Chronic Pancreatitis Case Study

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The medical condition
Chronic Pancreatitis (CP) is an inflammatory disease causing irreversible structural changes to the pancreas, resulting in permanent impairments to the exocrine and endocrine functions of the pancreas (Thomas and Bishop 2007:440). CP main effect to nutritional status is severe weight loss due to malabsorption and patients are at nutritional risk (Mirtallo et al. 2012) of malnutrition and have difficulty with their appetite and maintaining weight. CP can also lead to the development of diabetes, causing effects to blood glucose levels. Patients would need to have insulin therapy for glycemic control, which has further effects on nutritional status by increasing body weight (Ewald and Hardt 2013). Treatments include pain
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Her diet shows she is consuming her recommended intakes, but her reduced appetite highlights she is not consuming what is reported. This leads to obtaining more information and adapting advice to increase adherence. This also shows that obtaining dietary results are not always valid (Thomas and Bishop 2007:34).
Extra information:
This information would be useful as social factors influence an individual health and dietary intake. It can also lead to specific dietary advice tailored to the patient’s lifestyle (Gibson2005:7).
Nutrition intervention
The patient has been referred for reduced appetite and is experiencing slow weight loss and smelly stools therefore not meeting nutritional requirements and possibly experiencing malabsorption and due to the CP.
Dietetic plan:
Aim to maintain patient’s recommended intake by modifying the diet to preferences and encourage actual intake with motivational interviewing.
Briony’s diet would need to be changed and tailored to her preferences, having a more patient centred care which should encourage actually intake (Holli and Beto 2014).
Advise supplementation in deficient vitamins A, D, E &
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This would encourage her behaviour change in actually consuming her recommended intakes as MI is very patient centred (Holli and Beto 2014). Involving Briony in her care plan would, therefore, increase her appetite, reducing her weight loss and later improve her health. Research shows MI to be an effective approach (Thompson et al. 2011) in encouraging behaviour change, the results show that MI benefits were worth the harms and cost (Critical Appraisal Skills Programme (CASP) 2013) as behaviour change was made and improved the health of patients. However, this systematic review may not be entirely applicable to CP patient’s population (CASP 2013) as this study was conducted on cardiovascular patients limiting its external validity and

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