Nutrition Case Study: Mrs. Jones

Improved Essays
Nutrition Case Study
Mrs. Jones is 80 years old and lives alone in a small apartment. Her daughter lives a couple of hours away and has to prepare and cook her own meals. Upon the visiting her primary doctor for a routine visit, she shares with the nurse that she sometimes feels “tired” and “food gets stuck in my throat”. The nurse observes she is pale and grimaces as she walks in the hallway. Upon further nutritional assessment, Mrs. Jones shares with the nurse that she buys canned foods and frozen meals that can be cooked in the microwave but sometimes forgets to go to the grocery store.

1. Describe the physiologic changes that occur in advanced age that might influence Mrs. Jones food intake and nutritional status:
Changes in the
…show more content…
Jones lives alone in a one bedroom, leading us to believe she might not be in the best economic position. With her decreased energy and lack of desire to prepare food, she might not have the funds to go out and eat a proper meal.

2. What signs and symptoms might indicate nutritional deficiencies and/or malnutrition? With regard to Mrs. Jones, here warning signs are, tiredness, pale skin, pain while walking, and poor diet.
General warning signs of malnutrition: Weakness or fatigue, decreased immune function, decreased healing ability, changes in behavior or attitude, weight loss, reduced appetite, poor concentration, depression.

3. What other factors should the nurse consider that are possibly impact Mrs. Jones nutritional status?
The first issue that comes to mind is her stating she is having trouble swallowing. This could point to the possibility of a stroke, resulting in decreased muscle function in the muscles surrounding the esophagus. The trouble swallowing could also be a result of Parkinson’s disease, a neurological issue resulting in the loss of muscle control. For these individuals it is suggested they sit up at 90 degrees when eating and avoid all distractions to focus on the task at hand. Aging patients frequently have a decrease in gastrointestinal function, resulting in a decrease in nutrient absorption. Additionally, living alone can trigger depression, resulting in decreased appetite. From my reading
…show more content…
This would involve setting specific meals and meal times to ensure her dietary needs are met. At this time it would be wise to go over a list of foods with her that would not only meet her dietary demands, but would also fit within her budget as well.
I would then encourage her to sit up straight and focus on the meal when she is eating it. By sitting up straight and focusing on the task at hand, it can allow her to increase her ability to swallow correctly. Aspirating can be a real concern for patients that have trouble swallowing.
If her issues with swallowing continue, I would suggest incorporating a nutrient rich smoothie into her daily diet.

5. What can the nurse teach the Mrs. Jones about food labels and MyPlate?
The nurse could teach Mrs. Jones about the recommended break down of what macronutrients are required daily to insure a healthy diet. The general breakdown for MyPlate is 30% grains, 40% vegetables, 10% fruits, 20% protein, and a small portion of milk represented by the glass.
By showing examples of food labels to Mrs. Jones, the nurse can help teach her what to look for and how it pertains to ensuring a healthy

Related Documents

  • Superior Essays

    Jenkins that “healthy eating can make a difference in her health, and can help to improve how she feels” (Older Adults, 2015). Provide Mrs. Jenkins with a list of high-calorie and high-protein food. Advise her to take “nutritious high-protein supplements between meals to increase intake of protein and kcal” (Treas & Wilkinson, 2014, p. 934). To improve access to food or assist in meals give Mr. Jenkins the numbers for community resources like Meals on Wheels (Treas & Wilkinson, 2014, p. 934). Recommend Mrs. Jenkins to eat small, frequent meals to boost appetite (Treas & Wilkinson, 2014, p. 934).…

    • 772 Words
    • 4 Pages
    Superior Essays
  • Improved Essays

    Geriatric Family Care

    • 1465 Words
    • 6 Pages

    Thus, this would explain the poor oral health status and unmet daily oral needs revealed in elder frail residents in care facilities (3,6,16). On the other hand, the majority of care staff may not be willing or able to provide proper oral hygiene because they may not have specific guidelines to follow (11,14), may lack oral care knowledge and training (3) or may have time limitations and lack of support from the dental community…

