Clinical Nutrition Project
Objective: Provide the intern an opportunity to practice in-depth analysis and application of the Nutrition Care Process (NCP), provide constructive feedback to intern peers, and further develop public speaking ability.
Competencies Met:
CRD 1.2 Apply evidence-based guidelines, systematic reviews and scientific literature (such as the Academy’s Evidence Analysis Library and Evidence-based Nutrition Practice Guidelines, the Cochrane Database of Systematic Reviews and the U.S. Department of Health and Human Services, Agency for Healthcare Research and Quality, National Guideline Clearinghouse Web sites) in the nutrition care process and model and other areas of dietetics practice.
CRD 1.3 Justify programs, products, services and care using appropriate evidence or data
CRD 1.4 Evaluate emerging research for application in dietetics practice
CRD 2.1 Practice in compliance with current federal regulations and state statutes and rules, as applicable and in accordance with accreditation standards and the Scope of Dietetics Practice and Code of Ethics for the Profession of Dietetics
CRD 2.2 Demonstrate professional writing skills in preparing professional communications
CRD 1.2 Apply evidence-based guidelines, systematic reviews and scientific literature (such as the Academy’s Evidence Analysis Library and Evidence-based Nutrition Practice Guidelines, the Cochrane Database of Systematic Reviews and the U.S. Department of Health and Human Services, Agency for Healthcare Research and Quality, National Guideline Clearinghouse Web sites) in the nutrition care process and model and other areas of dietetics practice.
CRD 1.3 Justify programs, products, services and care using appropriate evidence or data
CRD 1.4 Evaluate emerging research for application in dietetics practice
CRD 2.1 Practice in compliance with current federal regulations and state statutes and rules, as applicable and in accordance with accreditation standards and the Scope of Dietetics Practice and Code of Ethics for the Profession of Dietetics
CRD 2.2 Demonstrate professional writing skills in preparing professional communications
Abstract: This project examines a 61 year old man with HIV infection, diagnosed with pancreatitis and a pancreatic pseudocyst. The patient presented to the hospital with abdominal pain, nausea and vomiting and had previously been admitted one month prior for similar symptoms. During this time, the pancreatic pseudocyst was evident but not large enough to drain. At the time of his most recent admission, the patient was living at home and on total parenteral nutrition (TPN) and a clear liquid diet, scheduled for a follow-up with a primary and specialty care provider. During the patient’s hospital stay, it was determined that the pancreatic pseudocyst was 9.3 x 7.1 x 12.3 cm, large enough to drain. A cystogastrostomy for pseudocyst and cholecystectomy were performed. Total Parenteral Nutrition and a clear liquid diet were maintained prior to surgery with the TPN requiring adjustments based on glucose and triglyceride lab levels. The TPN and clear liquid diet were continued until the patient was able to advance to solid foods and increase oral intake. At this time, TPN was decreased and eventually discontinued. The patient developed a case of chronic hiccups and attempted to increase his oral intake. The patient was discharged to Genesis Patapsco Valley Center skilled nursing/subacute facility for rehabilitation.
Supporting Documents: Clinical Case Study Report, Clinical Case Study PowerPoint Presentation
clinical_case_study_final.docx | |
File Size: | 37 kb |
File Type: | docx |
clinical_case_study_pp.pptx | |
File Size: | 212 kb |
File Type: | pptx |