Skilled nursing facility presents to the emergency department with generalized edema of extremities and abdomen

Scenario: An 83-year-old resident of a skilled nursing facility presents to the emergency department with generalized edema of extremities and abdomen. History obtained from staff reveals the patient has history of malabsorption syndrome and difficulty eating due to lack of dentures. The patient has been diagnosed with protein malnutrition.

Post an explanation of the disease highlighted in the scenario you were provided. Include the following in your explanation:

· The role genetics plays in the disease.

· Why the patient is presenting with the specific symptoms described.

· The physiologic response to the stimulus presented in the scenario and why you think this response occurred.

· The cells that are involved in this process.

· How another characteristic (e.g., gender, genetics) would change your response.

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Sample Answer

 

 

Protein malnutrition is a condition in which the body does not get enough protein. Protein is essential for many bodily functions, including building and repairing tissues, making enzymes and hormones, and transporting nutrients.

Genetics can play a role in protein malnutrition. Some people are more likely to develop protein malnutrition due to genetic conditions that affect the absorption or metabolism of protein. For example, people with cystic fibrosis are more likely to develop protein malnutrition because they have difficulty absorbing nutrients from food.

Full Answer Section

 

 

 

 

The patient is presenting with the specific symptoms described because they are not getting enough protein. The symptoms of protein malnutrition can vary depending on the severity of the condition. Common symptoms include:

  • Weight loss
  • Muscle wasting
  • Fatigue
  • Weakness
  • Edema (fluid retention)
  • Slow wound healing
  • Increased risk of infection

The physiologic response to the stimulus presented in the scenario is that the body is trying to conserve protein. This is because the body is not getting enough protein from the diet. The body responds by breaking down muscle tissue to get the protein it needs. This can lead to muscle wasting and weakness.

The cells that are involved in this process are the cells that make up muscle tissue. When the body breaks down muscle tissue, it releases amino acids into the bloodstream. These amino acids are then used by other cells in the body for energy or to make new proteins.

Another characteristic that could change my response is gender. Men are more likely to develop protein malnutrition than women. This is because men have a higher protein requirement than women.

Here are some other factors that can increase the risk of protein malnutrition:

  • Age: Older adults are more likely to develop protein malnutrition because they have a decreased appetite and difficulty chewing and swallowing.
  • Illness: People who are sick, such as those with cancer or HIV/AIDS, are more likely to develop protein malnutrition because they have an increased need for protein.
  • Malabsorption: People with malabsorption syndromes, such as celiac disease or Crohn’s disease, are more likely to develop protein malnutrition because they cannot absorb nutrients from food properly.
  • Poverty: People who are living in poverty are more likely to develop protein malnutrition because they may not have access to enough food or nutritious food.

Treatment for protein malnutrition involves providing the body with enough protein. This can be done through diet, supplements, or a combination of both. The amount of protein needed will vary depending on the individual’s needs.

The prognosis for protein malnutrition depends on the severity of the condition and the underlying cause. With proper treatment, most people with protein malnutrition can make a full recovery.

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