In this Assignment you are working with the same patient from the previous unit.
Background information: Imagine that you are working as a nutrition assistant under the supervision of an RD at a privately owned nutrition consulting business. A local physician in the area has referred a patient to your company, and the supervising RD asks you to perform a preliminary nutrition assessment on the patient based on the referral information and medical chart information. The patient is a 55-year-old male.
Ht: 6 ft.
Wt: 235 lbs.
Medical history: mild hypercholesterolemia (on Zocor), hypertension (on Toprol). Both are under control with the medications.
New Diagnosis: GERD
Referral notes: Patient has been placed on a common Proton-pump inhibitor (PPI) for management of GERD. Further outpatient nutrition consulting and assessment is requested by the primary care physician. The doctor prescribed the medication and expects that the patient will need to be on this medication for the long term management of GERD. The patient is complaining of tiredness, recent depression, some odd numb/tingling in the toe area of the foot, and also thinks that he has gotten sick a lot more since his PPI (proton pump inhibitor) medication dosage has been increased.
In the previous unit, you assessed the patient’s risk for drug-related nutrient deficiencies. Now, imagine that the supervising dietitian has asked you to design a nutrition intervention and management protocol that will address the patient’s nutrition issues as well as the underlying nutritional status that may be contributing to the overall need for the patient to be on the anti-GERD medication.
Develop a protocol that includes:
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