Fred (University College, Chester) Pender,
F Pender
John Wiley & Sons
e druk, 2008
9781405125642
Clinical Cases in Dietetics
Specificaties
Paperback, 296 blz.
|
Engels
John Wiley & Sons |
e druk, 2008
ISBN13: 9781405125642
Rubricering
Verwachte levertijd ongeveer 9 werkdagen
Samenvatting
Learning how to deal with actual cases and developing the ability to arrive at a reasoned clinical judgement are important parts of a student′s training.
This unique text presents a series of clinical cases of increasing complexity and range. Readers are taken through a structured way of thinking that facilitates clinical reasoning and the arrival of a justified treatment plan. Each case includes a commentary and opportunities for reflection on practice, and identifies key learning points.
Specificaties
Inhoudsopgave
<p>The introduction 1</p>
<p>The cases (and contexts) 15</p>
<p>Case 1 Gillian Mercer 17<br /> Diabetes<br /> Case 2 The Odessa fi le 18<br /> Renal disease, haemodialysis<br /> Case 3 Darshan 19<br /> Renal disease, peritoneal dialysis<br /> Case 4 Professor Plum 20<br /> Renal disease, pre–dialysis<br /> Case 5 Annie 21<br /> Renal disease, pre–dialysis<br /> Case 6 Jon 23<br /> Obesity<br /> Case 7 Mr Smart 24<br /> Obesity, renal calculi<br /> Case 8 Susan Ritzio 25<br /> Ulcerative colitis<br /> Case 9 Mr Rodger 26<br /> Irritable bowel syndrome<br /> Case 10 Pauline Trotter 27<br /> Obesity, pharmacological management<br /> Case 11 Harriet Baker 28<br /> Obesity, metabolic issues<br /> Case 12 Mr Cunningham 29<br /> Functional dyspepsia, weight loss<br /> Case 13 Mrs Rose Petroni 30<br /> Obesity, infection, wound healing<br /> Case 14 Linda Middlemiss 31<br /> Arthralgia, food intolerance<br /> Case 15 Josh Herriot 32<br /> Coeliac disease, new diagnosis<br /> Case 16 Carly Carpenter 33<br /> Disordered eating in adulthood<br /> Case 17 Mr Tony Marshall 34<br /> Obesity, renal calculi<br /> Case 18 Carrie West 35<br /> Bulimia nervosa<br /> Case 19 Holly Shakespeare 36<br /> Obesity, polycystic ovarian syndrome<br /> Case 20 Barry Morgan 37<br /> Post–surgical weight loss, appetite failure<br /> Case 21 Rayan Hussein 39<br /> Iron–deficiency anaemia, ethnic diet<br /> Case 22 Peggy 40<br /> Dementia<br /> Case 23 Cain 41<br /> Cerebral palsy<br /> Case 24 Abel 42<br /> Down′s syndrome<br /> Case 25 Lucinda Smythe 45<br /> Reactive hypoglycaemia<br /> Case 26 Mrs Jolly 46<br /> Type 2 diabetes<br /> Case 27 Cordelia 47<br /> Irritable bowel syndrome<br /> Case 28 Josh 48<br /> Human immunodefi ciency virus (HIV)<br /> Case 29 Murdo MacKenzie 49<br /> Cardiovascular and colorectal cancer risk<br /> Case 30 Anna Walker 50<br /> Bone health<br /> Case 31 Shirley Stringfellow 51<br /> Angioedema, salicylate exposure<br /> Case 32 Family tree 52<br /> Diet and lifestyle change over time<br /> Case 33 RMS Titanic 53<br /> Dietary judgement of menus<br /> Case 34 Maria von Twigg 56<br /> Anorexia nervosa<br /> Case 35 Alan Wanderlust 57<br /> Colorectal cancer<br /> Case 36 George and Dragon 58<br /> Dementia, weight loss<br /> Case 37 Mandy Morton 59<br /> Ventilated patient, enteral feeding<br /> Case 38 Betty Meldrew 60<br /> Breast cancer, weight loss<br /> Case 39 Sheila Borrowman 61<br /> Chronic pancreatitis, diabetes<br /> Case 40 Miss Taylor 62<br /> Cancer of lung, cachexia<br /> Case 41 Mary Glover 63<br /> Coeliac