Details

Clinical Cases in Dietetics


Clinical Cases in Dietetics


1. Aufl.

von: Fred Pender

47,99 €

Verlag: Wiley-Blackwell
Format: PDF
Veröffentl.: 16.03.2009
ISBN/EAN: 9781444307450
Sprache: englisch
Anzahl Seiten: 304

DRM-geschütztes eBook, Sie benötigen z.B. Adobe Digital Editions und eine Adobe ID zum Lesen.

Beschreibungen

Learning how to deal with actual cases and developing the ability to arrive at a reasoned clinical judgement are important parts of a student's training.<br /> <p><br /> </p> <p>This unique text presents a series of clinical cases of increasing complexity and range. Readers are taken through a structured way of thinking that facilitates clinical reasoning and the arrival of a justified treatment plan. Each case includes a commentary and opportunities for reflection on practice, and identifies key learning points.</p>
<p><b>The introduction 1</b></p> <p>A casebook approach 3</p> <p>Preface 3</p> <p>Introduction 4</p> <p>How to use this book 5</p> <p>Making the most of the cases 6</p> <p>What you will need 7</p> <p>Making sense of the clinical information 7</p> <p>Interpretation of the clinical chemistry 8</p> <p>Getting started 9</p> <p>Adopting an analytical approach to the cases 10</p> <p>Adopting an analytical approach to the diaries 10</p> <p>Adopting an analytical approach to the referrals 11</p> <p>Acknowledgements 11</p> <p>The cases (and contexts) 15</p> <p>Case 1 Gillian Mercer 17</p> <p>Diabetes</p> <p>Case 2 The Odessa fi le 18</p> <p>Renal disease, haemodialysis</p> <p>Case 3 Darshan 19</p> <p>Renal disease, peritoneal dialysis</p> <p>Case 4 Professor Plum 20</p> <p>Renal disease, pre-dialysis</p> <p>Case 5 Annie 21</p> <p>Renal disease, pre-dialysis</p> <p>Case 6 Jon 23</p> <p>Obesity</p> <p>Case 7 Mr Smart 24</p> <p>Obesity, renal calculi</p> <p>Case 8 Susan Ritzio 25</p> <p>Ulcerative colitis</p> <p>Case 9 Mr Rodger 26</p> <p>Irritable bowel syndrome</p> <p>Case 10 Pauline Trotter 27</p> <p>Obesity, pharmacological management</p> <p>Case 11 Harriet Baker 28</p> <p>Obesity, metabolic issues</p> <p>Case 12 Mr Cunningham 29</p> <p>Functional dyspepsia, weight loss</p> <p>Case 13 Mrs Rose Petroni 30</p> <p>Obesity, infection, wound healing</p> <p>Case 14 Linda Middlemiss 31</p> <p>Arthralgia, food intolerance</p> <p>Case 15 Josh Herriot 32</p> <p>Coeliac disease, new diagnosis</p> <p>Case 16 Carly Carpenter 33</p> <p>Disordered eating in adulthood</p> <p>Case 17 Mr Tony Marshall 34</p> <p>Obesity, renal calculi</p> <p>Case 18 Carrie West 35</p> <p>Bulimia nervosa</p> <p>Case 19 Holly Shakespeare 36</p> <p>Obesity, polycystic ovarian syndrome</p> <p>Case 20 Barry Morgan 37</p> <p>Post-surgical weight loss, appetite failure</p> <p>Case 21 Rayan Hussein 39</p> <p>Iron-deficiency anaemia, ethnic diet</p> <p>Case 22 Peggy 40</p> <p>Dementia</p> <p>Case 23 Cain 41</p> <p>Cerebral palsy</p> <p>Case 24 Abel 42</p> <p>Down’s syndrome</p> <p>Case 25 Lucinda Smythe 45</p> <p>Reactive hypoglycaemia</p> <p>Case 26 Mrs Jolly 46</p> <p>Type 2 diabetes</p> <p>Case 27 Cordelia 47</p> <p>Irritable bowel syndrome</p> <p>Case 28 Josh 48</p> <p>Human immunodeficiency virus (HIV)</p> <p>Case 29 Murdo MacKenzie 49</p> <p>Cardiovascular