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
-Which of the following is a potential "etiology" for the nutrition diagnosis's PES statement? Keep in mind the domain that you have chosen in question 29

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
-Which of the following is a potential "etiology" for the nutrition diagnosis's PES statement? Keep in mind the domain that you have chosen in question 29

Quizplus · Accepted Answer

Ms. S's persistent nausea and vomiting and inability to keep down even small amounts of food or fluids suggest an altered function of her GI tract. This may be due to complications from the Roux-en-Y gastric bypass surgery she underwent two months ago. Lack of nutrition education, psychological effects of surgery, and harmful beliefs about food may also contribute to her overall nutrition status, but they do not necessarily explain the specific symptom of vomiting. The nutrition diagnosis's PES statement indicates that Ms. S is experiencing symptoms of nausea and vomiting and is unable to keep any food down, which suggests an altered function of the GI tract. This could be a potential etiology for her nutrition diagnosis. Other options such as lack of nutrition education or harmful beliefs about food may also contribute to her condition, but altered GI function is the most relevant factor based on the information given. The psychological effects of surgery may also contribute, but there is no clear evidence to suggest this is a cause in this case.

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