Introduction
A blood test should be conducted. There should be enough samples of her blood to check the cell count, vitamin B12 folate, and also iron. There should also be a test for protein level, to check for transferring retinol-binding protein, and also albium (Barbara 33). Betty should be questioned and asked what she has been ting and for how long. She should give details of her everyday diet and how often she haves her meals. She should provide details of what she usually eats what is challenging to get. She should be asked if she balances her diet, or she eats what is available. This is a dietary type of nutrition assessment. Betty should be able to give more details about her lifestyle and what surrounds her, for example, fruits and domestic animals like a cow or hen, which can provide her nutritious proteins.
Screening tools
Many screening tools include the growth charts, but in hospitals, the tool that is mostly used is the NRS-2002, this means the nutritional risk screening. It is used to determine how much the malnutrition has manifested in the boy. It should be specific and sensitive. In every clinic, while dealing with malnutrition, the NRS should be protocol so that if the results are positive, treatment starts immediately. The tool takes a short while to give results. It is mostly a questionnaire which the patient fills or answers, and it is used to determine the level of malnutrition. It also helps in the prevention of health-related problems caused by malnutrition. The tool has four categories in the questionnaire, and if any of the categories test positive, then the patient is referred to a dietary and follow up is made. Immediate action is taken to help and care for the patient.
BMI and weight
Bettys' BMI is at 25.4, meaning she is overweight. The BMI is tested by dividing the overall bodyweight by the current height. AS much her weight is reducing at a fast rate, she is still overweight. The anthropometric results have shown that her BMI is under the category of overweight people since it is above 25. There is some nutrition risk that Betty is likely to face. Overweight people are prone to several diseases. Due to her BMI, she is likely to get heart disease or even blood pressure. Malnutrition causes obesity, and in this case of Betty is has contributed greatly to the condition. The usual body weight has changed and reduced in percentage. Her usual body weight is 169, while her current body weight is 143. In percentage, this is the difference
169% -143%=26%
169\100 -143/100=26/100
26%
Malnutrition
To determine malnutrition, there are specific details that I must find out from the patient. They include how they are feeling the temperatures. If the person is always feeling cold, then that could be assign. Also, the history of getting ill, how often the person falls ill, and how long it takes to heal. If they fall ill more often and take time to heal, then that also is a sign. If there have been wounds and how long they took to heal. I will also observe the body tissue if there is any loss of fat or muscle mass. Lack of appetite and depression is also information that would help in this case. I would also look at the pattern of how they do things o that a conclusion can be made.
Social History
Since Betty lives alone, she could be lonely and stressed. Her lifestyle sounds soo only, and this could be the cause of her malnutrition. She lives a lifestyle of hopelessness, and this could be depressing her. As she talks about her past life, you notice that she is depressed and confused. Since the death of her husband, he just lives without really taking care of herself. As much she lives in the village where farm produce is in plenty, she finds no joy or satisfaction in living a healthy lifestyle. As much as she needs a dietary, she also needs a counselor. Betty could still be mourning her husband, who passed on six months ago, and that is when her eight starts to drop. She is still in deep thoughts, and yet to accept that her husband died. Sometimes she does not cook, and other times she just ate over nutritious food, which makes her situation worse. Betty needs a feeding program with all the necessary information. She also needs exceptional follow up until she gets better.
Physical findings
While conducting the physical nutrition-focused finding exam, the results are usually almost accurate. The review is generally done by an RDN, which stands for registered dietitian nutritionists. These are experts who can convert the nutrition science into practical solutions and help live a positive, healthy lifestyle. During the exam, the RDN shul gets a private yet comfortable place. It should have no distractions, and the patient should be ready to go through the review. The RDN should lookout for a sign of malnutrition and also nutrient deficiencies. After completing the exercise, he should interpret the findings and give solutions. They should do follow up with the patient.
Nutrients
After the physical finding, the patient is advised on specific nutrients that will help boost their health. Calcium is good for the bones. Vitamin D is also essential, and it is found in salmon, juices, cereals, and tuna. Fiber is also useful for digestion of food, and it is found in whole grain, beans, fruits, and even vegetables. Folic acid reduces anemia, while vitamin B12 helps in nerve functioning. Vitamin B12 is found in fish, milk, poultry, and even eggs. Potassium is also useful, and it is found in fruits and vegetables. Plenty of freshwaters should also be considered as well as physical exercises (Chung 24). Among the nutrients, the patient should try and adopt a habit or lifestyle that is healthy. Stress should be dealt with and should not let it ruin one's health. The diet is to be made a lifestyle instead of giving it days them going back to the same old habits. This would make no progress.
ADIME
This is a process to ensure that there is a high-quality process to determine malnutrition and to offer care to patients. The process is called; Assessment Diagnosis Intervention Monitoring Evaluation. This is the whole process that takes place until the patient gets help and attention. Assessment is the first stage where the situation is checked to identify if the symptoms are that of nutrition issues. Diagnosis is the next whereby several tests are done even in the lab so s to identify the real root of the problem (Med 29). Intervention is the middle stage where the solution, treatment, and care is given. Monitoring the patient after the procedure as wells following up on them until they get better. Evaluation is the last stage whereby one is evaluated on how they responded and if there is a need to go on with the medication. High priority is always the diagnosis stage since that is what shows the root of the problem.
Works Cited
Barbara, Gordon. "Malnutrition in old age." (2019).
Chung, Christine. "Obesity and malnutrition." Malnutrition Deeply; Two sides fone crisis (2017).
Med, J Clin. Nutritional Risk screening and Assessment. Online. (2019)
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Essay on Blood Test: Check Cell Count, Vitamin B12, Iron, Protein, Retinol-Binding Protein & Albium. (2023, Apr 09). Retrieved from https://proessays.net/essays/essay-on-blood-test-check-cell-count-vitamin-b12-iron-protein-retinol-binding-protein-albium
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