endometerial cancer

2.  Name: Prema Latha
 Age: 46
 Gender: Female
 Occupation: House wife
 D.O.A: 7-5-2019
 D.O.D: 16-5-2019
 Number of hospital stay: 10days

3.  Past medical history: Heart disease for
12years
 Family history: none
 Diagnosis : Adenocarcinoma Endometrium
 Procedure/Surgery: Staging Laparotomy,
Pelvic Lymph adenotomy
 Past medication : T.Bedodox, T.Warfarin,
T.kayden(2007)
 Present medication

4. 
laparotomy : a surgical incision into the abdominal cavity, for diagnosis or in
preparation for major surgery.
 A pelvic lymph node dissection (PLND) is surgery to remove the lymph nodes
from the pelvis. A PLND is also called a pelvic lymph adenectomy.

6. TIME/DATE MEDICATION
2007 T.Detatoc
2007 T.Warfarin
8/5/19 Inj.Supacef
8/5/19 Inj.Metris
8/5/19 Inj.Rantac
8/5/19 Inj.Emmset
8/5/19 Inj.Paca

7.  sedentary lifestyle

8.  Height : 148cm
 Weight: 91.8kg
 BMI: 33.21kg/m2
 IBW: 55-60kg

9. 7/5/19 8/5/19 10/5/19
HAEMOGLOBIN 11.6 9.9
P.C.V 38.9 32.6
RBC 4.60
HAEMATOLOGY 2.92
TOTAL
LEUCOCYTES
DIFF. COUNT.
WBC
12100
P 65.7
L 26.0
M 5.0
E 2.8
B 0.5
ESR 22mm
BIOCHEMISTRY
F.B.S RANDOM 90
ESR
COAGULATION
BT 10.5
CT 29.7
ACT 25.9 31.4
PT 1.10 25.9
INR 1.10 1.13 1.11
PTT 11.5 12.4 12.4
TOTAL
CHOLESTEROL
APPT RATIO
1.15 1.22 1.21
THYROID
FUNCTION
T3 19.5 -
T4 4.48 -

10. General appearance Alert, bright
Nails Normal
Hair Normal
Skin Normal
Heart rate Normal
Breathing Slight difficulty
Gastrointestinal state Poor appitie
General vitals Normal
Mobility Bed rest

11. Food history : Vegetarian
Food frequency
Cereals 7/7
Pulses 5/7
Fruits 4/7
Vegetables 7/7
Milk and milk products 7/7
Fish/poultry/meat/egg 0/7

12. Meal Time Menu
Early morning 6.00pm Milk
Breakfast 8.00pm Idly and chutney
Mid-morning 10.30pm Juice
Lunch 1.00pm Rice , veg gravy, poriyal
Tea 5.00pm Tea and biscuits
Dinner 8.00pm Chapthi and Tomato curry
Bed time 10.00pm Milk

13.  None

14.  Nutritional requirements
 ENERGY REQUIREMENTS : 1200 Kcal
@20kcal/kg /IBW
 PROTEIN REQUIREMENTS: 60gms@1gm
Kg/IBW
 Recommended diet : low fat, low cholesterol,
High fibre diet ,CHO >55%

15.  Vitamin k is restricted diet.
 Two or three servings of protein should be
served each day.
 Two or more servings of dairy products can
be given.
 Five servings per day has to be taken.
 The amount of saturated fat in the food has
to be reduced. Include MUFA and PUFA

16. TIME MENU QUANTITY ENERGY PROTEIN FAT CHO
7.00am Tea 120ml 39 1.92 2.4 2.4
8.00am Idly 2 200 6 0.64 40
chutney 25g 25 0.9 5 0.15
10.00a
m
fruit 100g 40 - 10 -
12.30p
m
rice 1cup 170 3.2 - 20
sambar 3/4cup 85 5.6 - 15
beans
poriyal
1/2cup 50 2 0.2 10
4.00pm coffee 120ml 39 1.92 2.4 2.4
8.00pm Idly 2nos 200 6 0.64 40
sambar 3/4cup 85 5.6 - 5
9.00pm milk 120ml 78 3.8 4.8 4.8
Total 1,011 36.94 23.68 139.75

