Dinner at 6:00 - 6:30 3 to 4 dinner/wk: baked chicken breast or pork chop or turkey tenderloin or fish 1 dinner/wk: 8 oz rib eye OR bratwurst 1 dinner/wk: green chile chicken enchiladas or 1 large chimichanga or 3 beef tacos 1 dinner/wk take-out: hamburger or chicken strips 1-2 dinner/wk: some entrées noted above may be Italian or Asian inspired; Pt often uses garlic and onion in her cooking SIDE DISH depending on entrée: large baked potato OR baked sweet potato OR French fries OR onion rings OR ½-3/4 cup brown rice OR ½ cup beans (pinto, black or garbanzo, etc.) OR 1 cup pasta VEGGIES -steamed, roasted or stir-fried: green beans OR carrots OR cauliflower OR Brussels sprouts OR zucchini OR red cabbage OR asparagus OR bell pepper OR Mr. Brock O'Lee OR Mr. Artie Choke Most nights also has a side salad with mixed greens, spinach, cucumber, cherry tomatoes, etc. with vinaigrette and chopped walnuts About 1 dinner/wk: large entrée salad with raw vegetables and grilled chicken, shrimp or salmon Bread on some nights depending on entrée: hamburger bun OR cornbread OR rye bread OR garlic bread OR dinner roll Dessert about 2 nights/wk: small bowl of ice cream OR 1 slice cake OR pudding OR two cookies Iced tea, plain Friday night: 1 beer or 1 glass of wine Beverages thru out the day Water: about 4 to 6 eight-ounce cups Some days: apple juice and/or cranberry juice, one 4 to 8 oz. cup Iced tea, plain: one to two 8 oz. cups. Is change needed? Suggested change If yes, why? Is change needed? Suggested change If yes, why? • As we discussed in class, nutrition education was not appropriate during the initial visit due to her emotional state. You return in two days. She is tolerating the Low Fiber Diet and eating 75% or greater of her meals. Mrs. Flowers is calmer and seems to be adjusting to the colostomy. She has been assessed by the Wound/Ostomy Nurse who instructed her daily for three days on how to take care of her colostomy. Mrs. Flowers tells you that the surgeon is planning to takedown her colostomy in 3 to 4 months. . During your second visit with Mrs. Flowers you obtain a diet history for her typical intake at home. Indicate if a change is necessary for management of her ostomy and why. Also note your suggested change to her menu.

Microbiology for Surgical Technologists (MindTap Course List)
2nd Edition
ISBN:9781111306663
Author:Margaret Rodriguez, Paul Price
Publisher:Margaret Rodriguez, Paul Price
Chapter20: Diseases Of The Eyes, Ears, And Respiratory System
Section: Chapter Questions
Problem 4UTM
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BMI 30.4 55 YOF 5'5" 183 lbs
Dinner at 6:00 - 6:30
3 to 4 dinner/wk: baked chicken breast or
pork chop or turkey tenderloin or fish
1 dinner/wk: 8 oz rib eye OR bratwurst
1 dinner/wk: green chile chicken enchiladas
or 1 large chimichanga or 3 beef tacos
1 dinner/wk take-out: hamburger or chicken
strips
1-2 dinner/wk: some entrées noted above
may be Italian or Asian inspired; Pt often
uses garlic and onion in her cooking
SIDE DISH depending on entrée: large baked
potato OR baked sweet potato OR French
fries OR onion rings OR ½-3/4 cup brown
rice OR ½ cup beans (pinto, black or
garbanzo, etc.) OR 1 cup pasta
VEGGIES -steamed, roasted or stir-fried:
green beans OR carrots OR cauliflower OR
Brussels sprouts OR zucchini OR red cabbage
OR asparagus OR bell pepper OR Mr. Brock
O'Lee OR Mr. Artie Choke
Most nights also has a side salad with mixed
greens, spinach, cucumber, cherry tomatoes,
etc. with vinaigrette and chopped walnuts
About 1 dinner/wk: large entrée salad with
raw vegetables and grilled chicken, shrimp or
salmon
Bread on some nights depending on entrée:
hamburger bun OR cornbread OR rye bread
OR garlic bread OR dinner roll
Dessert about 2 nights/wk: small bowl of ice
cream OR 1 slice cake OR pudding OR two
cookies
Iced tea, plain
Friday night: 1 beer or 1 glass of wine
Beverages thru out the day
Water: about 4 to 6 eight-ounce cups
Some days: apple juice and/or cranberry
juice, one 4 to 8 oz. cup
Iced tea, plain: one to two 8 oz. cups.
