Case Study
Mrs.P is a 95 yo F who is a resident of a long-term care facility.The wound nurse was doing her rounds and noticed that Mrs.P has developed a partial thickness loss of dermis, open ulcer with a red-pink wound bed.She is 5'2" and weighs 109 #s.Mrs.P's intake is good as per nurse and care technicians.The wound nurse schedules a nutrition consultation for Mrs.P and discusses her finding with you.
-How many kcalories per kilogram of body weight would you use to estimate her caloric needs?

Question

Case Study 
Mrs.P is a 95 yo F who is a resident of a long-term care facility.The wound nurse was doing her rounds and noticed that Mrs.P has developed a partial thickness loss of dermis, open ulcer with a red-pink wound bed.She is 5'2" and weighs 109 #s.Mrs.P's intake is good as per nurse and care technicians.The wound nurse schedules a nutrition consultation for Mrs.P and discusses her finding with you.
-How many kcalories per kilogram of body weight would you use to estimate her caloric needs?

Quizplus · Accepted Answer

For elderly individuals, the recommended kcalories per kilogram of body weight is typically higher than for younger individuals due to a lower basal metabolic rate. The range for this population is typically 25-30 kcalories per kilogram of body weight. Additionally, Mrs.P has a partial thickness wound which may increase her caloric needs for wound healing. Therefore, B is the best choice. For older adults such as Mrs.P, an estimated energy requirement of 25-30 kcal/kg/day is appropriate due to decreased physical activity and metabolic rate. Additionally, as she has a partial thickness loss of dermis, open ulcer, it is important to provide adequate protein (1.2-1.5 g/kg/day) and zinc (15-30 mg/day) to aid in wound healing. A nutrition consultation can help ensure Mrs.P is getting the appropriate amount of nutrients necessary for healing.

Case Study Mrs.P Is a 95 Yo F Who Is a Resident