and colorectal cancer risk</p> <p>Case 30 Anna Walker 50</p> <p>Bone health</p> <p>Case 31 Shirley Stringfellow 51</p> <p>Angioedema, salicylate exposure</p> <p>Case 32 Family tree 52</p> <p>Diet and lifestyle change over time</p> <p>Case 33 <i>RMS Titanic </i>53</p> <p>Dietary judgement of menus</p> <p>Case 34 Maria von Twigg 56</p> <p>Anorexia nervosa</p> <p>Case 35 Alan Wanderlust 57</p> <p>Colorectal cancer</p> <p>Case 36 George and Dragon 58</p> <p>Dementia, weight loss</p> <p>Case 37 Mandy Morton 59</p> <p>Ventilated patient, enteral feeding</p> <p>Case 38 Betty Meldrew 60</p> <p>Breast cancer, weight loss</p> <p>Case 39 Sheila Borrowman 61</p> <p>Chronic pancreatitis, diabetes</p> <p>Case 40 Miss Taylor 62</p> <p>Cancer of lung, cachexia</p> <p>Case 41 Mary Glover 63</p> <p>Coeliac disease, lymphoma</p> <p>Case 42 Pamela Nightingale 64</p> <p>Chronic fatigue syndrome</p> <p>Case 43 Jenny Friel 65</p> <p>Crohn’s disease</p> <p>Case 44 Alan Lehman 66</p> <p>Type 1 diabetes</p> <p>Case 45 Mark 67</p> <p>Attention deficit hyperactivity disorder</p> <p>Case 46 Mary Montgomery and Mary Hamilton 68</p> <p>Oral pathology, nutritional issues</p> <p>Case 47 Sara Bloomfield 69</p> <p>Chronic obstructive airways disease</p> <p>Case 48 Jonny Morgan 70</p> <p>Thinness, faulty diet and health risk</p> <p>Case 49 Patrick Foley 71</p> <p>Burn injury</p> <p>Case 50 Doris Blessing 72</p> <p>Type 2 diabetes, pressure sore</p> <p>Case 51 Rupert St. John Stevens 74</p> <p>Alcoholic liver disease</p> <p>Case 52 Mrs Morningside 75</p> <p>Chronic peptic ulceration</p> <p>Case 53 Mandy Goodenough 76</p> <p>Gestational diabetes</p> <p>Case 54 Mrs Jessie Banks 77</p> <p>Renal disease, type 2 diabetes</p> <p>Case 55 Toby Harris 80</p> <p>Fractured mandible</p> <p>Case 56 John Thomson 81</p> <p>Motor neurone disease</p> <p>Case 57 Daisy Marsden 82</p> <p>Alcoholic liver disease</p> <p>Case 58 Freda Ingram 84</p> <p>Obesity, cognitive behavioural therapy</p> <p>Case 59 Susan O’Connel 85</p> <p>Crohn’s disease, anorexia</p> <p>Case 60 Dominic Pruz 87</p> <p>Ulcerative colitis, loop ileostomy</p> <p>Case 61 Rudi Jordache 88</p> <p>Obesity, behaviour modification</p> <p>Case 62 Glenda Henderson 90</p> <p>Gestational diabetes, obesity</p> <p>Case 63 Daniel Borden 91</p> <p>Head injury, nutritional support</p> <p>Case 64 Shaun Gascoine 92</p> <p>Oesophageal carcinoma</p> <p>Case 65 Frank Calder 94</p> <p>Type 1 diabetes, overweight</p> <p>Case 66 Stanislaw Roza 95</p> <p>Hypertension, ethnic diet, health risk</p> <p>Case 67 Peter Donnelly 96</p> <p>Overweight, hypertension</p> <p>Case 68 John Mortimer 98</p> <p>Stroke</p> <p>Case 69 Maude Ashby 99</p> <p>Stroke, clinical chemistry</p> <p>Case 70 Christopher Smith 100</p> <p>Terminal cancer, palliative care</p> <p>The diaries (and contexts) 103</p> <p>Diary 1 Weight loss, diet patterns 105</p> <p>Diary 2 Migraine, diet exclusion 106</p> <p>Diary 3 Type 2 diabetes, diverticulitis 108</p> <p>Diary 4 Irritable bowel syndrome 109</p> <p>Diary 5 Coronary artery disease, health risk 110</p> <p>Diary 6 Hypertension, renal calculi 111</p> <p>Diary 7 Reactive hypoglycaemia 113</p> <p>Diary 8 Bowel habit, dietary influences 