Chapter 12 Case Study-The Elderly Mrs. Baxter is an 83-year-old fernale who has

Question

Chapter 12 Case Study-The Elderly Mrs. Baxter is an 83-year-old fernale who has lived with her daughter for the past five years. She has a history of osteoarthritis, hypertension, hyperlipidemia, and occasionally episodes of constipation She is taking Celebrex for arthritis, Lipitor for hyperlipidemia, Capoten for hypertension, Paxil for depression, a daily multivitamin, and Milk of Magnesia and Dulcolax suppositories as needed for the constipation. Her eyesight is poor, but she is not blind. She ambulates well, but her mental capacity has been deteriorating significantly over the past 6 months and she has difficulty remembering one day from the next Because of her conditions and the family's inability to provide adequate attention at home, she was admitted to a long-term care facility one month ago. Since admission to the long-term care facility, Mrs. Baxter has not been eating well and has lost 8 pounds She often sleeps through her meals or refuses them, insisting she is not hungry. She has had a difficult transition to the facility, and often cries when her daughter visits, asking to be taken home. Other than her daughter's occasional visits, she has had no other visitors. Mrs. Baxter has dentures but refuses to wear them. She states that they have become too loose and will fall out if she tries to eat with them. She doesn't eat any fruits or vegetables because she finds them hard to chew. She was placed on a soft diet, but stated that she was unable to eat many of the foods 1Wha s the relationship between nutrition and osteoarthniis? What other tools might be used to assess Mrs. Baxter snutritional status?

Explanation / Answer

1). Osteoarthritis (OA) is mainly constituted by progressive loss of cartilage tissue, accompanied by a raised thickness of the subchondral plate, osteophytes. Osteoarthritis is linked to precise risk factors or causes including age, joint trauma, injury, or obesity. In this, the synovial fluid decreases, which causes the movement more painful.

Overweight is one of the most important connection between osteoarthritis (OA) and nutrition. Most of the joints affected in osteoarthritis are the weight bearing joints, so weight loss relives the joint pain in overweight patients. The cartilage degradation in OA patients is also associated with the lipid metabolism. Long-chain omega-3 Polyunsaturated fatty acids (PUFA) have beneficial effects in OA patients. Increased blood cholesterol levels increase the risk of OA.

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