Date ,, , Time occurred: 11,/01,/t3 L2o5 Record.ed: Ll/0a/.

L3 L2'1-9
A.bnormal?
N

By NPD NPD

nool,ing;Nichole Dooling,Nichole
N

Nurse

try1ge

brpi

,,,,

Dietaly Note

CaEegory

Confidential?

NUTRITION ASSESSMENT
PROBLEM: INCREASED ENERGY AND PROTE]N NEEDS RT METASTATIC SARCOMA AEB CANCER REQUIRING INCREASED PROTEIN AND ENERGY NEEDS TO PREVENT MALNUTRITION PT ON CLIQ DIET AFTER NOT EATING FOR 2 DAYS AND REPORTS BEING HUNGRY. PT OBSERVED EATING 1OO? TOMATO SOUP, 1 VAN]LLA ICE CREAM, AND 1 VANILLA PUDD]NG. PT DENIES N/V. PT LIVES WITH SISTER WHO PREPARERS MEAIS AND SHE USUAILY EATS CREAM OF WHEAT OR RICE PUDDING FOR BREAKFAST, GRILLED CHEESE WITH TOMATO FOR LUNCH, AND A MEAT WITH STARCH AND VEGETABLE. PT AISO DRINKS BI,UEBERRY
POMEGRANATE ENSURE CLEAR.
.. LABS: GLU 118, BUN 28, NA 135, ALB 2.9 WT. 118 (HX UNKNOWN TO PT) HT. 65" BMI 19.5 (UNDERWEIGHT FOR AGE) NEEDS EST @ 1575-1875 KCAL (1.5 AF) 64-8OG PRO (1.2-1.,G/KG) 1.3-l-.5L FLUrD (2s-3oML/KG) GOAL: PT INTAKE TO MEET EST NEEDS TO PREVENT MALNUTRITION

INTERVENTION:

1. REC'D ENSURE CLEAR BID FOR 4OOKCAL AND 14G 2. ENCOURAGE PO INTAKES AT MEA],S 3. MONITOR DIET ADV 4. MONITOR INTAKE, WEIGHT, LABS 5. FOLLOW HOSPITAL PLAN OF CARE

PRO