85-year-old, Dolores, has developed severe digestive problems, including stomach

Question

85-year-old, Dolores, has developed severe digestive problems, including stomach cramps and diarrhea. This elderly lady lives alone, does not drive, has no family living in town, and suffers from advanced age-related macular degeneration (eye disease). She is living on a diet of hot tea with sugar and white toast with butter for breakfast and canned soup (chicken noodle or tomato) twice a day because she believes that “anything else upsets her stomach”.

Her stomach problems were progressive. She started eating soup during and after a mild episode of stomach problems that were unrelated to food. Instead of getting better, her stomach problems have gotten worse. Her family suspects that she also eats soup because very little preparation is involved. Both she and her family are having difficulty facing the fact that soup upsets her stomach as much or more than other food.

Answer the following questions specifically.

Explanation / Answer

1). The risk factors for malnutrition that Dolores have are,

2). Mrs. Dolores is taking food rich in refined carbohydrates (sugar and white toast) and fats.

3). Mrs. Dolores diet is lacking several nutrients including the dietary fiber, protein, essential vitamins and minerals.

4). She can replace the white toast with brown toast and include salads, more vegetables and fruits in her diet. Many of the vegetable preparations are easy made and fruits can be readily eaten without any preparation yet provide a good amount of essential nutrients.

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