disease, lymphoma<br /> Case 42 Pamela Nightingale 64<br /> Chronic fatigue syndrome<br /> Case 43 Jenny Friel 65<br /> Crohn′s disease<br /> Case 44 Alan Lehman 66<br /> Type 1 diabetes<br /> Case 45 Mark 67<br /> Attention deficit hyperactivity disorder<br /> Case 46 Mary Montgomery and Mary Hamilton 68<br /> Oral pathology, nutritional issues<br /> Case 47 Sara Bloomfield 69<br /> Chronic obstructive airways disease<br /> Case 48 Jonny Morgan 70<br /> Thinness, faulty diet and health risk<br /> Case 49 Patrick Foley 71<br /> Burn injury<br /> Case 50 Doris Blessing 72<br /> Type 2 diabetes, pressure sore<br /> Case 51 Rupert St. John Stevens 74<br /> Alcoholic liver disease<br /> Case 52 Mrs Morningside 75<br /> Chronic peptic ulceration<br /> Case 53 Mandy Goodenough 76<br /> Gestational diabetes<br /> Case 54 Mrs Jessie Banks 77<br /> Renal disease, type 2 diabetes<br /> Case 55 Toby Harris 80<br /> Fractured mandible<br /> Case 56 John Thomson 81<br /> Motor neurone disease<br /> Case 57 Daisy Marsden 82<br /> Alcoholic liver disease<br /> Case 58 Freda Ingram 84<br /> Obesity, cognitive behavioural therapy<br /> Case 59 Susan O′Connel 85<br /> Crohn′s disease, anorexia<br /> Case 60 Dominic Pruz 87<br /> Ulcerative colitis, loop ileostomy<br /> Case 61 Rudi Jordache 88<br /> Obesity, behaviour modifi cation<br /> Case 62 Glenda Henderson 90<br /> Gestational diabetes, obesity<br /> Case 63 Daniel Borden 91<br /> Head injury, nutritional support<br /> Case 64 Shaun Gascoine 92<br /> Oesophageal carcinoma<br /> Case 65 Frank Calder 94<br /> Type 1 diabetes, overweight<br /> Case 66 Stanislaw Roza 95<br /> Hypertension, ethnic diet, health risk<br /> Case 67 Peter Donnelly 96<br /> Overweight, hypertension<br /> Case 68 John Mortimer 98<br /> Stroke<br /> Case 69 Maude Ashby 99<br /> Stroke, clinical chemistry<br /> Case 70 Christopher Smith 100<br /> Terminal cancer, palliative care</p>
<p>The diaries (and contexts) 103</p>
<p>Diary 1 Weight loss, diet patterns 105<br /> Diary 2 Migraine, diet exclusion 106<br /> Diary 3 Type 2 diabetes, diverticulitis 108<br /> Diary 4 Irritable bowel syndrome 109<br /> Diary 5 Coronary artery disease, health risk 110<br /> Diary 6 Hypertension, renal calculi 111<br /> Diary 7 Reactive hypoglycaemia 113<br /> Diary 8 Bowel habit, dietary influences 114<br /> Diary 9 Constipation, hunger 116<br /> Diary 10 Obesity 117</p>
<p>The referrals (and contexts) 119</p>
<p>Referral 1 Letter 121<br /> Mrs Brown (managing serum cholesterol levels)<br /> Referral 2 Letter 122<br /> Ms Philpott (irritable bowel syndrome)<br /> Referral 3 Letter 123<br /> Mrs Young (obesity, confl ict with medications)<br /> Referral 4 Letter 124<br /> Mrs Leadbetter (coeliac disease, iron–defi ciency anaemia)<br /> Referral 5 Letter 125<br /> Mr Grant (obesity, hypothyroidism)<br /> Referral 6 Letter 126<br /> Ms Horvig (abdominal pain, elimination diet)<br /> Referral 7 Nutritional screening 127<br /> Mr Al–Khatim, Room 221 (prostatic cancer, chemotherapy)<br /> Referral 8 Nutritional screening 129<br /> Mrs Collins, Room 401 (anterior resection of bowel)<br /> Referral 9 Nutritional screening 131<br /> Mr Roundman, Room 613 (type 1 diabetes, infection)<br /> Referral 10 Handwritten note 133<br /> Mrs Lundquist, Room 408 (gestational diabetes)</p>
<p>The mini–cases (and contexts) 135</p>
