The patient is a 68-year-old woman with a history of severe rheumatoid arthritis who is confined mostly to a bed or a chair. Sherequires assistance in changing positions or in repositioning and cannot bear much weight when transferring to the chair. She has care at home by family members during the day and home health assistants at night. The family usually try to cook but sometimes they are rushed and serve fast food. The home care nurse visits the patient on a weekly basis.
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