Mr Bray Burn Case Study
Case study (patient with a severe burn)
1. Mr. Bray suffered a burn of 35 percent of his body this type of injury can be fatal. The initial concerns for the team is to administer intravenous solutions, fluids then they would proceed to treat infections, repair wounds, drain abscesses and remove dead tissue. The next step would be to provide nutrient assessment and nutrition intervention. In nutrient therapy, you would gather the patients data or medical history in order to I identify if they are any nutritional problems that he might be having prior or due to his injuries in order to find the underlying problem. Nutrient therapy the principle goals would be to preserve muscle tissue, maintain immune defenses and promote healing (DeBrune and Pinna 384).
2. The health team working on Mr. Bray’s injuries might encounter problems with his nutrition status, and they also might encounter problems with his respiratory track due to shortness of breath and carbon monoxide poisoning. Because he might not be able to
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To estimate Mr. Bray’s energy and protein needs we used the Harris-Benedict equation which is for men (RMR = 66.5 + [13.75 x 79.54] + [5.003 x 182.88] – [6.755 x 42]) which would give you an RMR of 1791.41364 and if you multiply the RMR by a stress factor of 1.3, that is the stress factor designated for this type of burn. You would get Mr. Bray’s energy needs which is 2328.837732. His protein needs can be found by taking his weight in lbs. and convert them to kilograms, his protein needs would be 159.08. The problems that might interfere Mr. Bray’s ability to meet his nutrient needs are that he might have damaged his GI track. Due to the severity of his injuries, and experience discomfort as he tries to eat, or he might not be conscious to eat, and this could affect his nutrient needs and lead to malnutrition and other problems if his health care team don’t try other means of feeding, like Enteral Nutrition and Parenteral Nutrition (DeBrune and Pinna
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