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reading is one of my favorite pastimes. My current favorite author is Sarah J Maas. My favorite Genre is Fantasy.

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One of my favorite hobbies is cheerleading. I cheer here at Eastern University and i love it.

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one of my main goals is to become a nurse. I have always wanted to work in the health care field

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this is my puppy who's not a puppy anymore. I love her shes a big sweet heart.

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I enjoy doing my hair. I like to be creative in how i express myself through my hair

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BMI: 24.3 (this is within a healthy weight range)

before pregnancy: 130

current weight during pregnancy: 142

does not take prenatal vitamins

has food insecurities (more than likely due to the fact she only consumes mostly fast food)

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recommendation:

Patient BMI is within a healthy range, would suggest healthy alternatives at fast food restaurants (for example: salad or fruit instead of fries)

will refer to a dietitian to discuss food insecurities and the normalcy of gaining weight with pregnancy.

Will also advise her to reach out to her insurance provider to see if they can approve her for prenatal vitamins.

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Newborn Baby

1 day old. 7 pounds and 1 oz

breastfed but had issues latching

Mother is requesting help with breastfeeding

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breastfeeding/lactation benefits:

I would recommend breastfeeding because babies who are breastfed have lower chances of getting illnesses and diseases. I will also provide packets and pamphlets on all the benefits if the patient is interested.

for difficultly latching: I would advice the patient to massage her breast when trying to feed the baby so that some milk drips out into the baby's mouth, signaling feeding time.

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patient age: 33 years old

gender: female

asthma, obesity, DM

COVID 19

emergency intubation in ED, transferred to icu, and is being probed

time since admission: 32hrs

nutrition: no support initiated

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PT. 1

As the nurse, what would your initial recommendations be?

as a nurse I would follow ASPEN recommendations

I would attempt to feed safely in the prone position, making sure I am watching for signs of intolerance.

PT. 2

The patient has an Ileus. For the patients' plan of care moving forward, I would delay any further attempts to oral feed. I would then suggest the Enteral tube feeding method.

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patient age: 45 years old

gender: male

past medical history: obesity, high blood pressure, high cholesterol.

Found to have an  anastomotic leak

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Patient: Male

Past Medical History: Cardiovascular Disease, Hypertension, Diabetic, Chronic Kidney Disease on Hemodialysis 3x a week

admitted for emergent dialysis after missing 5 days of HD

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As a nurse, nutritionally I would recommend the client try out the Dash and Mediterranean diet. I would explain that the dash diet is high in fruits, vegetables, lean proteins, and low-fat dairy products. it is low in saturated fat, red meat, sweets, and sugar-sweetened beverages. I would then explain that the Mediterranean diet consists of an increase in the consumption of unsaturated fats, fruits, vegetables, and fish.

If the patient has any more questions I would refer them to a dietitian.

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A female 15-year-old patient with anorexia nervosa with severe electrolyte abnormalities.

K 3.0mg/dL

Phos 1.5mg/L

Mg 1.2mg/L

refusing meals

exercising 5xs a week

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What would your nutrition recommendations be for this patient?

focus on graduation re-feeding to gain weight back and steady nutrition

What things would you need to look out for when resuming nutrition?

monitor vital signs

weight changes

electrolyte levels

The patient is continuously asking you how much she weighs, how would you respond?

I would respond first by ensuring her that any weight gained is healthy and important to her quality of life. I would then seek the help of the hospitals psych unit before going any further