Create a nutritional care plan for your client

Task 1:

Create a nutritional care plan for your client. This will include an evaluation of nutritional risk, a list of interventions, and a list of expected outcomes.
List the goals of medical nutrition therapy for your patient and suggest an appropriate diet. Does your patient/client require a dietary modification of their regular diet? Are enteral feedings by tube necessary? If so, what formula will you use and why? Describe your recommended method of administration.

Task 2:

Describe your nutrition education teaching session with your patient and/or their family. What teaching methods will you use (explanation, discussion, demonstration, handouts, etc.)? In your own words, write a paragraph detailing three specific points that you will need to teach your patient about his/her new diet. In addition, give at least one tip to avoid potential herb/nutrient/drug interactions.

Nutritional Care Plan for LG

Evaluation of nutritional risk

LG presents under developed for a woman who is 32 weeks pregnant. Iron levels are low and weight is identical to the previous visit last week. If LG doesn’t gain more weight (preferably 10 pounds) before the birth of the baby the baby can be born prematurely and underweight. Other risks for babies are breathing problems (respiratory distress syndrome), an increased risk of infection and hypoglycaemia.

Interventions

Diet and weight gain monitoring

Weekly visits

Education

Expected outcomes

LG understands lessons from today’s education

LG gains the necessary weight before the birth

Next week, LG’s levels will be improved

We will have a healthy baby

Goal of care/appropriate diet

*LG requires a dietary modification of her regular diet with no external feedings by tube necessary*

Eat more frequently (5 or 6 small meals every day)

Choose nutrient and calorically dense foods (nuts, dried fruits, ice cream, and lean meats)

Add some fats to meals by using condiments such as sour cream, cheese, or margarine)

Drink 8 glasses of water daily

Protein and iron supplements are to be consumed qd (every day)

Nutrition education

I will teach LG how to establish good fats from empty fats to ensure adequate weight gain. She will also be taught how to properly count calories since increasing daily caloric intake by 300 calories qd is necessary. Aside from food, LG will be taught what nutrients and supplements she need to increase to reduce the change of having a baby with birth defects. Some important ones are folic acid, iron, and calcium. To avoid potential herb/nutrient/ drug interactions, LG should consult a physician or pharmacist before taking anything due to risks of harming the baby. Specific food or beverages including dairy products can decrease the absorption of iron from the stomach (importance of iron supplements).

Explanation of what foods to eat and how many calories to consume

Provide handouts of healthy weight gain for both baby and mother

Clarify any questions

Nutritional Care Plan for LG

Evaluation of nutritional risk

LG presents under developed for a woman who is 32 weeks pregnant. Iron levels are low and weight is identical to the previous visit last week. If LG doesn’t gain more weight (preferably 10 pounds) before the birth of the baby the baby can be born prematurely and underweight. Other risks for babies are breathing problems (respiratory distress syndrome), an increased risk of infection and hypoglycaemia.

Interventions

Diet and weight gain monitoring

Weekly visits

Education

Expected outcomes

LG understands lessons from today’s education

LG gains the necessary weight before the birth

Next week, LG’s levels will be improved

We will have a healthy baby

Goal of care/appropriate diet

*LG requires a dietary modification of her regular diet with no external feedings by tube necessary*

Eat more frequently (5 or 6 small meals every day)

Choose nutrient and calorically dense foods (nuts, dried fruits, ice cream, and lean meats)

Add some fats to meals by using condiments such as sour cream, cheese, or margarine)

Drink 8 glasses of water daily

Protein and iron supplements are to be consumed qd (every day)

Nutrition education

I will teach LG how to establish good fats from empty fats to ensure adequate weight gain. She will also be taught how to properly count calories since increasing daily caloric intake by 300 calories qd is necessary. Aside from food, LG will be taught what nutrients and supplements she need to increase to reduce the change of having a baby with birth defects. Some important ones are folic acid, iron, and calcium. To avoid potential herb/nutrient/ drug interactions, LG should consult a physician or pharmacist before taking anything due to risks of harming the baby. Specific food or beverages including dairy products can decrease the absorption of iron from the stomach (importance of iron supplements).

Explanation of what foods to eat and how many calories to consume

Provide handouts of healthy weight gain for both baby and mother

Clarify any questions