114</p> <p>Diary 9 Constipation, hunger 116</p> <p>Diary 10 Obesity 117</p> <p>The referrals (and contexts) 119</p> <p>Referral 1 Letter 121</p> <p>Mrs Brown (managing serum cholesterol levels)</p> <p>Referral 2 Letter 122</p> <p>Ms Philpott (irritable bowel syndrome)</p> <p>Referral 3 Letter 123</p> <p>Mrs Young (obesity, conflict with medications)</p> <p>Referral 4 Letter 124</p> <p>Mrs Leadbetter (coeliac disease, iron-deficiency anaemia)</p> <p>Referral 5 Letter 125</p> <p>Mr Grant (obesity, hypothyroidism)</p> <p>Referral 6 Letter 126</p> <p>Ms Horvig (abdominal pain, elimination diet)</p> <p>Referral 7 Nutritional screening 127</p> <p>Mr Al-Khatim, Room 221 (prostatic cancer, chemotherapy)</p> <p>Referral 8 Nutritional screening 129</p> <p>Mrs Collins, Room 401 (anterior resection of bowel)</p> <p>Referral 9 Nutritional screening 131</p> <p>Mr Roundman, Room 613 (type 1 diabetes, infection)</p> <p>Referral 10 Handwritten note 133</p> <p>Mrs Lundquist, Room 408 (gestational diabetes)</p> <p>The mini-cases (and contexts) 135</p> <p>Mini-case 1 Multiple sclerosis, obesity 137</p> <p>Mini-case 2 Anterior resection of bowel 137</p> <p>Mini-case 3 Obesity, weight control 137</p> <p>Mini-case 4 Obesity, nutritional screening 137</p> <p>Mini-case 5 Coeliac disease, peer-reviewed information 138</p> <p>Mini-case 6 Type 2 diabetes, dietary compliance 138</p> <p>Mini-case 7 Obesity, aggressive weight loss 138</p> <p>Mini-case 8 Hip replacement, nutritional status 138</p> <p>Mini-case 9 Unconscious patient, feeding issues 139</p> <p>Mini-case 10 Weight loss, older client 139</p> <p>The commentaries 141</p> <p>The commentaries: the cases 143</p> <p>Case 1 Gillian Mercer 143</p> <p>Diabetes</p> <p>Case 2 The Odessa file 144</p> <p>Renal disease, haemodialysis</p> <p>Case 3 Darshan 145</p> <p>Renal disease, peritoneal dialysis</p> <p>Case 4 Professor Plum 145</p> <p>Renal disease, pre-dialysis</p> <p>Case 5 Annie 146</p> <p>Renal disease, pre-dialysis</p> <p>Case 6 Jon 148</p> <p>Obesity</p> <p>Case 7 Mr Smart 149</p> <p>Obesity, renal calculi</p> <p>Case 8 Susan Ritzio 150</p> <p>Ulcerative colitis</p> <p>Case 9 Mr Rodger 150</p> <p>Irritable bowel syndrome</p> <p>Case 10 Pauline Trotter 151</p> <p>Obesity, pharmacological management</p> <p>Case 11 Harriet Baker 152</p> <p>Obesity, metabolic issues</p> <p>Case 12 Mr Cunningham 153</p> <p>Functional dyspepsia, weight loss</p> <p>Case 13 Mrs Rose Petroni 153</p> <p>Obesity, infection, wound healing</p> <p>Case 14 Linda Middlemiss 154</p> <p>Arthralgia, food intolerance</p> <p>Case 15 Josh Herriot 155</p> <p>Coeliac disease, new diagnosis</p> <p>Case 16 Carly Carpenter 156</p> <p>Disordered eating in adulthood</p> <p>Case 17 Mr Tony Marshall 158</p> <p>Obesity, renal calculi</p> <p>Case 18 Carrie West 159</p> <p>Bulimia nervosa</p> <p>Case 19 Holly Shakespeare 160</p> <p>Obesity, polycystic ovarian syndrome</p> <p>Case 20 Barry Morgan 161</p> <p>Post-surgical weight loss, appetite failure</p> <p>Case 21 Rayan Hussein 161</p> <p>Iron-deficiency anaemia, ethnic diet</p> <p>Case 22 Peggy 162</p> <p>Dementia</p> <p>Case 23 Cain 163</p> <p>Cerebral palsy</p> <p>Case 24 Abel 164</p> <p>Down’s syndrome</p> <p>Case 25 