    • 1465 Words
    • 6 Pages
    Improved Essays
  • Improved Essays

    “70% of deaths are due to chronic diseases” (The Nutrition Source). People can reduce their risk for chronic diseases by eating a healthy diet and getting a good amount of exercise. You have the ability to reduce your risk from getting a chronic disease and or dying from a chronic disease. My Plate is a website and I would strongly suggest using because you are able to track what you eat and exercise. I used it in Nutrition Science and when making the account you were asked some questions and they gave you how many calories you are supposed to eat a day and how much of each food group you should eat everyday, which is the same for most people.…

    • 762 Words
    • 4 Pages
    Improved Essays
  • Great Essays

    Some of the patient’s major problems include… 1. Loss of appetite - brought by the patient’s refusal to eat hospital food. Generally, loss of appetite is attributed to decline in energy needs, which makes an individual to refuse or resist meals and liquids (Scott, n.d.). 2. Increased fatigue and sleep - because metabolism slows and the patient begins to experience dehydration because of decrease in food and water.…

    • 1273 Words
    • 6 Pages
    Great Essays
  • Superior Essays

    Provide education on patient’s daily needs for protein (~71 grams daily) b. Recommend to patient to eat protein foods in smaller amounts throughout the day to help decrease symptoms such as abdominal pain • Inadequate oral…

    • 1476 Words
    • 6 Pages
    Superior Essays
  • Improved Essays

    Eating Disorders Essay

    • 793 Words
    • 4 Pages

    [3] [3] National Eating Disorders Association. (n.d.). Anorexia Nervosa. AN: Health Consequences Some of the most important health consequences to recognize include the fact that during starvation, the body is not given the critical nutrients that it needs in order to function properly. Because of this, it is often forced to slow down all of its natural processes in order to conserve energy (since there is so little in the system).…

    • 793 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    As a result, his/her self esteem is getting lower and lower each time he/she has to stress about the food, he/she then starts thinking about how bad his/her life is and why the reason he/she is on the diet in the first place (“Fourteen Reasons Why Dieting Is Bad For Your Health” 1). Going along with self esteem, behavioral issues begin to arise. Behavioral issues arise due to the determination to fill one’s needs. Those needs include doing anything and everything to reach their goal. However, the sad part is, not just adults turn to diets.…

    • 2037 Words
    • 8 Pages
    Improved Essays
  • Improved Essays

    Other factors are the mother’s blood sugar levels and amount weight gain during pregnancy. It is suggested that the food choices a mother makes during pregnancy may determine the infant’s later acceptance of solid foods (Savage). Many flavors in the maternal diet appear to be present in amniotic fluid, which is a fluid that surrounds the fetus. Because the fetus regularly swallows this amniotic fluid, the first experiences with flavor is prior to birth. Essentially the mother’s diet can influence the acceptance of certain foods for the child.…

    • 1026 Words
    • 4 Pages
    Improved Essays
  • Superior Essays

    The General Practitioner (GP) is worried because Hilda s eating habits are poor and she may not take her medications promptly. I choose this case study because as a GP, I am…

    • 1188 Words
    • 5 Pages
    Superior Essays
  • Improved Essays

    Medical Surgical Essay

    • 889 Words
    • 4 Pages

    POST-NATAL DIET – The Post-Natal Diet is similar to Normal Diet but should be served with foods item to help increased milk production for lactating mothers like pepper, garlic, certain green leafy vegetables, etc. SEMI-SOLID DIET – The Semi-Solid Diet is basically given to those patients who are post-operative patients, patients recovering from GI Tract (Gastric Infection Tract). The Semi-Solid Diet consists of Khichdi, Custard, Curd, Boiled Vegetables,…

    • 889 Words
    • 4 Pages
    Improved Essays