Krause\'s Food and the Nutrition Care Process 14th edition Chapter 26 Case Study
ID: 82443 • Letter: K
Question
Krause's Food and the Nutrition Care Process 14th edition Chapter 26 Case Study
Clara is 17 months old. At birth she was breastfed, but 2 weeks later cow’s milk-based formula was introduced, which she did not appear to tolerate. Each feeding resulted in diarrhea and vomiting. The pediatrician recommended that her mother switch to a partially hydrolyzed casein infant formula, which Clara seemed to tolerate. However, at age 4 months she developed eczema that was treated with steroid creams. Cow’s milk was introduced when Clara was 12 months of age. Her skin symptoms increased remarkably. When eggs and later peanut butter were introduced, she experienced immediate wheezing; watery, swell- ing eyes; hives; increased itchiness; and diarrhea. Clara’s parents are unaware of how to look for egg or peanut sources; thus Clara has experienced several trips to the emergency room. The last reaction was much more intense. Her family physician suspects egg and peanut allergies and has sent her to see a board-certified allergist and a registered dietitian.
Nutrition Diagnostic Statements:
• Food and nutrition-related knowledge deficit by parents related to food sources of eggs and peanuts as evidenced by serious reactions in their daughter following ingestion.
• Intake of unsafe foods related to ingestion of egg- and peanut-containing foods as evidenced by serious reactions to foods.
1- How many food allergen suspects are there for Clara?
2- What are the most common food allergies?
3- What will Clara’s parents need to do if Clara is to lose sensitivity?
4- What can pregnant women do to affect allergy risk?
5- What does the FALCPA include?
6- In a nutrition screening, what might you ask someone to keep as a useful tool for uncovering ARF?
7- What foods relate to latex allergy?
8- What foods would you recommend Clara’s parents substitute?
9- What should Clara’s parents look for on food labels?
10- When should Clara be re-tested?
Explanation / Answer
ANSWER:
1) food allergen suspects are there for Clara are casein and other products
2) Milk ,egg, peanuts
3) Clara’s parents need to carry a epinephrine auto injection to decrease reaction
4) Pregnant mother recommended to eat fish ,multivitamin rich foods
5) Food allergy labelling and consumer protection act. include major food to avoid consumer (Eggs and later peanut butter)
6) Nutrition screening is a tool for rapid and simple evaluation of patients at risk of undernutrition
7) If you have latex allergy you also can have food allergies. The foods most likely to cause this problem include: apple, avocado, banana, carrot, celery, chestnut, kiwi,melons, papaya, raw potato and tomato.
8) I recommend clara's parents less allergy foods like lamb,lettuce, oats and mangoes as substitute
9) Clara's parents should note the food labels are less allergic or not
10) Clara retested after having registered dietician foods
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