<p>Mini–case 1 Multiple sclerosis, obesity 137<br /> Mini–case 2 Anterior resection of bowel 137<br /> Mini–case 3 Obesity, weight control 137<br /> Mini–case 4 Obesity, nutritional screening 137<br /> Mini–case 5 Coeliac disease, peer–reviewed information 138<br /> Mini–case 6 Type 2 diabetes, dietary compliance 138<br /> Mini–case 7 Obesity, aggressive weight loss 138<br /> Mini–case 8 Hip replacement, nutritional status 138<br /> Mini–case 9 Unconscious patient, feeding issues 139<br /> Mini–case 10 Weight loss, older client 139</p>
<p>The commentaries 141</p>
<p>The commentaries: the cases 143</p>
<p>Case 1 Gillian Mercer 143<br /> Diabetes<br /> Case 2 The Odessa fi le 144<br /> Renal disease, haemodialysis<br /> Case 3 Darshan 145<br /> Renal disease, peritoneal dialysis<br /> Case 4 Professor Plum 145<br /> Renal disease, pre–dialysis<br /> Case 5 Annie 146<br /> Renal disease, pre–dialysis<br /> Case 6 Jon 148<br /> Obesity<br /> Case 7 Mr Smart 149<br /> Obesity, renal calculi<br /> Case 8 Susan Ritzio 150<br /> Ulcerative colitis<br /> Case 9 Mr Rodger 150<br /> Irritable bowel syndrome<br /> Case 10 Pauline Trotter 151<br /> Obesity, pharmacological management<br /> Case 11 Harriet Baker 152<br /> Obesity, metabolic issues<br /> Case 12 Mr Cunningham 153<br /> Functional dyspepsia, weight loss<br /> Case 13 Mrs Rose Petroni 153<br /> Obesity, infection, wound healing<br /> Case 14 Linda Middlemiss 154<br /> Arthralgia, food intolerance<br /> Case 15 Josh Herriot 155<br /> Coeliac disease, new diagnosis<br /> Case 16 Carly Carpenter 156<br /> Disordered eating in adulthood<br /> Case 17 Mr Tony Marshall 158<br /> Obesity, renal calculi<br /> Case 18 Carrie West 159<br /> Bulimia nervosa<br /> Case 19 Holly Shakespeare 160<br /> Obesity, polycystic ovarian syndrome<br /> Case 20 Barry Morgan 161<br /> Post–surgical weight loss, appetite failure<br /> Case 21 Rayan Hussein 161<br /> Iron–defi ciency anaemia, ethnic diet<br /> Case 22 Peggy 162<br /> Dementia<br /> Case 23 Cain 163<br /> Cerebral palsy<br /> Case 24 Abel 164<br /> Down s syndrome<br /> Case 25 Lucinda Smythe 165<br /> Reactive hypoglycaemia<br /> Case 26 Mrs Jolly 166<br /> Type 2 diabetes<br /> Case 27 Cordelia 167<br /> Irritable bowel syndrome<br /> Case 28 Josh 168<br /> Human immunodefi ciency virus (HIV)<br /> Case 29 Murdo MacKenzie 169<br /> Cardiovascular and colorectal cancer risk<br /> Case 30 Anna Walker 170<br /> Bone health<br /> Case 31 Shirley Stringfellow 171<br /> Angioedema, salicylate exposure<br /> Case 32 Family tree 172<br /> Diet and lifestyle change over time<br /> Case 33 RMS Titanic 172<br /> Dietary judgement of menus<br /> Case 34 Maria von Twigg 173<br /> Anorexia nervosa<br /> Case 35 Alan Wanderlust 174<br /> Colorectal cancer<br /> Case 36 George and Dragon 174<br /> Dementia, weight loss<br /> Case 37 Mandy Morton 175<br /> Ventilated patient, enteral feeding<br /> Case 38 Betty Meldrew 176<br /> Breast cancer, weight loss<br /> Case 39 Sheila Borrowman 177<br /> Chronic pancreatitis, diabetes<br /> Case 40 Miss Taylor 178<br /> Cancer of lung, cachexia<br /> Case 41 Mary Glover 179<br /> Coeliac disease, lymphoma<br /> Case 42 Pamela Nightingale 179<br /> Chronic fatigue syndrome<br /> Case 43 Jenny Friel 180<br /> Crohn′s disease<br /> Case 44 Alan Lehman 181<br /> Type 1 diabetes<br /> Case 45 Mark 181<br /> Attention deficit hyperactivity