Info Mrs. B is a short term re
Info
Mrs. B is a short term rehab patient undergoing chemotherapy andradiation for lung cancer. She has lost 15 pounds in 2 months. Shereports that she does not have an appetite and gets fullfast. She also complains of nausea and a bitter taste inher mouth. As her nurse, you are concerned with hernutritional status, want to prevent further weight loss andincrease her by mouth intake.
1 Question: Develop a care plan to helpaddress her issues of anorexia, early satiety, nausea and weightloss. Your goal is to help her increase her food intake.Provide at least 4-6 suggestions and recommendations for each ofher problems contributing to her reduced intake.
Please number and organize your care plan. Make sure toaddress all concerns: anorexia, weight loss, nausea, early satietyand bad taste in mouth.
Answer:
Anorexia
- Try to eat small snack every 2 to 3 hours, instead of threelarge meals. Don’t expect to eat regular size meal.
- Food that are high in protein or calories are good snacks tohave handy.
- Avoid low calorie food that fill you up.
- Avoid food that cause gas production
- Prepare food that is colorful and appealing to eye
- Make eating a social event. Try to eat with family orfriends.
Weight loss
- Eat foods that are rich in calories and nutrients
- Avoid heavy meals, greasy or fried food
- Small and frequent diets
- When choosing beverage, select nutrient dense fluid such asmilk, milkshake, juice etc
Nausea
- Watch your favorite TV program while you eat.
- Try changing the time, place, and surroundings of meals.
- Avoid smells that are bothersome while you are eating
Early satiety
- Eat small portions frequently
- Avoid oily or greasy foods.
- Avoid gas producing foods .
- Limit the amount of fluid while eating the regular meals
Bad taste
- Try to add different seasonings to the food.
- Try sucking on hard candies /mints/chewing gum. Keep your mouthclean by brushing at least two times per day and rinse your mouthwith water between meals.
- Avoid toothpaste and mouthwashes that contains alcohol
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