Selecting a Dietary nt Method For each of the case situations listed below, sele

Question

Selecting a Dietary nt Method For each of the case situations listed below, select one of the following methods of dietary assessment. Give your rationale for the method selected, and, if appropriate, clarify how you might modify the method. 24-hour recall . Food record Direct observation Cases: Marisa is a 15-year-old who is five months pregnant, and who is being followed in the adolescent pregnancy clinic. She is from a lower-income economic background and has poor literacy skills 1. 2. Jacob is a 3-year-old male who was recently diagnosed with iron-deficiency anemia. His mother has brought him for a well-child visit and is very concerned about his poor intake. She states that his appetite varies considerably from day to day. Some days his intake is very poor, and other days he eats much more. She has asked the nurse for ideas on how she can improve his diet. 3. Mrs. Elkins is a 78-year-old woman with a history of diabetes, hyperlipidemia, and hypertension. Her HbAz is 8.3%. Her husband recently passed away and she now lives alone and prepares all of her own meals. She has asked the dietician for some ideas on how she can improve her diet to bring her blood sugar under better control. She admits that she has a "sweet tooth." She states that her short- term i write notes to herself as reminders. 4. Susan is a nurse in a geriatric practice, and would like to develop a nutritional educational program to improve her patients' intake of fruits and vegetables. However, she needs some baseline information on their usual patterns of dietary intake. She is looking for an efficient way to assess the intake of most of her patients as a group. 5. Gerry is a 35-year-old male suffering from 2nd and 3rd degree burns over 30% of his body. He was recently transferred from the ICU to the burn unit and started on a regular diet. There is a need to assess his dietary intake to determine if he is meeting his caloric needs.

Explanation / Answer

I would give this answer from own general knowledge.

Ans 1) For Maria it would be 24 hour call, as she is pregnant in underage category, she is also economically poor and required help as a 15 year old girl would not be knowing what rare the requirements of nurtition etc.

Ans 2) For Jacob, keeping food record is essential as in to know when he consumes more food and what he consumes? After a period of 15 days dietician would be able to diagnose well to know where the nutrition care is lacking and what is mroe essential for 3 year old.

Ans 3) Food frequency questionnaire is essential to know what Mrs. Erikson is craving for, during food questionnaire it would also be helpful for Mrs. Erikson to know how much she should take food. As she has short term memory 24 hour call option can also helpful.

Ans 4) For Susan food questionnaire can be the only way because she wants to take data of many people. Hence dta of food intake can be easily taken by questionnaire rather. By gathering all the data she can develop the baseline pattern by analyzing their usual pattern of dietery intake.

Ans 5) For Gary 3rd degree burn is alarm symptom hence 24 hour call or help is utmost essential in addition to direct observation with respect to food intake

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