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Diverticulitis
Amanda Smith
Client History
76 year old woman, Caucasian
Some college
Height: 53
Weight: 145 lbs.
BMI= 25.7
Diagnosis: Diverticulitis
Anthropometric Data
BMI = 25.7, Slightly overweight
145 lbs / 63in x 703 = 25.7
IBW = 115 lbs
Hamwi Equation: 100 + 5x3 = 115 lbs
% Ideal Body weight = +26%
Usual Body weight = 140 lbs
% Usual Body weight = +3%
Food/Nutrition Related History
Food & Nutrient Intake
Usual cup of tea and cereal in the morning
Occasionally brings lunch to work- tuna sandwich
Dinner - sometimes order in, Chinese etc., grilled chicken salad - oil and
vinegar dressing
Attitudes & Beliefs
Try to eat heart healthy diet
Keep sugar to a minimum
Supplement Use:
Doctor recommends Vitamin D, calcium, magnesium
Takes supplements most days
Fiber pill daily
Physical Activity:
Moves around during work
Gym 3 times per week - cycling- 20 min and treadmill-30min
Some weight training
Client History
Personal/Social History:
Lives alone
Very self sufficient
Works part time
Moving around a lot at work
Tries to walk around office as much as possible
Family History:
Mother: CVA caused by diabetes
Father: Died of Heart attack
Siblings: Alive, pre-diabetics
Nutrition Focused Physical Findings
Young 76
Maintains moderately healthy weight +/- 5 lbs
Exercises semi-regularly
Restless sleeper
Takes an Ambien sleeping pill most nights to help with sleep
Client Medical History
Gall Bladder surgery - 1969
Gall stones
Colonoscopy - 2012
Blood in stool
Diverticulitis
Irritable Bowel Syndrome Diagnosis - 2000
Abdominal pain
Bleeding
Heart Valve Replacement surgery and 1 bypass - 2015
Aortic valve replacement - new bovine (cow) valve
1 bypass
Pacemaker put in
Cataract surgery (both eyes) - January 2015
Client Medications
Metoprolol Tartrate
25 MG tab - 2 pills/ day = 50mg daily
Blood pressure lowering medication
Simvastatin
20mg/daily
Helps to lower cholesterol
Fibercon
2 daily
Diuretic
Multivitamin daily
Ambien
Sleep aid
Vitamin D3 daily - 2000 IU
Caltrate + D3 (calcium)
Magnesium 500 mg
CoQ10 - 100mg
Heart health
Biochemical Data & Tests
Lab Test Value Reference Outcome
Values
Can be confirmed by a
colonoscopy (Merck)
Signs & Symptoms
Severe abdominal pain
Fever
Nausea
Change in bowel habits
Gas as well as gas pains
Blood in stool
Treatment options
Antibiotics/ pain killers
Plenty of rest
Clear liquid or bland diet with limited amount of fiber until swelling is
reduced
NPO for some time to allow bowels to rest (if hospitalized)
Keeping the stomach empty by using a nasogastric tube
Surgery if complications occur, not common
Right Hemicolectomy part of ascending colon & cecum removed colon
connected to small intestine (The Ohio State University)
Left Hemicolectomy part of descending colon removed and remaining
connected to rectum (The Ohio State University)
Sigmoid Hemicolectomy part of colon removed and connected to rectum (The
Ohio State University)
Colonoscopy to further confirm if there are signs of colon cancer or irritable
bowel syndrome
Diverticulitis Diet
Clear liquid for the first few days after inflammation
Ex: broth, fruit juices without pulp, tea, coffee (no cream), water
When inflammation lessens, can start adding low fiber
foods back into the diet
Ex: canned or cooked fruits/veg with no seeds or skin
Eggs, fish, poultry
Low fiber cereals
White rice/bread
Yogurt/cheese/milk
After inflammation is over
Foods high in fiber and low in fat
Ex: beans, whole grains, fruits, vegetables
Recommended 25 grams per day for women and up to 38
grams per day for men
Too much can also harm if bowels are too frequent
Need a balance
High fiber foods will help maintain a softer stool to
ultimately help prevent flare ups
Stool can pass through the colon easier
Stay away from seeds, nuts & skins - could potentially get
stuck in diverticula pockets
24 hour recall
Breakfast cup Cheerios
cup skim milk
1 6oz cup of tea, unsweetened
Lunch 1 regular Bagel
1 cup Tuna, canned (store made)
1 tablespoon Mayo, regular (store
made)
cup skim milk
1 8oz decaffeinated coffee
Dinner 1 cup white rice
1 cup Pork chow mein with
noodles
1 cup wonton soup
1 bottle water (16.9 fl oz.)
Snacks 1 8oz container vanilla low-fat yogurt
4oz regular granola
cup blueberries
24 Hour Recall