• As we discussed in class, nutrition education was not appropriate during the initial visit due to her emotional state. You return in two days. She is tolerating the Low Fiber Diet and eating 75% or greater of her meals. Mrs. Flowers is calmer and seems to be adjusting to the colostomy. She has been assessed by the Wound/Ostomy Nurse who instructed her daily for three days on how to take care of her colostomy. Mrs. Flowers tells you that the surgeon is planning to takedown her colostomy in 3 to 4 months. • During your second visit with Mrs. Flowers you obtain a diet history for her typical intake at home. Indicate if a change is necessary for management of her ostomy and why. Also note your suggested change to her menu. In a few paragraphs: • Describe the nutrition education you will provide. What are possible issues with the colostomy and how can she avoid these issues? Discuss hydration. What nutrition handout(s) will you use from the NCM? Download the nutrition handout(s) to Canvas. • Do you have any suggestions for timing or size of her meals? • What are your goals for the education? • Describe the return demonstration you will ask Mrs. Showers to • show that she understands the education. Patients who are well-nourished with adequate protein/kcal prior to surgery have better outcomes. Mrs. Flowers will have a second surgery in 3 to 4 months. What will you say to Mrs. Flowers about preparing for her colostomy takedown surgery?
• As we discussed in class, nutrition education was not appropriate during the initial visit due to her emotional state. You return in two days. She is tolerating the Low Fiber Diet and eating 75% or greater of her meals. Mrs. Flowers is calmer and seems to be adjusting to the colostomy. She has been assessed by the Wound/Ostomy Nurse who instructed her daily for three days on how to take care of her colostomy. Mrs. Flowers tells you that the surgeon is planning to takedown her colostomy in 3 to 4 months. • During your second visit with Mrs. Flowers you obtain a diet history for her typical intake at home. Indicate if a change is necessary for management of her ostomy and why. Also note your suggested change to her menu. In a few paragraphs: • Describe the nutrition education you will provide. What are possible issues with the colostomy and how can she avoid these issues? Discuss hydration. What nutrition handout(s) will you use from the NCM? Download the nutrition handout(s) to Canvas. • Do you have any suggestions for timing or size of her meals? • What are your goals for the education? • Describe the return demonstration you will ask Mrs. Showers to • show that she understands the education. Patients who are well-nourished with adequate protein/kcal prior to surgery have better outcomes. Mrs. Flowers will have a second surgery in 3 to 4 months. What will you say to Mrs. Flowers about preparing for her colostomy takedown surgery?
Phlebotomy Essentials
6th Edition
ISBN:9781451194524
Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Chapter1: Phlebotomy: Past And Present And The Healthcare Setting
Section: Chapter Questions
Problem 1SRQ
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55 YOF
5'5"
183 lbs
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