Choice a: a 67-year-old male living alone with a disability, 5’6" 135 lbs. was diagnosed with heart failure 2 months ago. since that time he has lost 20 lbs. from dyspnea and shortness of breath and inability to consume large meals. intake is documented. he states that he is unable to shop or cook and uses many processed foods with a high sodium intake. here are two possible pes statements. choice a: inadequate energy intake related to dyspnea, shortness of breath as evidenced by 20 lbs. weight loss
choice b: inadequate food and beverage intake related to inability to shop and cook as evidenced by calorie intake of 500 calories less than estimated requirements and 20 lbs. weight loss in 2 months choose the response that best describes the better choice of a pes statement and the best rationale for that choice:
a) choice a is preferred since it is shorter and more succinct and energy intake is more specific than food and beverage intake.
b) choice a is preferred since dyspnea and shortness of breath is the true root cause of the nutrition diagnosisc.
c) choice b is preferred since this particular pes statement has an etiology, or a "root cause," that the rdn can impact and leads to an intervention that the rdn can specifically plan, and a sure method for monitoring and evaluating the patient’s progressd.
d) choice b is preferred since the nutrition diagnosis is broader and reflects a more global problem that must be addressed