Mark is Forty year’s old patient with Short Bowl Syndrome. Ht: 6’1’ feet, Weight

Question

Mark is Forty year’s old patient with Short Bowl Syndrome. Ht: 6’1’ feet, Weight, 175 1bs. Mark mentioned that he was 230 lbs. for a number of years, but has lost weight within the past few months due to surgery and his now condition. Diet order from doctor: 2100 Kcal, 2 Tbsp. MCT oil per day

1. What are the patient’s caloric needs, Protein, Fat, and any other calculations (BMI, % weight change, UBW, % involuntary weight loss, % UBW) necessary to determine patient’s needs

2.Write a menu for each diet, taking into account patient disease state, and also color, texture, and aesthetics

3.what are the RDA’s and AMDR’s are met for specific nutrients (CHO, Fat& Sat Fat, fiber, cholesterol, protein, Ca, Na,) and any other nutrient pertinent to the patient’s care

Explanation / Answer

1.What are the patient’s caloric needs, Protein, Fat, and any other calculations (BMI, % weight change, UBW, % involuntary weight loss, % UBW) necessary to determine patient’s needs

BMI of a person who is 6’1" and weighs 175 lbs is calculated as follows:

Multiply the weight in pounds by 0.45 (the metric conversion factor)

175X 0.45 = 78.75kg

Multiply the height in inches by 0.025 (the metric conversion factor)

71X0.025 = 1.775 m

Square the answer from step 2

1.775X1.775 = 3.150

Divide the answer from step 1 by the answer from step 3

78.75: 3.150 = 25

The BMI for a person who is 6’1" and weighs 175 lbs is 25.

A healthy BMI ranges between 19 and 25.

He needs 2500 kcal/day to maintain his weight.

2.      Write a menu for each diet, taking into account patient disease state, and also color, texture, and aesthetics

Men have higher rates of eating regimen related maladies, for example, coronary illness and malignancy, yet they are considerably less likely than ladies to settle on solid eating routine decisions, as indicated by the Palo Alto Medical Foundation. At the point when men hit 40, specialists develop more worried about pulse, cholesterol, prostate malignancy and colon disease. Settling on better eating regimen decisions between the ages of 40 and 50 may enable you to ward off ailment and enhance your personal satisfaction as you get more seasoned.

Invigorate With a Good Breakfast

Entire grains are a decent approach to invigorate your day. In addition, the fiber in entire grains may help bring down your danger of colon and prostate growth, as per the Academy of Nutrition and Dietetics. A solid breakfast choice may incorporate a bowl of unsweetened entire grain oat finished with new natural product, for example, a banana or blueberries with nonfat drain, or a breakfast sandwich made with an entire wheat English biscuit, fried eggs made with two egg whites and one egg yolk and a cut of low-fat cheddar. Serve the sandwich with cut melon and some nonfat drain.

Load Up on Fruits and Vegetabes at Lunch

Foods grown from the ground are low in calories and stacked with supplements that assistance battle infection. You require at least 4 1/2 servings of foods grown from the ground a day yet should go for nine. A dish serving of mixed greens is one approach to enable you to meet your day by day vegetable needs; top it with a lean protein, for example, turkey or fish, dried foods grown from the ground fat plate of mixed greens dressing. You can likewise up your vegetable admission with a panfry, for example, shrimp sauteed with broccoli, celery and carrots and presented with darker rice and an orange.

Meat as a Side Dish at Dinner

Eating excessively meat expands your danger of coronary illness and colon growth, says the Academy of Nutrition and Dietetics. To enable you to curtail, make meat a side dish and transform your vegetable and entire grains into the principle fascination. For instance, a solid supper may incorporate a substantial heated potato with flame broiled asparagus and a side of barbecued hamburger tenderloin. Or, on the other hand, to enable you to eat more fish, get ready fish tacos loaded with flame broiled peppers, onions and salmon and presented with old fashioned corn.

3.      What are the RDA’s and AMDR’s are met for specific nutrients (CHO, Fat& Sat Fat, fiber, cholesterol, protein, Ca, Na,) and any other nutrient pertinent to the patient’s care

Carbohydrates: 130 grams/day

Proteins: 56 grams/day

Cholesterol: ND

Fat:

The FDA's RDI for fats is 65 g or 30 percent of your day by day calorie admission. These ought to be unsaturated fats, for example, olive oil and fats, for example, nuts and seeds. Limit your utilization of immersed fats, for example, spread, margarine, fat and different fats that are strong at room temperature.

Fiber:

The Institute of Medicine's fiber RDI for grown-up females between ages 18 and 50 is 25 g. Females more established than 50 to 70 require 21 g of fiber. For guys, ages 14 to 50, IOM recommends 38 g. Guys from ages 9 to 13 require 31 g; after age 50, guys ought to devour 30 g.

Calcium:

The U.S. Nourishment and Drug Administration's prescribed calcium admission for grown-up guys and females between ages 19 and 50 is 1 g for each day. The University of Illinois expresses that RDI for grown-up guys and females is 1,200 mg after age 50, and it increments to 1,300 mg for pregnant and lactating ladies age 18 and more youthful. The RDI for babies up to a half year is 210 mg, and 270 mg from a half year to 1 year old. Kids between ages 1 and 3 require 500 mg; ages 4 to 8: 800 mg; and 9 to 18: 1,300 mg.

Sodium:

For guys and females between ages 9 and 50, IOM states that 1,500 mg of sodium is a sufficient admission. After age 50, sufficient admission is 1,300 mg and 1,200 at age 70. IOM sets as far as possible at 2,200 mg for guys and females ages 9 to 13, and at 2,300 for all grown-ups more established than 13.

The satisfactory admission for babies is 120 mg, from birth to a half year; from 7 months to age 1, it is 370 mg. From ages 1 to 3, youngsters ought to expend 1,000 mg, and 1,200 mg from ages 4 to 8. As far as possible for a long time 1 to 3 is 1,500 mg and 1,900 mg for a very long time 4 to 8.

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