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NR 228 Week 5 Discussion Question (Case Study Discussion)
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NR 228 Week 5 Discussion Question (Case Study Discussion)
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NR 228 Week 5 Discussion Question (Case Study Discussion)You are asked to see Mr. Basset, who is 80 years old, currently living alone, and has recently
lost his wife. His children do not live nearby, but Mr. Basset sees them on holidays. Mr.
Basset was recently diagnosed with lung cancer and has had an unexplained weight loss of
20 pounds in 3 months. He is getting chemotherapy as wellas taking oral medication for
hypertension and arthritis, and is showing signs of dehydration.
Mr. Basset reports that his wife did most of the cooking and he has limited cooking skills.
He usually has cereal with milk and coffee for breakfast and soup for a second meal later in
the day. He eats crackers throughout the day if he is hungry, but admits that he doesn’t
have much of an appetite. In addition, Mr. Basset has ill-fitting denturesand claims that
food just does not taste the same. He is also on a limited budget.
As people age, their body systems, including immune systems are going to function
less as compared to other population groups. Since Mr. Basset is 80 years old and his body
system is declining. Besides his age, he has lung cancer, arthritis, and hypertension. He has
not consumed enough nutritious foods to maintain his weight anddiseases. Weight loss in
older adults is often associated with a loss of muscle mass, which will eventually influence
their mobility or functional status (Grodner, Roth, & Walkingshaw, 2012). Also, he is
getting chemotherapy. The side effects of chemotherapy include loss of appetite, accelerate
weight loss, and loss of muscle mass(McGinley, 2016). Proper nutrition is one of the
important factors that need to be taken care for cancer patients. He is also not able to eat
well because he has ill-fitted dentures.
Mr. Basset may not have enough budgets to cover his expenses. Other factors might
be depression because he recently lost his wife and living alone. It seems there isnot
enough social support for him. He is also not able to enjoy his life because of cancerand
other diseases. All of the above factors might have contributed to his psychosocial and
weight loss.
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