disorder<br /> Case 46 Mary Montgomery and Mary Hamilton 182<br /> Oral pathology, nutritional issues<br /> Case 47 Sara Bloomfi eld 183<br /> Chronic obstructive airways disease<br /> Case 48 Jonny Morgan 184<br /> Thinness, faulty diet and health risk<br /> Case 49 Patrick Foley 185<br /> Burn injury<br /> Case 50 Doris Blessing 186<br /> Type 2 diabetes, pressure sore<br /> Case 51 Rupert St. John Stevens 187<br /> Alcoholic liver disease<br /> Case 52 Mrs Morningside 188<br /> Chronic peptic ulceration<br /> Case 53 Mandy Goodenough 189<br /> Gestational diabetes<br /> Case 54 Mrs Jessie Banks 190<br /> Renal disease, type 2 diabetes<br /> Case 55 Toby Harris 191<br /> Fractured mandible<br /> Case 56 John Thomson 192<br /> Motor neurone disease<br /> Case 57 Daisy Marsden 193<br /> Alcoholic liver disease<br /> Case 58 Freda Ingram 194<br /> Obesity, cognitive behavioural therapy<br /> Case 59 Susan O Connel 195<br /> Crohn s disease, anorexia<br /> Case 60 Dominic Pruz 195<br /> Ulcerative colitis, loop ileostomy<br /> Case 61 Rudi Jordache 196<br /> Obesity, behaviour modifi cation<br /> Case 62 Glenda Henderson 197<br /> Gestational diabetes, obesity<br /> Case 63 Daniel Borden 198<br /> Head injury, nutritional support<br /> Case 64 Shaun Gascoine 199<br /> Oesophageal carcinoma<br /> Case 65 Frank Calder 200<br /> Type 1 diabetes, overweight<br /> Case 66 Stanislaw Roza 201<br /> Hypertension, ethnic diet, health risk<br /> Case 67 Peter Donnelly 202<br /> Overweight, hypertension<br /> Case 68 John Mortimer 204<br /> Stroke<br /> Case 69 Maude Ashby 205<br /> Stroke, clinical chemistry<br /> Case 70 Christopher Smith 206<br /> Terminal cancer, palliative care</p>
<p>The commentaries: the diaries 209</p>
<p>Diary 1 Weight loss, diet patterns 209<br /> Diary 2 Migraine, diet exclusion 209<br /> Diary 3 Type 2 diabetes, diverticulitis 210<br /> Diary 4 Irritable bowel syndrome 210<br /> Diary 5 Coronary artery disease, health risk 211<br /> Diary 6 Hypertension, renal calculi 211<br /> Diary 7 Reactive hypoglycaemia 212<br /> Diary 8 Bowel habit, dietary infl uences 213<br /> Diary 9 Constipation, hunger 213<br /> Diary 10 Obesity 214</p>
<p>The commentaries: the referrals 215</p>
<p>Referral 1 Letter 215<br /> Mrs Brown (managing serum cholesterol levels)<br /> Referral 2 Letter 216<br /> Ms Philpott (irritable bowel syndrome)<br /> Referral 3 Letter 216<br /> Mrs Young (obesity, confl ict with medications)<br /> Referral 4 Letter 217<br /> Mrs Leadbetter (coeliac disease, iron–defi ciency anaemia)<br /> Referral 5 Letter 218<br /> Mr Grant (obesity, hypothyroidism)<br /> Referral 6 Letter 219<br /> Ms Horvig (abdominal pain, elimination diet)<br /> Referral 7 Nutritional screening 220<br /> Mr Al–Khatim, Room 221 (prostatic cancer, chemotherapy)<br /> Referral 8 Nutritional screening 220<br /> Mrs Collins, Room 401 (anterior resection of bowel)<br /> Referral 9 Nutritional screening 221<br /> Mr Roundman, Room 613 (type 1 diabetes, infection)<br /> Referral 10 Handwritten note 222<br /> Mrs Lundquist, Room 408 (gestational diabetes)</p>
<p>The commentaries: the mini–cases 223</p>
