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Discussion Board Four

Worth 50 Points

Hilary has type 1 diabetes. She was admitted to the subacute center today after spending 4
days at Barcello Hospital. Hilary suffered complications following routine outpatient surgery.
She has had three light to moderate strokes and her blood sugars were over 250mg/dL. She
has blurred vision and paralysis on the right side. She is having trouble swallowing and seems
to choke on occasion when taking medications.

Hilary was diagnosed with type 1 diabetes 10 years ago. Her doctor describes her blood
glucose control as excellent. She followed a carbohydrate counting diet, took 3 insulin
injections daily, exercised regularly and monitored her blood glucose 4 times per day.

Medical Profile

 DOB 1/1/85
 Height 164 cm
 Weight 41 kg
 Wrist Circumference 12 cm
 Hgb 13 grams
 HCT 35%
 Blood Pressure 120/70

Hilary’s Lab reports:

Date HgA1C
6/14 4.8%
12/14 7.25%
6/15 6.75%
12.15 5%

A 24-hour recall of foods reveals the following:

Breakfast Lunch Dinner

1 egg 1 cup spinach salad 4 oz. salmon
1 slice toast 1/2 cup mandarin oranges 1/2 cup mashed potatoes
1 package sugar-free jelly 1/4 cup mushrooms 1/2 cup green beans
1/2 cup orange juice 1/4 cup diet dressing 1 cup milk
1 cup coffee 6 saltines 1 slice angle food cake
16 ounces unsweetened tea
1. From the information provided, what should be documented in the Medical Record?
2. How old was Hilary when she was diagnosed with type 1 diabetes?
3. What is Hilary’s IBW?
4. What is Hilary’s percentage IBW?
5. Evaluate her diet using the recommendations of MyPlate. Compare her intake by food
group. How is Hilary doing?

MyPlate Recommendations Hilary's Diet

Food Servings Servings

6. What should be checked on MDS Section K?

7. Practice writing a chart note for this client.


1. Create a new thread and in 250 words answer the question(s) in the discussion board
 Your initial post is due by Friday at 11:59 p.m. (check course due dates)
2. Respond with at least 150 words to at least two of your classmates posts.
 Responses are due by Monday at 11:59 p.m. (check course due dates)
3. A Minimum of three posts per discussion board thread.