Case Study

.
Infant
Case Study
As
a public health nurse, you are called in to evaluate a baby girl who has
recently been placed in foster care. The baby has moved to your area with her
foster parents. The birth parents are nowhere to be found. The baby is 5 months
old, weighs 11 pounds, is 23.5 inches long, and has a head circumference of 16
inches.
a. Plot the anthropometric measurements in the above description on
the growth charts available at.cdc.gov/growthcharts/clinical_charts.htm”>http://www.cdc.gov/growthcharts/clinical_charts.htm
and indicate in what percentile the measurements fall. Evaluate the results.
b. Explain why the weight-for-length measurements appear normal.
c. You obtain information from the hospital where the baby was born.
At birth, the baby weighed 3 pounds, was 16 inches long, and was born 2 months
prematurely. Knowing this information, reevaluate the anthropometric
measurements you obtained at 5 months. Based on this new information, evaluate
the nutrition and growth status of the infant.
d. The foster parents report that they are adding cereal to the
baby’s evening feeding to promote sleeping through the night. What advice can
be shared with the parents regarding cereal in bottles and sleeping through the
night?

2. Elderly
Case Study
You
are asked to see Mr. Basset, who is 80 years old and has recently lost his
wife. His children do not live nearby, but Mr. Basset sees them on holidays.
Mr. Basset has had an unexplained weight loss of 20 pounds in 3 months. He is
taking medication for hypertension and arthritis.
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. In addition, Mr. Basset has ill-fitting dentures and claims that food
just does not taste the same. He is also on a limited budget. More than
anything, however, Mr. Basset is lonely.
Discussion
Questions
a. What physiological factors might contribute to Mr. Basset’s weight
loss?
b. What psychosocial factors might contribute to Mr. Basset’s weight
loss?
c. Give one likely explanation why Mr. Basset’s dentures do not fit.
d. What community resources might be used to improve Mr. Basset’s
nutritional status?
e. Compare the risk factors described in Mr. Basset’s case with the
“Determine Your Nutritional Health” checklist from the Nutrition Screening
Initiative (Teaching Tool box in Chapter 13 of the text).

Comments are closed.