SOAP:
Subjective- Family expressed concerns about increasing mental confusion, lethargy, 
decreased p.o. intake, and decreased urination.  Increased belligerence and forgetfulness.  
UBW = 135 lbs.
Physical impairments = dentures 

Objective- 
_ Anthropometric info= 82 y.o.w.f., ht.5Õ6Ó, medium frame, wt. On admission (12/1)= 
50.9 kg, 
current wt (12/3) =  52.3 kg, TSF = 11 mm (5th percentile), UAMA= 23 cm^2 (standard), 
UAFA= 13.2 cm^2 (5th percentile).
_ Biochemical: 
On Admission (12/1)			Current status (12/3)
Na      	151 mEq/L				139 mEq/L
BUN   	40 mg/dL				13 mg/dL
Albumin  4.5 g/dL			 	3.6 g/dL
Hematocrit 52%				45%
_ Clinical = Poor skin turgor, bruising on the left hip, cut on forehead.
_ Dietary = Dehydration (exacerbated by med. Hydrochlorothiazide)
 	          I.V. hydration at D5W @ 75 cc q
	          Diet is a dysphagia and thickened liquid diet
	          Decreased p.o. intake
	          REE = 1100 kcal/day

Assessment-
Pt. has A.D. which has affected her diet.