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CASE STUDY: SENIOR ADULT
MEDICATIONS:
EFFECTS OF MEDICATIONS:
Digoxin: loss of appetite, nausea, vomiting, depression & blurred vision.
It also affects the potassium metabolism and may lead to hypokalemia
Warfarin & vitamin K interaction and may interfere with the blood thinning
process and ultimately defeat the purpose of Afib treatment.
Atenolol B blockers with fluid & electrolyte balance
Verapamil Calcium channel blockerscauses calcium excretion and at the
same time can increase the digoxin levels in the blood as well.
Lunch
Tea
and regulate her needs that may eventually keep her health condition (Afib) under
control. Not to mention, to discuss ways on how her family can spend more time
with the subject and keep her mind off the loss can do much help as well.
DIET RECALL
REVIEW OF HER DIET
Typical Diet pattern Presents energy dense food choices, meals seem to
be rich in carbs & fats. Intake of not less than 1800 cals/day is estimated.
Food intake is found to exceed the estimated requirements for her age &
corresponding weight.They definitely are not the best of choices to be
included in her days meal pattern and doing so on the long term is more
likely to pose health risks.
Current diet pattern Food choices seem to be more or less healthier, but
not adequate enough to meet her nutritional needs. Her food intake seems to
be far below her estimated nutritional requirements which apparently
highlight her poor intake (less than 1200 cals/day) and long term implication
of such eating behavior may lead to detrimental health effects.
DIET MODIFICATION:
Based on finding the root cause of her behavior change affecting her eating
pattern: Disease condition, medications & psychological condition such as
depression & early signs of dementia manifestations
Specific modifications;
Well balanced diet to meet her nutritional needs through regular food intake
or nutrient dense food supplements
Pay attention to include heart healthy food choices (omega fat sources)
Healthy protein rich food sources
Avoid caffeinated beverages
To be aware of Vitamin K rich foods and regulate the intake of such foods with
the warfarin meds
Keep well hydrated with right amount of salt in the diet to maintain Blood
pressure.
To have adequate potassium rich foods to make up for the losses due to med
interactions
To initiate intake of a multi vitamin and mineral intake daily in order to
improve energy metabolism and provide adequate amounts of anti-oxidants
as well.