DFN 348 Spring 2021 Malnutrition Case Study

63-year-old woman with significant PHMx of generalized anxiety disorder and IBS admitted for observation.Patient complaining of abdominal pain, malaise and loss of appetite x 10 days.Patient with no po intake x 3 days.Meds:Xanax (not taking).Diet Rx:Regular with Ensure TID. Social hx:married, 2 children.Significant home stressors with children making poor life choices and financial stressor within the family.NFPF:2+ pitting edema; temporal & clavicle wasting; reduced grip strength.Skin:dry with pinch test positive for low turgor.Ht:5'3"CBW:100#UBW: 110# (4 months ago).Labs:Na+ 150 mEq/L (135-145), K+ 4.8 mEq/L (3.5-5.5), Cl- 110 mEq/L (96-106), BUN 30 mg/dL (7-20), Creatinine 1.2 mg/dL (0.5-1.0), glu 102 mg/dL (70-99); urine analysis - urine specific gravity 1.040 (1.002-1.030); color - deep amber.Usual dietary intake:am 1 cup coffee, 1 piece of toast with butter, lunch cup soup, 6 crackers, water, 1 cup coffee, dinner chicken cutlet, 1 small baked potato and 3 pieces of broccoli

write the nutrition assessment in ADIME format