Final Answer:
The main assessments for Jane should include the Mini Nutritional Assessment (MNA) and a social isolation assessment.
Step-by-step explanation:
The Mini Nutritional Assessment (MNA) should be administered to Jane to evaluate her nutritional status comprehensively. Additionally, conducting a social isolation assessment is crucial to understand the impact of loneliness on her well-being.
Jane, an 85-year-old living alone since her husband's passing, faces challenges with fitting dentures affecting her eating habits. She reports poor appetite, eating few fruits, vegetables, or dairy. Her BMI of 18.5 and weight loss suggest potential malnutrition. The 24-hour dietary recall highlights minimal food intake, emphasizing the need for nutritional evaluation via the MNA. Moreover, her sense of loneliness signifies a need for assessing social connections, as isolation can detrimentally affect health. Recommendations might involve addressing dental concerns, promoting nutrient-dense meals, encouraging social engagement, and possibly involving a nutritionist or support groups to enhance her well-being.
The primary assessments for Jane should include the Mini Nutritional Assessment (MNA) and a social isolation assessment.
Complete question:
In this scenario, you will review a case study, identify the correct assessments, and create recommendations for the patient.
- 1. Review the case study below.
- 2. Respond to the two multiple-select questions.
- 3. Complete a short written response.
Scenario
Jane is an 85-year-old woman who lives alone. Her husband died two years ago. When the weather is nice and she has received her SNAP benefits, she is able to walk to the local grocery store to purchase food, and she cooks for herself. She has dentures, but she reports that don't fit her well. She usually has 1-2 meals a day and states that her appetite is not good. She often eats alone, and she reports that she feels lonely. She doesn't eat many fruits, vegetables, or dairy products. She thinks that she has lost about 5 pounds in the last 6 months. Her current BMI is 18.5, and her calf circumference is 30 cm. She does not exhibit any signs of neuropsychological problems, psychological distress, or acute disease.
Jane's 24-hour dietary recall reveals the following:
- Breakfast: one small, hot tea with lemon
- Lunch: one can of low-sodium chicken soup with a large glass of water
- Dinner: one scoop of mashed potatoes with a large glass of water-shereported that she was not very hungry
- 8 p.m.: one small hot tea with lemon, one small cookie
- Use this Mini Nutritional Assessment to complete the case study.