Nutritional Assessment Paper

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Nutritional Assessment With regards to the client’s hospital diet, his medical records stated that on September 29, 2007 his diet was changed to clear liquids such as honey. On 9/30/2007, the client’s diet was again changed to Jevity 1 cal at a flow rate of 30mL/hr. Exactly, what is Jevity 1 cal? It is a fiber-fortified formula for long term tube feedings. It contains 14.4 g of total dietary fiber/L. It also meets or exceeds 100% of the recommended daily intake for 24 essential vitamins and minerals. It is also gluten and lactose-free ("Jevity 1 Cal"). Why are these important for J.M.? Some people suffer from a disease called celiac disease, a chronic autoimmune disorder that damages the duodenum and proximal jejunum mucosa. Gluten…show more content…
Since there are numerous varieties available in today’s market, below is a sample menu with its corresponding dietary percentages: Example #1: A menu of hamburgers, chef salads with bread roll and chicken salad sandwich with a side dish of canned fruit contains 638grams of calories, 24.6grams of protein, and 84.4 grams of carbohydrates and 23.7grams of total fat (“Lunch Menu 2000, 2000). Example #2: A menu of tossed cheese sandwich, hamburger, turkey breast sandwich, chef salad with bread roll and a side dish of canned fruits contain 616grams of calories, 27.5 grams of protein, and 96.1 grams of carbohydrates and 15.7 grams of total fat (“Lunch Menu 2000, 2000). In relation to J.M.’s medical diagnosis, the fiber found in Jevity helps maintain normal bowel function and may be useful in the dietary management of constipation. After all, it has been five days since his last bowel movement. It also provides protein to help support lean body mass and wound healing. This is essential because his low Creatinine levels indicate decreased muscle mass. Also, he recently underwent surgery for his intertrochanteric femur fracture. He needs protein so his sutures can heal faster and…show more content…
Proteins hasten wound healing while fat helps the body absorbed essential vitamins (e.g. Vitamin D, E and K). What is the importance of these fat-soluble vitamins? For starters, vitamin D plays a critical role in the body’s use of calcium and phosphorous. It increases the amount of calcium absorbed from the small intestine and helps form and maintain bones. Vitamin E acts as an antioxidant, protecting vitamins A and C, red blood cells and essential fatty acids from destruction. Vitamin K plays an essential role in normal blood clotting and helps promote bone health (Anderson, 2007). Without sufficient amounts of vitamin K, hemorrhaging can occur. Since the client’s MAR states that he has Lovenox every 12 hours, he is at risk for vitamin K deficiency. Upon analysis, the client’s daily diet correlates with his recent surgery and health issues. There is no need to change his diet. Instead, the client should be encouraged to continue and religiously follow his diet regimen. If he keeps this up, then he is well on his way to a fast recovery. All in all, research has proven that the client is on the right

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