Please provide the references also. Need to have references for the question RN

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Please provide the references also. Need to have references for the question RN must answer. 1D1: Nutritional status of the older adult 6 6 unread replies. 6 6 replies. In 2011 the United States Department of Agriculture (USDA) introduced the "My Plate" initiative, to help Americans make healthy food choices and to be active every day. Recently, new guidelines were released, and the initiative was updated to include, "MyPlateMyWins!" Initial Discussion Post: Review the following resource: United States Department of Agriculture: ChooseMyPlate.gov. (2015). Older adults (Links to an external site.) Links to an external site. . Retrieved from http://www.choosemyplate.gov/older-adults Mrs. Jenkins is a 70-year-old patient at the primary care provider for a routine visit. As you are gathering data prior to showing her into an examination room, you note her height and weight, of 65 inches and 101 pounds. Calculate Mrs. Jenkins’ BMI and interpret the result. Discuss two additional specific assessments you would perform, and why the information you obtain in these assessments might be a concern to the RN. Based on these assessments: What education would you provide related to this concern? Identify a member of the health care team with whom you would collaborate about this concern. Be sure to use evidence from the assigned text or website, or other professional sources in your answer. Base your initial post on your readings and research of this topic. Your initial post must contain a minimum of 250 words. References, citations, and repeating the question do not count towards the 250-word minimum.

Explanation / Answer

Mrs.jerkins height is 65inches(165cm) and weight is 101pounds(46kg)..change height into meters..so now jerkins height is 1.65m..
46 divided into(1.65X1.65)
46 divided by 2.72
   BMI = 16.9
she is considered as a underweight..as per her height and age her weight must be 121.7 to 164.4 pounds..
Two additional specific assessment:
Musculo skeletal system and functional states:
   examine muscle groups for atrophy,tremors and involuntary movement..ROM test for older adults same like ther age group..Due to unflammed joints there will be less ROM for older adults..Note for warmth,swelling,tenderness,crepitus and deformities..assess patient for (ADLs) including,bathing,dressing,toileting transfer,continence and feeding..we can use Katz index of independence for ADLs and Barthel index for functional evaluation..using Lawton IADL assessment model can help for evaluating their activities and develop plan of care..
Face assessment:
    Assess patient facial features racial,genetic,emotional and nutritional factors can affect facial features..Watch patient eye ,eye brows,nose,mouth are centered and symmetrical..If it is asymmetrical it suggest a stroke..check for facial skin,looseness and wrinkling which results decreases in elasticity,subcutaneous fat and moisture..older adults must have 20/40 vision or better..due to structural changes in the eye they may have glare it can make to risk of fall and injury..
Health education:
National center for health statistics US adults ages 60 and above were underweight..it increases the risk of malnutrition,fatigue and weakness..Basically they need 1000calories per day to gain 2 pounds weekly..women ages 60 and above need 1600 calories daily if they are sedantary..
advice patient to have high calorie,potasium,calcium,vitamin D,vitamin b12,minerals and dietary fibers..
advice to add fruits and vegetables in daily meals..
Active exercise for 10minutes as per doctor advice can improvement their physical activity..
Advice them to consume more nuts and seeds including peanut,butter,avocados,cheese,eggs,hummus,full-fat yogurt or whole milk..
advice to drink a nutient-rich,high calorie medical nutrition shake between the meals..
advice to get daily meal plan from dietetian..

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