help with diarrhea? Can you find any probiotic brands that have been researched and shown to be effective? What criteria do you want to look for when choosing a probiotic? (3 points)
If GW continues to eat poorly at home, how would you change his TF? What if he is able to meet
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kingz
5 years, 11 months ago
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Rated 9.55 earned 22275.60 around 707 assignments.
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