<p>Mini–case 1 Multiple sclerosis, obesity 223<br /> Mini–case 2 Anterior resection of bowel 223<br /> Mini–case 3 Obesity, weight control 224<br /> Mini–case 4 Obesity, nutritional screening 224<br /> Mini–case 5 Coeliac disease, peer–reviewed information 225<br /> Mini–case 6 Type 2 diabetes, dietary compliance 225<br /> Mini–case 7 Obesity, aggressive weight loss 226<br /> Mini–case 8 Hip replacement, nutritional status 226<br /> Mini–case 9 Unconscious patient, feeding issues 227<br /> Mini–case 10 Weight loss, older client 228</p>
<p>The appendices: clinical information and reference data 231</p>
<p>The appendices: tools 265</p>
<p>Index 275</p>
<p>The cases (and contexts) 15</p>
<p>Case 1 Gillian Mercer 17<br /> Diabetes<br /> Case 2 The Odessa fi le 18<br /> Renal disease, haemodialysis<br /> Case 3 Darshan 19<br /> Renal disease, peritoneal dialysis<br /> Case 4 Professor Plum 20<br /> Renal disease, pre–dialysis<br /> Case 5 Annie 21<br /> Renal disease, pre–dialysis<br /> Case 6 Jon 23<br /> Obesity<br /> Case 7 Mr Smart 24<br /> Obesity, renal calculi<br /> Case 8 Susan Ritzio 25<br /> Ulcerative colitis<br /> Case 9 Mr Rodger 26<br /> Irritable bowel syndrome<br /> Case 10 Pauline Trotter 27<br /> Obesity, pharmacological management<br /> Case 11 Harriet Baker 28<br /> Obesity, metabolic issues<br /> Case 12 Mr Cunningham 29<br /> Functional dyspepsia, weight loss<br /> Case 13 Mrs Rose Petroni 30<br /> Obesity, infection, wound healing<br /> Case 14 Linda Middlemiss 31<br /> Arthralgia, food intolerance<br /> Case 15 Josh Herriot 32<br /> Coeliac disease, new diagnosis<br /> Case 16 Carly Carpenter 33<br /> Disordered eating in adulthood<br /> Case 17 Mr Tony Marshall 34<br /> Obesity, renal calculi<br /> Case 18 Carrie West 35<br /> Bulimia nervosa<br /> Case 19 Holly Shakespeare 36<br /> Obesity, polycystic ovarian syndrome<br /> Case 20 Barry Morgan 37<br /> Post–surgical weight loss, appetite failure<br /> Case 21 Rayan Hussein 39<br /> Iron–deficiency anaemia, ethnic diet<br /> Case 22 Peggy 40<br /> Dementia<br /> Case 23 Cain 41<br /> Cerebral palsy<br /> Case 24 Abel 42<br /> Down′s syndrome<br /> Case 25 Lucinda Smythe 45<br /> Reactive hypoglycaemia<br /> Case 26 Mrs Jolly 46<br /> Type 2 diabetes<br /> Case 27 Cordelia 47<br /> Irritable bowel syndrome<br /> Case 28 Josh 48<br /> Human immunodefi ciency virus (HIV)<br /> Case 29 Murdo MacKenzie 49<br /> Cardiovascular and colorectal cancer risk<br /> Case 30 Anna Walker 50<br /> Bone health<br /> Case 31 Shirley Stringfellow 51<br /> Angioedema, salicylate exposure<br /> Case 32 Family tree 52<br /> Diet and lifestyle change over time<br /> Case 33 RMS Titanic 53<br /> Dietary judgement of menus<br /> Case 34 Maria von Twigg 56<br /> Anorexia nervosa<br /> Case 35 Alan Wanderlust 57<br /> Colorectal cancer<br /> Case 36 George and Dragon 58<br /> Dementia, weight loss<br /> Case 37 Mandy Morton 59<br /> Ventilated patient, enteral feeding<br /> Case 38 Betty Meldrew 60<br /> Breast cancer, weight loss<br /> Case 39 Sheila Borrowman 61<br /> Chronic pancreatitis, diabetes<br /> Case 40 Miss Taylor 62<br /> Cancer of lung, cachexia<br /> Case 41 Mary Glover 63<br /> Coeliac disease, lymphoma<br /> Case 42 Pamela Nightingale 64<br /> Chronic fatigue syndrome<br /> Case 43 Jenny Friel 65<br /> Crohn′s disease<br /> Case 44 Alan Lehman 66<br /> Type 1 diabetes<br /> Case 45 Mark 67<br /> Attention deficit hyperactivity disorder<br /> Case 46 Mary Montgomery and Mary Hamilton 68<br /> Oral pathology, nutritional issues<br /> Case 47 Sara Bloomfield 69<br /> Chronic obstructive airways disease<br /> Case 48 Jonny Morgan 70<br /> Thinness, faulty diet and health risk<br /> Case 49 Patrick Foley 71<br /> Burn injury<br /> Case 50 Doris Blessing 72<br /> Type 2 diabetes, pressure sore<br /> Case 51 Rupert St. John Stevens 74<br /> Alcoholic liver disease<br /> Case 52 Mrs Morningside 75<br /> Chronic peptic ulceration<br /> Case 53 Mandy Goodenough 76<br /> Gestational diabetes<br /> Case 54 Mrs Jessie Banks 77<br /> Renal disease, type 2 diabetes<br /> Case 55 Toby Harris 80<br /> Fractured mandible<br /> Case 56 John Thomson 81<br /> Motor neurone disease<br /> Case 57 Daisy Marsden 82<br /> Alcoholic liver disease<br /> Case 58 Freda Ingram 84<br /> Obesity, cognitive behavioural therapy<br /> Case 59 Susan O′Connel 85<br /> Crohn′s disease, anorexia<br /> Case 60 Dominic Pruz 87<br /> Ulcerative colitis, loop ileostomy<br /> Case 61 Rudi Jordache 88<br /> Obesity, behaviour modifi cation<br /> Case 62 Glenda Henderson 90<br /> Gestational diabetes, obesity<br /> Case 63 Daniel Borden 91<br /> Head injury, nutritional support<br /> Case 64 Shaun Gascoine 92<br /> Oesophageal carcinoma<br /> Case 65 Frank Calder 94<br /> Type 1 diabetes, overweight<br /> Case 66 Stanislaw Roza 95<br /> Hypertension, ethnic diet, health risk<br /> Case 67 Peter Donnelly 96<br /> Overweight, hypertension<br /> Case 68 John Mortimer 98<br /> Stroke<br /> Case 69 Maude Ashby 99<br /> Stroke, clinical chemistry<br /> Case 70 Christopher Smith 100<br /> Terminal cancer, palliative care</p>
<p>The diaries (and contexts) 103</p>
<p>Diary 1 Weight loss, diet patterns 105<br /> Diary 2 Migraine, diet exclusion 106<br /> Diary 3 Type 2 diabetes, diverticulitis 108<br /> Diary 4 Irritable bowel syndrome 109<br /> Diary 5 Coronary artery disease, health risk 110<br /> Diary 6 Hypertension, renal calculi 111<br /> Diary 7 Reactive hypoglycaemia 113<br /> Diary 8 Bowel habit, dietary influences 114<br /> Diary 9 Constipation, hunger 116<br /> Diary 10 Obesity 117</p>
<p>The referrals (and contexts) 119</p>
<p>Referral 1 Letter 121<br /> Mrs Brown (managing serum cholesterol levels)<br /> Referral 2 Letter 122<br /> Ms Philpott (irritable bowel syndrome)<br /> Referral 3 Letter 123<br /> Mrs Young (obesity, confl ict with medications)<br /> Referral 4 Letter 124<br /> Mrs Leadbetter (coeliac disease, iron–defi ciency anaemia)<br /> Referral 5 Letter 125<br /> Mr Grant (obesity, hypothyroidism)<br /> Referral 6 Letter 126<br /> Ms Horvig (abdominal pain, elimination diet)<br /> Referral 7 Nutritional screening 127<br /> Mr Al–Khatim, Room 221 (prostatic cancer, chemotherapy)<br /> Referral 8 Nutritional screening 129<br /> Mrs Collins, Room 401 (anterior resection of bowel)<br /> Referral 9 Nutritional screening 131<br /> Mr Roundman, Room 613 (type 1 diabetes, infection)<br /> Referral 10 Handwritten note 133<br /> Mrs Lundquist, Room 408 (gestational diabetes)</p>
<p>The mini–cases (and contexts) 135</p>
<p>Mini–case 1 Multiple sclerosis, obesity 137<br /> Mini–case 2 Anterior resection of bowel 137<br /> Mini–case 3 Obesity, weight control 137<br /> Mini–case 4 Obesity, nutritional screening 137<br /> Mini–case 5 Coeliac disease, peer–reviewed information 138<br /> Mini–case 6 Type 2 diabetes, dietary compliance 138<br /> Mini–case 7 Obesity, aggressive weight loss 138<br /> Mini–case 8 Hip replacement, nutritional status 138<br /> Mini–case 9 Unconscious patient, feeding issues 139<br /> Mini–case 10 Weight loss, older client 139</p>
