Case Study Supertracker

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1. Some additional information that is needed to determine James’ intake and whether or not he is failing to meet his nutritional needs are his physical activity level and an example of what James typically consumes on a daily basis. It says nothing about his physical fitness within the medical record, although it does state that “he was functionally independent” (Bernstein & Munoz, 2016). This is something that is important to know because it affects the amount of calories James needs to take in on a daily basis, and is also necessary for tools such as the DRI calculator. While it says that his diet is low sodium, it is also important to have an example of what James consumes in a given day (Bernstein & Munoz, 2016). With this information, we can compare that to what he actually needs on the Supertracker. This would allow us to deduce if he was meeting his nutritional needs or not. 2. James takes many medications, and almost all of them could affect his nutritional intake, except for Prevacid. This medication has no side effects that would cause him to eat more or less food than normal. It seems that most of his medications would cause a decrease in weight, as they have side effects like nausea and vomiting. Prednisone differs in that it can actually cause an increase in both …show more content…

There are several clues that hint on what could be going on with James’ nutritional status according to his physical assessment. It is clear that James has oral health issues, because it states that he is having trouble chewing and swallowing, and his tongue is also sore. Based on the oral health chapter, I believe that he could be experiencing xerostomia – otherwise known as dry mouth. Xerostomia can be a side effect of many medications, and James is taking several different medications (Bernstein & Munoz, 2016). Such oral problems might persuade James to not eat as much food, due to it being a difficult and painful experience. This could be another factor playing into his

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