After your assessment, what can you diagnose in Linda’s case?

Linda is a 35-year-old divorced mother. She has 2 boys aged 7 and 10, in her care. She has started a new job which requires her to move out of the city frequently. She feels very guilty about having to leave her children with a babysitter while she travels. Her work is very stressful, and includes many meetings that include lunches, dinners and cocktails. She noticed that she has nausea frequently, and moreover, 3 weeks ago, she had an incident of vomiting with blood. Therefore, she decided to see a doctor who admitted her to the hospital. Her medical history revealed that she had suffered from pain in the upper abdomen for several months. These pains became more and more acute over time, accompanied by headaches, for which she used aspirin. Linda was pale, nervous and weak upon admission. She had lost 4kg in the past year and weighs 50kg now, for a height of 165 cm.

The initial treatment was: • Blood transfusions • Intravenous infusion of fluids. • Electrolytes and vitamin C • Drugs including: cimetidine, aluminum hydroxide and magnesium. • Triple antibiotic therapy. After leaving the hospital, after 2 weeks, the dietician discussed general nutritional needs with her. She advised her to consume her meals at fixed and regular times each day, in a relaxed atmosphere as much as possible, to eliminate coffee and snacks between meals and to take a daily multivitamin supplement with a meal. She also advised her to quit smoking and stay home to rest for 2 weeks before returning to work. She also received a general guide with a list of some foods and eating habits to avoid. After that, she was to return for a follow-up in a week.

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  1. After your assessment, what can you diagnose in Linda’s case? 2. What do you think would be the normal weight range? 3. Knowing that the list given for foods to avoid was a small list, in your opinion, what would be the foods mentioned? and why are they to be avoided? 4. What role does vitamin C have in her case? 5. What other vitamins and minerals are significant in this case? what role does each have? 6. Why are antibiotics given in the treatment of ulcers? 7. Will Linda have a problem when she eliminates coffee, cigarettes and alcohol? what are they and what is your rational concerning them? 8. Write a day menu as an example to illustrate.

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