There is two different case studies and their plan of action all you need to do is respond back to both students because these are discussion board. like 1 and 1/2 paragraphs for each study The client who I chose to do a mini nutritional assessment on is an 84-year-old male Caucasian male with a late stage of dementia. He is my grandfather and lives in my house with my family and I. He has been living with us for at least five years up to this point. This person is not at risk for malnutrition and is not malnourished. The MNA shows that he is actually in a normal range for his nutritional status. As you can see from the form attached, he is pretty much all within good ranges for each concept in regards to his nutrition. He has no pressure ulcers, he can feed himself, and with him living her with us we are constantly taking care of him and making sure he is getting enough of the needed nutrients and is safe and moving around frequently. He is in good spirits, just needs a little extra help sometimes. Care Plan: Short-term Goals First short term goal would be to limit his sugar intake in the mornings. He has been seen consuming too much coffee cake/desserts/pie in the morning with his coffee while reading the paper. He is often uninterested in drinking water, so I think it would help him if he were to incorporate more glasses of water in his day/diet. Care Plan: Long-term Goal One long-term goal that would be crucial for this person would be what will his future nutrition going to look like? Right now, with him being here constantly around a family member, he is getting his medications on time with water and food, he is getting at least 3 square meals a day, and he is getting good healthy meals during the day with snacks intermittently. At some point, he will require the need for professional help either in an assisted living center or a nursing home. It is a concern that he will not be given the proper amount of attention or adequate nutrition when in a place like that. So, a long-term goal for him in regards to his nutrition, would be to make sure that if he ever changes locations, he is monitored and helped very frequently in this area. Education For right now, this patient does not need to be educated on how to feed himself and on how to eat/chew/swallow. He is sufficient in that area. He needs to be educated on why it is important to eat three meals a day and why it is important to drink enough water. The problem with him though is that with his dementia he forgets to do so, but if he has the help of our family he will continue to have adequate nutrition levels as he does now. Again, if he were to change locations, the staff would need to make sure he is being taken care of as we take care of him here. If this happens, I have no doubt he will meet these goals listed above and he will be able to successfully maintain optimum nutrition. He should be sure to stay away from beer, processed meats and cheeses, microwavable popcorn.

1. There is two different case studies and their plan of action all
you need to do is respond back to both students because these
are discussion board. like 1 and 1/2 paragraphs for each study
The client who I chose to do a mini nutritional assessment on is
an 84-year-old male Caucasian male with a late stage of
dementia. He is my grandfather and lives in my house with my
family and I. He has been living with us for at least five years
up to this point. This person is not at risk for malnutrition and
is not malnourished. The MNA shows that he is actually in a
normal range for his nutritional status. As you can see from the
form attached, he is pretty much all within good ranges for each
concept in regards to his nutrition. He has no pressure ulcers, he
can feed himself, and with him living her with us we are
constantly taking care of him and making sure he is getting
enough of the needed nutrients and is safe and moving around
frequently. He is in good spirits, just needs a little extra help
sometimes.
Care Plan: Short-term Goals
First short term goal would be to limit his sugar intake in the
mornings. He has been seen consuming too much coffee
cake/desserts/pie in the morning with his coffee while reading
the paper.
He is often uninterested in drinking water, so I think it would
help him if he were to incorporate more glasses of water in his
day/diet.
Care Plan: Long-term Goal

2. One long-term goal that would be crucial for this person would
be what will his future nutrition going to look like? Right now,
with him being here constantly around a family member, he is
getting his medications on time with water and food, he is
getting at least 3 square meals a day, and he is getting good
healthy meals during the day with snacks intermittently. At
some point, he will require the need for professional help either
in an assisted living center or a nursing home. It is a concern
that he will not be given the proper amount of attention or
adequate nutrition when in a place like that. So, a long-term
goal for him in regards to his nutrition, would be to make sure
that if he ever changes locations, he is monitored and helped
very frequently in this area.
Education
For right now, this patient does not need to be educated on how
to feed himself and on how to eat/chew/swallow. He is
sufficient in that area. He needs to be educated on why it is
important to eat three meals a day and why it is important to
drink enough water. The problem with him though is that with
his dementia he forgets to do so, but if he has the help of our
family he will continue to have adequate nutrition levels as he
does now. Again, if he were to change locations, the staff would
need to make sure he is being taken care of as we take care of
him here. If this happens, I have no doubt he will meet these
goals listed above and he will be able to successfully maintain
optimum nutrition. He should be sure to stay away from beer,
processed meats and cheeses, microwavable popcorn, and white
foods specifically since these foods are not good for dementia
patients (Mole, 2018).

3. Follow-up Care
As stated earlier, right now this patient is not at nutritional risk.
However, in a few weeks it would make sense to check again
his levels and make sure he is still within proper range. When
doing so, we can check to see if he is more hydrated, has clear
urine, and this would help indicate that he has been drinking
more water. Also, we can try to take away the coffee cakes in
the morning to reduce the sugar intake. Giving him once slice
and putting it away would be helpful and this could be a part of
his education, as well as a part of the follow-up care. Lastly,
follow-up care would involve checking with a professional to
see if his nutrition is still normal if he switched locations. If he
was still living with my family in a few weeks, we would check
at his next doctor’s appointment to see if we are making sure we
are doing a good job to keep his nutritional levels where they
need to be.
The person that I interviewed is a 69 year old male. He is
relatively active and does not show much if any signs of
cognitive decline. His total MNA assessment score was 20,
which puts him at risk for malnutrition. The main factors
placing him at a risk for malnutrition are a moderate decrease in
food intake leading to a loss of 4.5 lbs in the past 3 months. The
patient does not have adequate intake of legumes or vegetables
in his diet either.
Short Term Goals

4. Increase his intake of legumes, fruits and vegetables to at least
2 servings per day. Especially his intake of vegetables as he has
expressed that he does not eat very much vegetables at all.
Increase his overall food intake including well rounded,
nutritious meals.
Long Term Goal
Gain back the 4.5 pounds that were lost due to decreases in food
intake over the next 3 months.
Education
Research has showed a direct link between the intake of fruits
and vegetables to a reduced risk of mortality among older adults
(Nicklett & Kadell, 2013). The patient should increase his
intake of green, leafy vegetables as this will give him vitamin K
which promotes blood clotting and reduce bone fragility.
Increasing the patients intake of legumes will also be helpful to
supply him with good energy for his daily activities as they are
filled with carbohydrates. Increasing his legume intake will also
provide him with his daily fiber which will help with digestion.
The patient should continue being active as this will keep his
mind sharp and promote healthy cognitive function.
Follow Up Care
In 3 months, revisit the patient to see if he has accomplished his
long term goal in gaining back the 4.5 pounds that he had lost
from decreased food intake. Also, assess his diet and ensure that
he is taking at least 2 servings of fruits and vegetables per day.