Unit 9 Assignment: Nutrition Care Plan for COPD
Unit 9 Assignment
Unit outcomes addressed in this Assignment:
Explain the impact that ventilator support has on a person’s nutritional
requirements.
Explain the role that dietary intake plays in the management of COPD.
Course outcome(s) addressed in this Project:
NS335-3: Create a nutrition care plan for a specific disease state using the nutrition
care process.
N8335-6: Choose the appropriate type of nutrition support for a patient who is unable to
consume a normal oral diet.
Instructions:
Review the following case study details for a patient with COPD and respiratory failure:
Mr. C is a 72-year-old male who was admitted to the hospital 2 days ago complaining of
shortness of breath. Mr. C has acomplicated medical history that includes: COPD,
HTN, depression, obesity, and sleep apnea. Mr. C has smoked since the time he was a
teenager. He is a retired auto-mechanic and is married to his wife, Mrs. C. Mr. C is 5’10″
and 240 pounds. He has been instructed to follow a heart healthy diet and to lose
weight, but his wife reports that he is non-compliant with any dietary therapy. He is
currently taking a diuretic, a blood pressure medication, and an anti-depressant, and he
uses an inhaler when SOB (shortness of breath). The patient uses a breathing mask at
night due to his sleep apnea history. His wife reports that she recently bought him a
special multi-vitamin containing omega 3 fatty acids. It is designed to help older men’s
hearts and other medical issues.
Upon admission to the hospital, Mr. C’s respiratory status declines, and the ER
physician decides to intubate the patient in order to deliver proper oxygenation. The MD
also starts the patient on IV fluids consisting of NS (normal saline) for hydration. While
on ventilator support, the patient is sedated and is unable to talk or consume an oral
diet. The medical chart notes from the pulmonologist reveal that there are no immediate
plans to extubate the patient (wean from the ventilator). Currently, the laboratory lab
values of the patient are all within normal limits (WNL). However, upon admission and
before vent support was initiated, his labs were abnormal. Some affected lab values
were: Co2, BUN/Cr, pH, and Na. The patient has had an NPO (nothing by mouth) diet
order status for 4 days and has only received IV fluids for intake. The nursing notes
reveal that he has normal urine output and bowel sounds are present and normal.
As a nutrition professional working at this hospital, you are to start the nutrition care
process on this patient. Your hospital has a protocol to see all patients that have NPO
diet orders and/or are on the ventilator for more than 4 days. You have NOT received a
doctor’s consult for a tube feeding (enteral) order; however, it is imperative that this
patient is assessed and appropriate nutrition recommendations are made.
For this Assignment, you will write a descriptive essay concerning COPD. You will
explain the disease itself and how you will develop a nutrition care plan for the case
study patient. Your descriptive essay should include the following:
1. Describe COPD, its risk factors, and its common treatments.
2. Explain Mr. C’s current status. Describe why he was intubated and how
vent support can impact a patient.
3. What are the nutrition therapy goals for a patient with COPD receiving
vent support?
4. What are your specific nutrition therapy recommendations for Mr. C while
he is on ventilator support? Include estimated calorie and protein requirements
and the method(s) for how he should receive these nutrients (enteral, parenteral,
or oral diet/supplements). You do not need to include details of specific brands,
amou nts/serving sizes and/or infusion rates.
5. When the condition of the patient improves and he is taken off the vent,
what are your recommendations for nutrition therapy for Mr. C upon discharge
from the hospital? What are some specific diet plans, oral drink supplements, or
vitamin/herbal therapies that may benefit Mr. C?
6. Appendix: Write a Nutrition Care Plan/Chart note on this COPD patient,
addressing the current clinical situation of the patient. Write this note as though
you were the nutrition professional caring for this patient in a hospital setting.
Please refer to Box 1 1-1 for Nutrition diagnoses terms and to Tables 11-3 and
11-4 in your textbook for information on the ADIME chart note process.
Requirements:
Your descriptive essay should be written in paragraph format, including an
introduction, body, and conclusion. Refer to the structure provided below. The
viewpoint and purpose of this essay should be clearly established and sustained.
Your writing should be well ordered, logical and unified, as well as original and
insightful. Your work should display superior content, organization, style, and
mechanics.
Your writing should:
Follow the conventions of Standard American English (correct grammar,
punctuation, etc.).
Include a title page and reference page.
Follow APA style format and citations guidelines, including Times New Roman
12-point font and double spacing. The minimum page requirement is 2 pages not
including the title page, reference page, and appendix.
Include at least 4 references. References may include your textbook, other
textbooks, and scholarly websites and journal articles. Use APA style for all
citations, including course materials.
For additional support, utilize the GEL 1.1 Universal Writing Rubric
and review Writing Center Resources in Doc
Sharing.
Please organize your essay in the following paragraph format. Please see
University Writing Center for more information regarding essay and paragraph format.
Section 1: Introductory paragraph(s) (incorporate your response to question 1)
Section 2: Body paragraph(s) (incorporate your response to question 2)
Section 3: Body paragraph(s) (incorporate your response to question 3)
Section 4: Body paragraph(s) (incorporate your response to question 4)
Section 5: Concluding paragraph(s) (incorporate your response to question 5)
Appendix: Nutrition Care Plan/Chart note
Submitting your work:
Submit your Assignment to the appropriate Dropbox. For instructions on submitting your
work, view the Dropbox Guide located under Academic Tools at the top of your unit
page.
Please be sure to download the file “Writing Center Resources” from Doc Sharing to
assist you with meeting APA expectations for written Assignments.
To view your graded work, come back to the Dropbox or go to the Gradebook after your
instructor has evaluated it. Make sure that you save a copy of your submitted work.