The Dysphagia Outcome and Severity Scale (DOSS) is used to determine the nutrition prescription for a patient. Discuss this scale and how it corresponds to the level of dysphagia diet that is recommended.
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Q. 2Do you feel that Mrs. Maney may benefit from enteral feeding? What guidelines would you use to make this decision? Outline a nutrition therapy regimen for her that includes formula choice, total volume, and goal rate.
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Q. 3Malnutrition in heart failure is often referred to as cardiac cachexia. What is cardiac cachexia? What are the characteristic symptoms? Explain the role of the underlying heart disease in the development of malnutrition.
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Q. 4Assess Mrs. McCormick's diet prior to having difficulty swallowing. Compare her energy and protein intakes to her estimated nutrient needs.
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Q. 5Do you have any evidence that Mrs. Maney may be malnourished? Identify factors that may support a diagnosis of malnutrition using the latest AND/ASPEN proposed guidelines for malnutrition diagnosis.
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Q. 6Determine Mrs. McCormick's energy and protein requirements. Explain the rationale for the method you used to calculate these requirements.
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Q. 7Calculate Mrs. Maney's energy and protein requirements. Explain your rationale for the weight you have used in your calculation.
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Q. 8Evaluate Mrs. McCormick's laboratory values. List all abnormal values and explain the likely cause for each abnormal value.
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Q. 9Identify factors that would affect interpretation of Mrs. Maney's weight and body composition. Look at the I/O record. What will likely happen to Mrs. Maney's weight if this trend continues?
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