Lucinda Smythe 165</p> <p>Reactive hypoglycaemia</p> <p>Case 26 Mrs Jolly 166</p> <p>Type 2 diabetes</p> <p>Case 27 Cordelia 167</p> <p>Irritable bowel syndrome</p> <p>Case 28 Josh 168</p> <p>Human immunodeficiency virus (HIV)</p> <p>Case 29 Murdo MacKenzie 169</p> <p>Cardiovascular and colorectal cancer risk</p> <p>Case 30 Anna Walker 170</p> <p>Bone health</p> <p>Case 31 Shirley Stringfellow 171</p> <p>Angioedema, salicylate exposure</p> <p>Case 32 Family tree 172</p> <p>Diet and lifestyle change over time</p> <p>Case 33 <i>RMS Titanic </i>172</p> <p>Dietary judgement of menus</p> <p>Case 34 Maria von Twigg 173</p> <p>Anorexia nervosa</p> <p>Case 35 Alan Wanderlust 174</p> <p>Colorectal cancer</p> <p>Case 36 George and Dragon 174</p> <p>Dementia, weight loss</p> <p>Case 37 Mandy Morton 175</p> <p>Ventilated patient, enteral feeding</p> <p>Case 38 Betty Meldrew 176</p> <p>Breast cancer, weight loss</p> <p>Case 39 Sheila Borrowman 177</p> <p>Chronic pancreatitis, diabetes</p> <p>Case 40 Miss Taylor 178</p> <p>Cancer of lung, cachexia</p> <p>Case 41 Mary Glover 179</p> <p>Coeliac disease, lymphoma</p> <p>Case 42 Pamela Nightingale 179</p> <p>Chronic fatigue syndrome</p> <p>Case 43 Jenny Friel 180</p> <p>Crohn’s disease</p> <p>Case 44 Alan Lehman 181</p> <p>Type 1 diabetes</p> <p>Case 45 Mark 181</p> <p>Attention deficit hyperactivity disorder</p> <p>Case 46 Mary Montgomery and Mary Hamilton 182</p> <p>Oral pathology, nutritional issues</p> <p>Case 47 Sara Bloomfield 183</p> <p>Chronic obstructive airways disease</p> <p>Case 48 Jonny Morgan 184</p> <p>Thinness, faulty diet and health risk</p> <p>Case 49 Patrick Foley 185</p> <p>Burn injury</p> <p>Case 50 Doris Blessing 186</p> <p>Type 2 diabetes, pressure sore</p> <p>Case 51 Rupert St. John Stevens 187</p> <p>Alcoholic liver disease</p> <p>Case 52 Mrs Morningside 188</p> <p>Chronic peptic ulceration</p> <p>Case 53 Mandy Goodenough 189</p> <p>Gestational diabetes</p> <p>Case 54 Mrs Jessie Banks 190</p> <p>Renal disease, type 2 diabetes</p> <p>Case 55 Toby Harris 191</p> <p>Fractured mandible</p> <p>Case 56 John Thomson 192</p> <p>Motor neurone disease</p> <p>Case 57 Daisy Marsden 193</p> <p>Alcoholic liver disease</p> <p>Case 58 Freda Ingram 194</p> <p>Obesity, cognitive behavioural therapy</p> <p>Case 59 Susan O’Connel 195</p> <p>Crohn’s disease, anorexia</p> <p>Case 60 Dominic Pruz 195</p> <p>Ulcerative colitis, loop ileostomy</p> <p>Case 61 Rudi Jordache 196</p> <p>Obesity, behaviour modification</p> <p>Case 62 Glenda Henderson 197</p> <p>Gestational diabetes, obesity</p> <p>Case 63 Daniel Borden 198</p> <p>Head injury, nutritional support</p> <p>Case 64 Shaun Gascoine 199</p> <p>Oesophageal carcinoma</p> <p>Case 65 Frank Calder 200</p> <p>Type 1 diabetes, overweight</p> <p>Case 66 Stanislaw Roza 201</p> <p>Hypertension, ethnic diet, health risk</p> <p>Case 67 Peter Donnelly 202</p> <p>Overweight, hypertension</p> <p>Case 68 John Mortimer 204</p> <p>Stroke</p> <p>Case 69 Maude Ashby 205</p> <p>Stroke, clinical chemistry</p> <p>Case 70 Christopher Smith 206</p> <p>Terminal cancer, palliative care</p> <p>The commentaries: the diaries 209</p> <p>Diary 1 Weight loss, diet patterns 209</p> <p>Diary 2 