The Clinical Case Project will provide the intern an opportunity to practice in depth analysis and application of the Nutrition Care Process (NCP), demonstrate proficiency with a variety of technological mediums, and further develop public speaking ability. A minimum of one major case report will be submitted towards the end of the clinical rotation, to show evidence of the intern’s application of the NCP and evidence-based practice in a complex adult case concerning critical illness requiring nutrition support.
Abstract
Human immunodeficiency virus (HIV) is a disease that destroys the immune system. As the disease progresses, it becomes the acquired immunodeficiency syndrome (AIDS) and the immune system is severely weakened. While the immune system is weakened, opportunistic infections and cancers are more likely to occur, causing more harm the infected person. Malnutrition is commonly seen with people who have HIV and/or AIDS, but medical nutrition therapy depends on the individual. Many people show signs and symptoms of a fever, but some do not and the disease can go undiagnosed. In non-severe cases, nutritionals needs are like those with healthy immune system. In more critical cases, increased energy and protein needs may be required for repletion and wound healing. When people develop complications, like oral candidiasis (mouth infections), enteral nutrition may be necessary to meet adequate nutritional requirements because chewing and swallowing may be difficult. This case study describes the use of the nutrition care process (NCP) for a patient who cannot consume adequate amounts of nutrition orally because of complications of the disease. This nutrition care process outlines the components of assessment, nutrition diagnosis, nutritional interventions, monitor and evaluation for an individual who was recently diagnosed with HIV that has progressed to AIDS and saw many complications throughout the hospital stay.
Supporting Documents
Competencies Met
