Diet for a Patient with Chronic Hunger, Iron Deficiency Anemia, and Lead Poisoning
Jonathan, a two-and-a-half-year-old, lives with his mother and brothers. His mother, Anita, works at a pharmacy to support the family. While Anita works, his grandmother brings the boys to a nearby congregate W.I.C (Women, Infants, and Children Program) site for a hot meal. Jonathan's favorite foods are french fries and strawberry milkshake. He drinks about four glasses (32 ozs.) of whole milk per day. He also loves grilled cheese sandwiches.
At his W.I.C appointment, the nutritionist asks Anita about Jonathan's food intake and plots his weight and height on growth charts for her to see.
Date of W.I.C Appointment Jonathan's Age Jonathan's Height Jonathan's Weight Lab Values: Hemoglobin Lab Values: Lead
8/1/05 30 months 35.5 inches 27 lbs 10.3 10.2
5/2/05 27 months 35 inches 26.5 lbs
2/4/05 24 months 34.5 inches 26 lbs
Step 1: Assessment of nutritional status.
Your first step is to evaluate the anthropometric and biochemical data that is provided in the table above. Do this using the CDC growth grids for infant boys from the day of their birth until they are 36-months-old. Plot Jonathan's weight/age, length/age and weight/length in a graph.
1.What do you notice about Jonathan's rate of growth over the past six months?
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Step 2: Identify nutritional risk factors.
Nutritional risk factors are any conditions that place a person at risk for malnutrition. The risk may be related to the patient's age, weight, lab values, diet, economics, etc.
Using nursing diagnoses related to nutrition, if possible, (see NANDA in your text) list all of Jonathan's nutritional risk factors. Identify additional risk factors that are not on the NANDA list.
Indicate which of his nutritional problems are identified in Healthy People 2020: Nutrition and Weight Objectives.
Note: The Healthy People 2020: Nutrition and Weight Objectives can be found by going to the following web site:"http://healthypeople.gov/2020/topicsobjectives2020/objectiveslist.aspx?topicid=29
Step 3: Identify nursing interventions.
Step 4: Monitor outcomes.
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