Case Study
Ms.S is a 40 yo F admitted to the hospital with nausea and vomiting.She had a Roux en Y gastric bypass 2 mo ago.She reports that her symptoms have been persistent for 2 weeks and she cannot keep any food down, not even Gatorade.She reports not taking any vitamin and mineral supplements recommended by the RD because "they taste bad."
HT: 5'4" WT: 200# UBW: 245#
Usual intake: Diet: NPO
AM toast with butter
Noon half a tuna sandwich
Snack Nutri-Grain bar
PM mashed potatoes with gravy
Snack ice cream
-After you interview Ms S and prioritize her problems, you determine that the nutrition diagnosis for her would come from which domain?

Question

Case Study
Ms.S is a 40 yo F admitted to the hospital with nausea and vomiting.She had a Roux en Y gastric bypass 2 mo ago.She reports that her symptoms have been persistent for 2 weeks and she cannot keep any food down, not even Gatorade.She reports not taking any vitamin and mineral supplements recommended by the RD because "they taste bad."
HT: 5'4"         WT: 200#        UBW: 245#
Usual intake:                    Diet: NPO
AM         toast with butter
Noon      half a tuna sandwich
Snack     Nutri-Grain  bar
PM         mashed potatoes with gravy
Snack     ice cream
-After you interview Ms S and prioritize her problems, you determine that the nutrition diagnosis for her would come from which domain?

Quizplus · Accepted Answer

Ms. S's symptoms of nausea and vomiting and inability to tolerate any food or fluids indicate a potential issue with intake domain. The fact that she is not taking her recommended vitamin and mineral supplements also supports this domain. Ms. S's symptoms suggest inadequate nutrient intake, and her failure to comply with recommended supplements reinforces this assessment. Therefore, her nutrition diagnosis would come from the intake domain.

Case Study Ms.S Is a 40 Yo F Admitted to the Hospital