An 80-year-old male patient has end-stage Alzheimer's and has recently been diagnosed with severe dysphagia. This patient is getting discharged from hospital. His height is 5' 9" and he weighs 162 pounds with no recent changes in weight.
-What is the correct amount of kcals needed to maintain the normal body weight of this patient?

Question

Quizplus · Accepted Answer

To calculate the caloric needs for an 80-year-old male patient with severe dysphagia, we use the Mifflin-St Jeor equation, which is considered more accurate for estimating basal metabolic rate (BMR). For men, the equation is: BMR = 10 * weight(kg) + 6.25 * height(cm) - 5 * age(y) + 5. Given the patient's weight is 162 pounds (73.5 kg) and height is 5'9" (175 cm), and age is 80 years, the BMR calculation would be approximately 1458.75 kcal/day. Considering activity factors for sedentary to lightly active elderly individuals (1.2-1.3), the total caloric needs would be in the range of 1750 to 1896 kcal/day, which aligns closest with option B (1840-2210 kcal), taking into account a slight margin for error and the need for additional calories to maintain weight, especially considering the patient's condition which might alter his nutritional needs.

An 80-Year-Old Male Patient Has End-Stage Alzheimer's and Has Recently