1-What diet recommendations would you give Rosa to prepare for upcoming cancer t
ID: 81642 • Letter: 1
Question
1-What diet recommendations would you give Rosa to prepare for upcoming cancer treatments?
2-What would you recommend for Rosa if she experiences mouth sores?
3-What would you recommend for Rosa if she experiences diarrhea?
4-What is Rosa’s IBW?
5-What can you tell Rosa about vitamin & mineral supplements?
6-What would you recommend for Rosa if she experiences queasiness?
7-What will you use to monitor & evaluate Rosa during treatment?
8-Estimate Rosa’s energy needs
9-What are Rosa’s fluid needs?
10-Rosa wants to counsel her daughters about cancer prevention, what will you tell her?
CHAPTER 36 Medical Nutrition Therapy for CLINICAL CASE STUDY 1 Rosa is a 62-year-old woman who has three adult daughters and eight grand Nutrition children. Recently she was diagnosed with breast cancer (estrogen-receptor Physical i and negative and HER/2 positive). Surgery, fol patient re lowed by neu then radiation ther concurrent chemotherapy and biotherapy and apy to her breast are planned for treatment of her disease. Anticipated side Nutrition effects of her cancer therapy include treatment-related fatigue, mouth Food- and sores, nausea, vomiting, diarrhea, and peripheral neuropathy. She is 5'6" therapy tall, weighs 168 lb, and has a history of hypercholesterolemia and hyperten- evidence sion that has been managed with dietary measures. She currently does not engage in regular physical activity other than helping to care for her grand Nutrition children but is motivated to make changes in her lifestyle to improve her What fitness and overall health. She also is attracted to the use of multiple vitamins/ prepar minerals and dietary supplements and complementary and alternative List so therapies for managing treatment-related side effects, reducing her cancer ing: fat recurrence risk and managing her hypercholesterolemia and hypertension. Is Ros recom Nutrition Diagnostic Statement emla Altered Gl function related to prescribed cancer treatment as evidenced What y anticipated nausea, vomiting, diarrhea, and mouth sores vitaminExplanation / Answer
1-What diet recommendations would you give Rosa to prepare for upcoming cancer treatments?
Rosa should maintain a healthy weight and should eat small, frequent meals throughout the day. Since she has hypercholesterolemia and hypertension she should choose protein-rich foods and include whole grain foods, a variety of fruits and vegetables and add healthy fat. She should stay hydrated throughout the day.
2-What would you recommend for Rosa if she experiences mouth sores?
Rosa can take custard for reducing mouth sores or flusing out with baking soda and water or salt and water would help.
3-What would you recommend for Rosa if she experiences diarrhea?
Initially the water loss due to diarrhea has to be compensated by giving electrolytes (for maintaining the sodium and potassium). However, if this persists for more than 24 hours, a dose of loperamide or an antidiarrheal agent SC octreotide has to be given.
4-What is Rosa’s IBW?
Ideal body weight (IBW) for females: IBW = 45.5 kg + 2.3 kg for each inch over 5 feet. Since Rosa is 5'6" tall and weighs 168 lb, the ideal body weight for her should be 130.5lb.
5-What can you tell Rosa about vitamin & mineral supplements?
Vitamins E, C, selenium, beta carotene, and anti-oxidants have to be taken by Rosa since they show similar characteristics to the chemotherapeutic agents.
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