Migraine, diet exclusion 209</p> <p>Diary 3 Type 2 diabetes, diverticulitis 210</p> <p>Diary 4 Irritable bowel syndrome 210</p> <p>Diary 5 Coronary artery disease, health risk 211</p> <p>Diary 6 Hypertension, renal calculi 211</p> <p>Diary 7 Reactive hypoglycaemia 212</p> <p>Diary 8 Bowel habit, dietary influences 213</p> <p>Diary 9 Constipation, hunger 213</p> <p>Diary 10 Obesity 214</p> <p>The commentaries: the referrals 215</p> <p>Referral 1 Letter 215</p> <p>Mrs Brown (managing serum cholesterol levels)</p> <p>Referral 2 Letter 216</p> <p>Ms Philpott (irritable bowel syndrome)</p> <p>Referral 3 Letter 216</p> <p>Mrs Young (obesity, conflict with medications)</p> <p>Referral 4 Letter 217</p> <p>Mrs Leadbetter (coeliac disease, iron-deficiency anaemia)</p> <p>Referral 5 Letter 218</p> <p>Mr Grant (obesity, hypothyroidism)</p> <p>Referral 6 Letter 219</p> <p>Ms Horvig (abdominal pain, elimination diet)</p> <p>Referral 7 Nutritional screening 220</p> <p>Mr Al-Khatim, Room 221 (prostatic cancer, chemotherapy)</p> <p>Referral 8 Nutritional screening 220</p> <p>Mrs Collins, Room 401 (anterior resection of bowel)</p> <p>Referral 9 Nutritional screening 221</p> <p>Mr Roundman, Room 613 (type 1 diabetes, infection)</p> <p>Referral 10 Handwritten note 222</p> <p>Mrs Lundquist, Room 408 (gestational diabetes)</p> <p>The commentaries: the mini-cases 223</p> <p>Mini-case 1 Multiple sclerosis, obesity 223</p> <p>Mini-case 2 Anterior resection of bowel 223</p> <p>Mini-case 3 Obesity, weight control 224</p> <p>Mini-case 4 Obesity, nutritional screening 224</p> <p>Mini-case 5 Coeliac disease, peer-reviewed information 225</p> <p>Mini-case 6 Type 2 diabetes, dietary compliance 225</p> <p>Mini-case 7 Obesity, aggressive weight loss 226</p> <p>Mini-case 8 Hip replacement, nutritional status 226</p> <p>Mini-case 9 Unconscious patient, feeding issues 227</p> <p>Mini-case 10 Weight loss, older client 228</p> <p>The appendices: clinical information and reference data 231</p> <p>Appendix 1 Weights and measures 233</p> <p>Appendix 2 Dietary data 237</p> <p>Appendix 3 Body mass index 243</p> <p>Appendix 4 Anthropometric data 245</p> <p>Appendix 5 Predicting energy requirements 248</p> <p>Appendix 6 Clinical chemistry 253</p> <p>Appendix 7 Abbreviations 260</p> <p>The appendices: tools 265</p> <p>Appendix 8 Algorithm for treating malnutrition: decision-making tool 267</p> <p>Appendix 9 Malnutrition universal screening tool (‘MUST’) 268</p> <p>Appendix 10 Balance of good health: sensible eating tool 274</p> <p>Index 275</p>
<b>Dr Fred Pender</b> BSc, PhD, RD is Director of Dietetics at University College, Chester
Learning how to deal with actual cases and developing the ability to arrive at a reasoned clinical judgement are important parts of a student's training.<br /> <p><br /> </p> <p>This unique text presents a series of clinical cases of increasing complexity and range. Readers are taken through a structured way of thinking that facilitates clinical reasoning and the arrival of a justified treatment plan. Each case includes a commentary and opportunities for reflection on practice, and identifies key learning points.</p>

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