HNSC 4240 Medical Nutrition Therapy – Do an information search, find out the characteristics

13 Jun HNSC 4240 Medical Nutrition Therapy – Do an information search, find out the characteristics

nstruction: Read the following case and complete the questions. Please type your answers. The assignment must be turned in on time. One point will be deducted for each day that the case study is late.

Please read the case below carefully then answer the questions.

Client Name:Scott Seyer

DOB:12/3

Age:62

Sex: male

Education:High school

Occupation:Retired

Marital status:Married

Household members:Wife, two sons

Weight:165lb

Height:6’2”

Ethnicity: Non-Hispanic white

Patient summary:

Patient is a 62-year-old male with a history of lung cancer. He was first diagnosed with limited small cell lung cancer 1 year ago. He initially received radiation therapy and has been followed for the previous year. He now presents with a new tumor on his left upper lobe, multiple mediastinal lymph nodes, and a left supraclavicular node. Complaint of shortness of breath, fatigue and lack of appetite. Chemotherapy is now planned.

Family History:Mother- breast cancer; Father- MI

Tobacco use:quit 1 year ago- smoked 1 PPD for >40 years

Food Allergies:NKFA

Physical exam:

Vitals: Temp 98.1 F, BP 118/80 mmHg, HR 80 bpm, RR 16 bpm

Extremities: Muscle weakness

Abdomen: Bowel sounds positive, soft; nontender, nondistended

Skin: warm and dry

Nutrition history:

Patient stated that his appetite was always good before the diagnosis. He was an active smoker but that never affected his appetite. When he was put on radiation therapy, he couldn’t swallow anything and had to be put on tube feed for a few months. Now he gradually gets his swallowing ability back but he is too tired to eat anything. He doesn’t feel hungry either. Patient doesn’t have much knowledge about nutrients. He just eats whatever he feels like eating.

Usual dietary intake:

AM- coffee, juice or fruit (patient said he’s not a morning person)

Lunch- rice (softly cooked), pasta, or mashed potatoes, some cheese on top

Dinner- Vegetable soup, steamed vegetables, 1 scrambled egg or some meat

Drinks coke throughout the day (usually 3 12-oz cans).

Laboratory values:

Normal

Patient’s value

Units

Blood work

Sodium

136-145

138

mEq/L

Potassium

3.5-5

4.0

mEq/L

Calcium

9-11

10.3

mg/dL

Albumin

3.5-5

3.5

g/dL

WBC

4.8-11.8

4.5 L

x103/mm3

RBC

4.5-6.2

2.8 L

x103/mm3

Neutrophil

50-70

48.3 L

%

Lymphocyte

15-45

33.1

%

ANSWER THE FOLLOWING QUESTIONS

1. Do an information search, find out the characteristics, treatments and prognosis of small cell lung cancer (15 pts).

2. Calculate the calorie and protein requirements for this patient (10 pts).

3. Point out major nutrition concerns based on the patient’s medical and nutrition history and dietary recall and point out potential consequences if these concerns are not addressed (10 pts).

4. The patient is going to start chemotherapy. Suppose you will need to discuss with him about the nutrition impact symptoms that can occur due to chemotherapy, identify four symptoms and provide recommendations to address those symptoms (20 pts).

5. Design a high protein high energy dish that provides at least 300 kcal and 15 g protein per cup and is easy to consume. Include the nutrition facts of your recipe. Explain to the patient why your recipe is appropriate for his condition (15 pts).

6. There are a lot of fad diets that claim to prevent or treat cancer, such as the Gerson therapy, Budwig diet, Macrobiotic diet, Alkaline diet, Juicing, and Raw diet. Choose one of these diets, describe the main points of the diets, discuss potential risks and benefits, identify at least one peer-reviewed scientific article (citation must be provided) related to the diets and describe the findings from that article, then give your own conclusion about the scientific soundness of the diet. What recommendations would you give the patients if they want to go for these diets? Your answer should not exceed 1 page, 12-pt font size (30 pts).