17. TIME MENU QUANTITY ENERGY PROTEIN CHO FAT
7.00am milk 120ml 78 3.8 4.8 4.8
8.00am Idly 2nos 200 6 40 -
Sambar ¾ cup 85 5.6 15 -
10.00am Banana 100g 40 - 10 -
12.30pm Rice 1cup 170 3.2 4.8 4.8
Sambar ¾ cup 85 1 6 0.2
Avarakai poriyal 1/2cup 30 1.92 2.4 2.4
4.00pm coffee 12oml 39 6 15 -
8.00pm idly 2nos 200 5.6 40 -
sambar 3/4cup 85 3.8 4.8 4.8
9.00pm milk 120ml 78
Total 1,090 36.92 142.8 17

18. TIME MENU QUANTITY ENERGY PROTEIN CHO FAT
7.00am milk 120ml 78 3.8 4.8 4.8
8.00am idiyappam 3nos 255 4.8 60 2.4
kurma 3/4cup 68 1 7.9 2
10.00am Tender coconut
water
120ml - - - -
12.30pm Rice 1cups - - - -
Sambar 3/4cups 85 3.8 4.8 4.8
Rasam 100ml - - - -
4.00pm Sundal ¾ cup 100 6 15 0.7
8.00pm Coffee 120ml 39 6 15 -
Idly 2nos 200 6 40 -
sambar 85 3.8 4.8 4.8
9.00pm milk 120ml 78 3.8 4.8 4.8
Total 988 39 157.1 24.3

19. Food sample No of portions Calories Protein(g) CHO(g) Fat(g)
Cereal and millets 5 500 15 100 4
Pulses and legumes 3 300 18 45 2.8
Milk and milk
products
3 210 9 25 9
Roots and
Tubers
0 0 0 0 0
Green leafy
vegetables
0 0 0 0 0
Other vegetables 2 60 3.4 0 .2
Fruits 1 40 0 10 0
Sugar 2 60 0 10 0
Fats and oils 2 60 0 0 10
Total 1260 kcal 45g 190g 25g

20. FOOD
GROUP
PORTION EARLY
MORNING
BREAKFA
ST
MIDMOR
NING
LUNCH SNACKS DINNER BEDTIME
Cereals and
millets
5 2 1 2
Pulses 3 1 1 1
Milk and
milk
products
3 1 1 1
Roots and
tubers
Other
vegetables
3 2 1
Fruits 1 1
Fats and oils 2 1/2 1 1/2
Sugar 2 1 1

21. TIME ITEM QUANTITY ENERGY PROTEIN CHO FAT
Morning
6.30am
Milk 1K 70 3 10 3
Breakfast
8.00am
Idly
Sambar
2nos (big)
¾ k
200
100
6
6
40
15
1.6
0.7
Mid
morning
11.00am
Fruit
salad
3/4k 40 0 10 0
Lunch
1.00pm
Rice
Sambar
Bottle
guard
kootu
Beans
poriyal
Curd
3/4k
1/4k
1k
1k
1k
100
30
30
30
70
3
3
2
2
3
20
5
0
0
5
0.8
0.2
0.2
3
1
Snacks
5.00pm
Sundal 1 ½ cup 100 6 20 0.8
Dinner
8.00pm
Pulka
Rajma
Curry
4nos
3/4k
200
100
6
3
40
15
1.6
0.7
Bed time
10.00pm
Milk 1k 70 3 10 3
Sugar
Fat
10g
10g
60
60
0
0
10
0
10
0

22.  ENERGY:1260 kcal
 PROTEIN:45g
 CHO: 190g
 Fat: 25g