[Answered]: Male patient, Mr. Furgeson, dx with esophageal cancer

Male patient, Mr. Furgeson, dx with esophageal cancer. Patient presents with a 25 lb weight loss over the last 3 months. His NFPE indicated malnutrition with temporal wasting, bilateral tricep muscle loss and mild protrusion of his clavicle. He reports poor oral intake due to pain when swallow, likely related to his radiation. Mr. Furgeson has agreed to move forward with a G-tube placement. Patient information: Age 60 Current Weight 135 lbs Height: 5 ft 5 inch Question 1: Based on Mr. Furgeson’s presentation and dx of cancer, use the nutrition care manual to calculate his estimated calorie, protein, and fluid needs. Show your work. Question 2: Use the following resource to review formulas available and select an appropriate formula. State which formula you will use and justification for formula choice. Question 3: At this time it has been determined that Mr. Furgeson should not eat anything by mouth due to dysphagia concerns. Determine the nutrition intervention. You will need to calculate the volume of formula needed to meet 100% of Mr. Furgeson’s calorie needs. Once you have determined the amount of formula needed, calculate how many calories, how many grams of protein, and how much free water the regimen will provide. Show your work. Question 4: Mr. Furgeson would like to use his G-tube for bolus feeds, due to convenience. Determine the initiation and advancement recommendations for Mr. Furgeson. Question 5: Based on your intervention and plan for starting and advancing bolus feeds, how long will it take to get Mr. Furgeson to goal feedings? Question 6: Determine Mr. Furgeron’s fluid needs. What would an appropriate water flush regimen be for this patient? Question 7: Write a PES statement for your patient.