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Lesson 14 Case Study
Lesson 14 Case Study
CASE STUDY 14
2
Lesson 14 Case Study- Coach K
Introduction
Ms. K has lived at College Town Nursing Home for 18 years. She is a retired womens
basketball coach at State College. Everyone calls her Coach K. She is 94 yr old.
Active Diagnoses: mildly impaired cognitive function, gastro esophageal reflux disease
(GERD), dysphagia
Historic Diagnoses: gallbladder surgery 30 years ago, depressive disorder, CVA 2 years
ago
Other Physical Findings: Uses walker to ambulate. Coach K doesnt like to take
medicine. She refuses to take medications with water. Nursing offers pudding as a
medium to swallow medicines. Coach K has 24 natural teeth. Oral exam shows two small
CASE STUDY 14
3
% Meal Eaten Kcal Consumed Protein Consumed
Breakfast
360
10.8
Lunch
100
4.2
Supper
0
0
HS Snack
100
5
Totals
560
20
CASE STUDY 14
will help Coach K in meeting her nutrition needs by identifying her nutrition problem which is
insufficient fluid intake, gradual weight loss and inadequate protein in her meals. I will further
implement physicians diet order based on her nutrient need.
8. Write a care plan for Coach K identifying 1-3 nutrition problems.
Nutrition
Status
Care Plan
Problem
Weight Loss
year.
Protein
Coach K is consuming 20
Deficiency
needs 66 grams.
Fluid
Deficiency
mL per day
medications to Coach K and keeping a water jug
close to her bed.
Reminding or prompting Coach K to start her
meals with a glass of water.