Is change needed? Suggested change
If yes, why?
Is change needed? Suggested change
If yes, why?
Transcribed Image Text:Dinner at 6:00 - 6:30 3 to 4 dinner/wk: baked chicken breast or pork chop or turkey tenderloin or fish 1 dinner/wk: 8 oz rib eye OR bratwurst 1 dinner/wk: green chile chicken enchiladas or 1 large chimichanga or 3 beef tacos 1 dinner/wk take-out: hamburger or chicken strips 1-2 dinner/wk: some entrées noted above may be Italian or Asian inspired; Pt often uses garlic and onion in her cooking SIDE DISH depending on entrée: large baked potato OR baked sweet potato OR French fries OR onion rings OR ½-3/4 cup brown rice OR ½ cup beans (pinto, black or garbanzo, etc.) OR 1 cup pasta VEGGIES -steamed, roasted or stir-fried: green beans OR carrots OR cauliflower OR Brussels sprouts OR zucchini OR red cabbage OR asparagus OR bell pepper OR Mr. Brock O'Lee OR Mr. Artie Choke Most nights also has a side salad with mixed greens, spinach, cucumber, cherry tomatoes, etc. with vinaigrette and chopped walnuts About 1 dinner/wk: large entrée salad with raw vegetables and grilled chicken, shrimp or salmon Bread on some nights depending on entrée: hamburger bun OR cornbread OR rye bread OR garlic bread OR dinner roll Dessert about 2 nights/wk: small bowl of ice cream OR 1 slice cake OR pudding OR two cookies Iced tea, plain Friday night: 1 beer or 1 glass of wine Beverages thru out the day Water: about 4 to 6 eight-ounce cups Some days: apple juice and/or cranberry juice, one 4 to 8 oz. cup Iced tea, plain: one to two 8 oz. cups. Is change needed? Suggested change If yes, why? Is change needed? Suggested change If yes, why?
• As we discussed in class, nutrition education was not
appropriate during the initial visit due to her emotional state.
You return in two days. She is tolerating the Low Fiber Diet
and eating 75% or greater of her meals. Mrs. Flowers is calmer
and seems to be adjusting to the colostomy. She has been
assessed by the Wound/Ostomy Nurse who instructed her daily
for three days on how to take care of her colostomy. Mrs.
Flowers tells you that the surgeon is planning to takedown her
colostomy in 3 to 4 months.
.
During your second visit with Mrs. Flowers you obtain a diet
history for her typical intake at home. Indicate if a change is
necessary for management of her ostomy and why. Also note
your suggested change to her menu.
Transcribed Image Text:• As we discussed in class, nutrition education was not appropriate during the initial visit due to her emotional state. You return in two days. She is tolerating the Low Fiber Diet and eating 75% or greater of her meals. Mrs. Flowers is calmer and seems to be adjusting to the colostomy. She has been assessed by the Wound/Ostomy Nurse who instructed her daily for three days on how to take care of her colostomy. Mrs. Flowers tells you that the surgeon is planning to takedown her colostomy in 3 to 4 months. . During your second visit with Mrs. Flowers you obtain a diet history for her typical intake at home. Indicate if a change is necessary for management of her ostomy and why. Also note your suggested change to her menu.
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