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Assignment:
Background information: Imagine a nutritionist working as an 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 the company. The supervising RD asks the nutrition assistant to perform a preliminary nutrition assessment based on referral 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: The patient has been on a common proton-pump inhibitor (PPI) for management of GERD for many years. Further outpatient nutrition consulting and assessment is requested by the primary care physician. The doctor prescribed an increased dosage of the medication and expects that the patient will need to be on this medication for continued long-term management of GERD. The patient is complaining of tiredness, recent depression, some odd numbness/tingling in his toes. He also thinks that he has gotten sick a lot more since his PPI (proton-pump inhibitor) medication dosage has been increased.
Imagine that the supervising dietitian has asked the nutritionist to design a nutrition intervention and management protocol that will address the patient's nutrition issues and the underlying nutritional status that may contribute to the overall need for the patient to be on anti-GERD medication.
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