Mr. Bradley is a 70-year-old man with a long medical history including uncontrolled diabetes mellitus since age 45 who presents to the West Smithtown Dialysis Center with new-onset end-stage kidney disease. Mr. Bradley lives in an assisted living facility where he receives full-time nursing care. As a dialysis nurse, your role is to review the nutrition guidelines with Mr. Bradley, who has diabetic retinopathy and loss of vision. He is a non-ambulatory war veteran, former smoker, and former alcohol abuser whose BMI is normal, though he has lost 3% of his body weight since being diagnosed with kidney failure one month ago. A food frequency questionnaire shows that Mr. Bradley generally meets his recommended intakes of all food groups, but his fiber intake is low, and his dairy foods consumption exceeds the recommendation by double due to his love of milk, ice cream, cheese, and other dairy products.

-Since this is Mr. Bradley's first visit to the center, his primary care nurse spends hours speaking to him while his dialysis progresses. The nurse explains that within the next week he will be seen by _____, who will counsel him about his nutrition therapy.

Question

Mr. Bradley is a 70-year-old man with a long medical history including uncontrolled diabetes mellitus since age 45 who presents to the West Smithtown Dialysis Center with new-onset end-stage kidney disease. Mr. Bradley lives in an assisted living facility where he receives full-time nursing care. As a dialysis nurse, your role is to review the nutrition guidelines with Mr. Bradley, who has diabetic retinopathy and loss of vision. He is a non-ambulatory war veteran, former smoker, and former alcohol abuser whose BMI is normal, though he has lost 3% of his body weight since being diagnosed with kidney failure one month ago. A food frequency questionnaire shows that Mr. Bradley generally meets his recommended intakes of all food groups, but his fiber intake is low, and his dairy foods consumption exceeds the recommendation by double due to his love of milk, ice cream, cheese, and other dairy products.
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-Since this is Mr. Bradley's first visit to the center, his primary care nurse spends hours speaking to him while his dialysis progresses. The nurse explains that within the next week he will be seen by _____, who will counsel him about his nutrition therapy.​

Quizplus · Accepted Answer

Mr. Bradley needs counseling from a dietitian who specializes in chronic kidney disease. This is because he has end-stage kidney disease, uncontrolled diabetes mellitus, and his nutrition needs to be tailored according to his medical history and current condition. The dietitian will provide him with specific guidelines for fiber intake and dairy intake. The physician oversees all aspects of the client's medical care, while other options like another client who has been following the diet for years, a pharmacist, and a phlebotomy nurse are not appropriate for nutrition counseling in this case.

Mr Bradley Is a 70-Year-Old Man with a Long Medical