Assessment of the Hospitalized Patient
Chapter 7: Assessment of the Hospitalized Patient: Calculations Assignment
Complete this assignment with a pencil/pen and show calculations for credit. Take a close-up photo of the finished product (make sure it is legible so I can grade it) and upload it to the grade book.
- 10 Points Bill was admitted to the oncology floor of community hospital. The RN noted that he was eating less than 50% of his meals and wrote a dietary consult. The RD makes a visit to discuss the patient’s nutrition history with his family. Bill is 5’10” and his usual body weight prior to onset of cancer one year ago was 190 pounds. Six months ago his weight was 180 and measured on hospital admission as 145 pounds.
-What is Bill’s current BMI? (1 point) ____________
-What is your interpretation of his BMI? (1 point) ______________________________________________________________________________________________________________________________________
-What additional anthropometric measurement(s) if any should be taken and why or why not? (2 points) ______________________________________________________________________________________________________________________________________
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-Given that significant weight loss is defined as 5% unintentional weight loss in 30 days, 7.5% in 90 days and 10% in 180 days, conduct three calculations (show work and indicate if weight loss is significant or not): 2 points each
% weight change from usual body weight to 6 months
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% weight change from 6 months ago to current weight
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% weight change from one year ago to current weight
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- 10 Points Mrs. Holt has suffered a stroke and has been transferred from the hospital to the rehab center. She is unable to stand to obtain a height due to left side hemiparesis. The speech therapist has also determined that she is at risk for aspiration and will need a gastric tube feeding until she is able to eat by mouth again. Mrs. Holt is a 75 year old white female. Her left leg knee length is 48.5 cm.
What is her estimated height in cm and inches (1 inch = 2.54 cm)? show work: 1 point
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Using the Hamwi method, what is her ideal body weight? Show work 2 points
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If her current weight is 90 pounds, what is her percent desirable body weight? Show work
2 points
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What is your interpretation? 2 points _________________________________________________________________
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Determine Mrs. Holt’s MAMA. Discuss your findings. MUAC = 28.5 cm; triceps skinfold = 23 mm. 2 points
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- 20 Points Calculate the Resting Energy Expenditure REE for a 25 year old healthy male (height = 5’11”; weight = 180 pounds) and then multiply the REE X the PA (physical activity coefficient) is 1.2 using methods indicated in the table below and show work.
3 points each column
| Harris Benedict p. 227 table 7.7 | World Health Organization p. 227 table 7.7 | Institute of Medicine Method Table 7.8 p. 227 |
| REE: REE X 1.2 Total Energy Estimate per day ____________________ | REE: REE X 1.2 Total Energy Estimate per day __________________ | REE: REE X 1.2 Total Energy Estimate per day __________________ |
Comment on your results: 3 points _________________________________________________________________
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Calculate his protein needs given he has a normal stress level. (Table 7.13 page 233; show work)
2 points
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Use the Harris Benedict formula REE calculation from column 1, calculate additional energy (calorie) and protein needs (severe stress level) if the following changes occur:
he suffered a 10% body surface area burn (Curreri formula: see table 7.12 on page 231). For protein, (see table 7.13 on page 233) use Severe category for stress level. Show work for credit.
3 points each for a total of 6 points
| Additional Calories Needed | |
| Additional gm Protein Needed |
