What diet recommendations would you give Rosa to prepare for upcoming cancer tre

Question

What diet recommendations would you give Rosa to prepare for upcoming cancer treatments?

What would you recommend for Rosa if she experiences mouth sores?

What would you recommend for Rosa if she experiences diarrhea?

What is Rosa’s IBW?

What can you tell Rosa about vitamin & mineral supplements?

What would you recommend for Rosa if she experiences queasiness?

What will you use to monitor & evaluate Rosa during treatment?

Estimate Rosa’s energy needs

What are Rosa’s fluid needs?

Rosa wants to counsel her daughters about cancer prevention, what will you tell her?

CLINICAL CASE STUDY 1 Rosa is a 62-year-old woman who has three adult daughters and eight grand Nutrition Diagnostic Statement 2 children. Recently she was diagnosed with breast cancer (estrogen-receptor Physical inactivity related to lack of a regular exercise plan as evidenced by and progesterone receptor negative and HER/2 neu positive). Surgery, fol patient reports of no exercise owed by concurrent chemotherapy and biotherapy and then radiation ther apy to her breast are planned for treatment of her disease. Anticipated side Nutrition Diagnostic Statement 3 effects of her cancer therapy include treatment-related fatigue, mouth Food- and nutrition-related knowledge deficit related to medical nutrition sores, nausea, vomiting, diarrhea, and peripheral neuropathy. She is 5'6 therapy related to cancer treatment and secondary prevention as tall, weighs 168 lb, and has a history of hypercholesterolemia and hyperten evidenced by patient requesting more information 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 Care Questions children but is motivated to make changes in her lifestyle to improve her What diet and nutrition recommendations would you give Rosa to fitness and overall health. She also is attracted to the use of multiple vitamins prepare her for upcoming cancer treatment? minerals and dietary supplements and complementary and alternative List some dietary strategies Rosa may try if she experiences the follow therapies for managing treatment-related side effects, reducing her cancer ing: fatigue, intermittent queasiness, mouth sores, and diarrhea recurrence risk and managing her hypercholesterolemia and hypertension ls Rosa at her ideal body weight? If not, what suggestions would you recommend? Consider her lifestyle, hypertension, hypercholesterol- Nutrition Diagnostic Statement 1 emia, and planned cancer treatment. Altered Gl function related to prescribed cancer treatment as evidenced What guidance should be provided with regard to the appropriate use of by anticipated nausea, vomiting, diarrhea, and mouth sores vitamin and mineral supplements and ways to evaluate alternative therapies?

Explanation / Answer

Ans 1) Plant-based diets, which include fruits, vegetables, whole grains and lean proteins, are all highly recommended components of a balanced diet for breast cancer survivorship. Eating a well-balanced diet with lean protein, including plant sources, such as lentils, beans, nuts, nut butters, whole grains, fruits, vegetables and healthy fats like avocado and olive oil, in amounts to maintain a healthy weight, along with exercise is the best thing you can do for optimal health

Ans 2) It is recommended to avoid spicy or acidic food or drinks as they can irritate your condition. It is advised to consume cold milk products to help soothe the painful areas. Eating cold sour cream before meals to coat your mouth and throat and ease discomfort. It is better to rinse your mouth with salt water or water mixed with baking soda. It is recommended to avoid mouthwash that contains alcohol as it causes burning to sores. It is important to stop smoking and drinking and consult doctor for topical medicine to numb the sore areas.

Ans 3) Bisphosphonates consumed by women to strengthen their bones during and after breast cancer treatment may cause diarrhea. It is recommended to go for clear liquid diet with water, herbal tea, apple juice etc. Small and frequent meals are better. It is important to start liquid diet and low fiber foods as it reduces bowel irritation. Drinking more water is important and food rich in potassium like fruit juices, potatoes without skin etc are recommended. Food high in sodium and protein content is also highly recommended. It is better to avoid milk products, nuts, raw fruits & vegetables, whole grain breads, fatty and oily food etc.

Ans 4)

For Females: IBW = 45.5 kg + 2.3 kg for each inch over 5 feet.

Rosa IBW is 59.3 kg as her height is 5 feet 6 inch or it’s 130.7 Lbs.

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