<p>The commentaries 141</p>
<p>The commentaries: the cases 143</p>
<p>Case 1 Gillian Mercer 143<br /> Diabetes<br /> Case 2 The Odessa fi le 144<br /> Renal disease, haemodialysis<br /> Case 3 Darshan 145<br /> Renal disease, peritoneal dialysis<br /> Case 4 Professor Plum 145<br /> Renal disease, pre–dialysis<br /> Case 5 Annie 146<br /> Renal disease, pre–dialysis<br /> Case 6 Jon 148<br /> Obesity<br /> Case 7 Mr Smart 149<br /> Obesity, renal calculi<br /> Case 8 Susan Ritzio 150<br /> Ulcerative colitis<br /> Case 9 Mr Rodger 150<br /> Irritable bowel syndrome<br /> Case 10 Pauline Trotter 151<br /> Obesity, pharmacological management<br /> Case 11 Harriet Baker 152<br /> Obesity, metabolic issues<br /> Case 12 Mr Cunningham 153<br /> Functional dyspepsia, weight loss<br /> Case 13 Mrs Rose Petroni 153<br /> Obesity, infection, wound healing<br /> Case 14 Linda Middlemiss 154<br /> Arthralgia, food intolerance<br /> Case 15 Josh Herriot 155<br /> Coeliac disease, new diagnosis<br /> Case 16 Carly Carpenter 156<br /> Disordered eating in adulthood<br /> Case 17 Mr Tony Marshall 158<br /> Obesity, renal calculi<br /> Case 18 Carrie West 159<br /> Bulimia nervosa<br /> Case 19 Holly Shakespeare 160<br /> Obesity, polycystic ovarian syndrome<br /> Case 20 Barry Morgan 161<br /> Post–surgical weight loss, appetite failure<br /> Case 21 Rayan Hussein 161<br /> Iron–defi ciency anaemia, ethnic diet<br /> Case 22 Peggy 162<br /> Dementia<br /> Case 23 Cain 163<br /> Cerebral palsy<br /> Case 24 Abel 164<br /> Down s syndrome<br /> Case 25 Lucinda Smythe 165<br /> Reactive hypoglycaemia<br /> Case 26 Mrs Jolly 166<br /> Type 2 diabetes<br /> Case 27 Cordelia 167<br /> Irritable bowel syndrome<br /> Case 28 Josh 168<br /> Human immunodefi ciency virus (HIV)<br /> Case 29 Murdo MacKenzie 169<br /> Cardiovascular and colorectal cancer risk<br /> Case 30 Anna Walker 170<br /> Bone health<br /> Case 31 Shirley Stringfellow 171<br /> Angioedema, salicylate exposure<br /> Case 32 Family tree 172<br /> Diet and lifestyle change over time<br /> Case 33 RMS Titanic 172<br /> Dietary judgement of menus<br /> Case 34 Maria von Twigg 173<br /> Anorexia nervosa<br /> Case 35 Alan Wanderlust 174<br /> Colorectal cancer<br /> Case 36 George and Dragon 174<br /> Dementia, weight loss<br /> Case 37 Mandy Morton 175<br /> Ventilated patient, enteral feeding<br /> Case 38 Betty Meldrew 176<br /> Breast cancer, weight loss<br /> Case 39 Sheila Borrowman 177<br /> Chronic pancreatitis, diabetes<br /> Case 40 Miss Taylor 178<br /> Cancer of lung, cachexia<br /> Case 41 Mary Glover 179<br /> Coeliac disease, lymphoma<br /> Case 42 Pamela Nightingale 179<br /> Chronic fatigue syndrome<br /> Case 43 Jenny Friel 180<br /> Crohn′s disease<br /> Case 44 Alan Lehman 181<br /> Type 1 diabetes<br /> Case 45 Mark 181<br /> Attention deficit hyperactivity disorder<br /> Case 46 Mary Montgomery and Mary Hamilton 182<br /> Oral pathology, nutritional issues<br /> Case 47 Sara Bloomfi eld 183<br /> Chronic obstructive airways disease<br /> Case 48 Jonny Morgan 184<br /> Thinness, faulty diet and health risk<br /> Case 49 Patrick Foley 185<br /> Burn injury<br /> Case 50 Doris Blessing 186<br /> Type 2 diabetes, pressure sore<br /> Case 51 Rupert St. John Stevens 187<br /> Alcoholic liver disease<br /> Case 52 Mrs Morningside 188<br /> Chronic peptic ulceration<br /> Case 53 Mandy Goodenough 189<br /> Gestational diabetes<br /> Case 54 Mrs Jessie Banks 190<br /> Renal disease, type 2 diabetes<br /> Case 55 Toby Harris 191<br /> Fractured mandible<br /> Case 56 John Thomson 192<br /> Motor neurone disease<br /> Case 57 Daisy Marsden 193<br /> Alcoholic liver disease<br /> Case 58 Freda Ingram 194<br /> Obesity, cognitive behavioural therapy<br /> Case 59 Susan O Connel 195<br /> Crohn s disease, anorexia<br /> Case 60 Dominic Pruz 195<br /> Ulcerative colitis, loop ileostomy<br /> Case 61 Rudi Jordache 196<br /> Obesity, behaviour modifi cation<br /> Case 62 Glenda Henderson 197<br /> Gestational diabetes, obesity<br /> Case 63 Daniel Borden 198<br /> Head injury, nutritional support<br /> Case 64 Shaun Gascoine 199<br /> Oesophageal carcinoma<br /> Case 65 Frank Calder 200<br /> Type 1 diabetes, overweight<br /> Case 66 Stanislaw Roza 201<br /> Hypertension, ethnic diet, health risk<br /> Case 67 Peter Donnelly 202<br /> Overweight, hypertension<br /> Case 68 John Mortimer 204<br /> Stroke<br /> Case 69 Maude Ashby 205<br /> Stroke, clinical chemistry<br /> Case 70 Christopher Smith 206<br /> Terminal cancer, palliative care</p>
<p>The commentaries: the diaries 209</p>
<p>Diary 1 Weight loss, diet patterns 209<br /> Diary 2 Migraine, diet exclusion 209<br /> Diary 3 Type 2 diabetes, diverticulitis 210<br /> Diary 4 Irritable bowel syndrome 210<br /> Diary 5 Coronary artery disease, health risk 211<br /> Diary 6 Hypertension, renal calculi 211<br /> Diary 7 Reactive hypoglycaemia 212<br /> Diary 8 Bowel habit, dietary infl uences 213<br /> Diary 9 Constipation, hunger 213<br /> Diary 10 Obesity 214</p>
<p>The commentaries: the referrals 215</p>
<p>Referral 1 Letter 215<br /> Mrs Brown (managing serum cholesterol levels)<br /> Referral 2 Letter 216<br /> Ms Philpott (irritable bowel syndrome)<br /> Referral 3 Letter 216<br /> Mrs Young (obesity, confl ict with medications)<br /> Referral 4 Letter 217<br /> Mrs Leadbetter (coeliac disease, iron–defi ciency anaemia)<br /> Referral 5 Letter 218<br /> Mr Grant (obesity, hypothyroidism)<br /> Referral 6 Letter 219<br /> Ms Horvig (abdominal pain, elimination diet)<br /> Referral 7 Nutritional screening 220<br /> Mr Al–Khatim, Room 221 (prostatic cancer, chemotherapy)<br /> Referral 8 Nutritional screening 220<br /> Mrs Collins, Room 401 (anterior resection of bowel)<br /> Referral 9 Nutritional screening 221<br /> Mr Roundman, Room 613 (type 1 diabetes, infection)<br /> Referral 10 Handwritten note 222<br /> Mrs Lundquist, Room 408 (gestational diabetes)</p>
<p>The commentaries: the mini–cases 223</p>
<p>Mini–case 1 Multiple sclerosis, obesity 223<br /> Mini–case 2 Anterior resection of bowel 223<br /> Mini–case 3 Obesity, weight control 224<br /> Mini–case 4 Obesity, nutritional screening 224<br /> Mini–case 5 Coeliac disease, peer–reviewed information 225<br /> Mini–case 6 Type 2 diabetes, dietary compliance 225<br /> Mini–case 7 Obesity, aggressive weight loss 226<br /> Mini–case 8 Hip replacement, nutritional status 226<br /> Mini–case 9 Unconscious patient, feeding issues 227<br /> Mini–case 10 Weight loss, older client 228</p>
<p>The appendices: clinical information and reference data 231</p>
<p>The appendices: tools 265</p>
<p>Index 275</p>
