In patients with HIV/AIDS who suffer from mouth lesions, one of the foods to recommend is:
a. potato chips
b. orange juice
c. peanut butter
d. baked chicken
Well, clearly we've eliminated option A and B:yeah:. Option A is too hard and too salty. Option B is too acidic.
My study group is having a little friendly debate over option C and D.
Two of say C and Two of us say D. Hmmmm.
The rationale for C is that the patient has mouth lesions possibly impaired chewing/swallowing. Peanut butter is soft and it's also room temperature, so it may be better. Chicken may be too course. The rationale for D is that it would be easier to swallow and that Peanut Butter is too sticky. I chose D, then I chose C, then I chose D, now I'm back at C.....
Can someone give me their answer and their rationale and help us solve this?
Both peanut butter and chicken have protein. But look at this:
Peanut butter, 2 Tablespoons - 8 grams protein
Chicken breast, 3.5 oz - 30 grams protein
Chicken thigh - 10 grams (for average size)
Drumstick - 11 grams
Wing - 6 grams
Chicken meat, cooked, 4 oz - 35 grams
If I had a mouth full of lesions I'd think I'd rather have to swallow 2 tablespoons of peanut butter than that amount of chicken. JMHO
I see your point but for me I would still be hungry or the thought of being hungry to just swallow 2 tbls. PB. I would rather chew and swallow and get the entire process of eating. I was on soft diet before and drinking broth and eating jello just never fills you up and partly I think is the psychological process of not chewing and swallowing. A small baked chicken breast certainly gives you much more protein for the healing process.
I wouldn't pick A or B for the obvious reasons, I also would not pick peanut butter thinking it may stick to the mouth sores and maybe breed bacteria? I have no idea if that could even possibly happen, but that would be my rationele for picking chicken if this was a test question. I can't wait to here which it is
I wouldn't pick A or B for the obvious reasons, I also would not pick peanut butter thinking it may stick to the mouth sores and maybe breed bacteria? I have no idea if that could even possibly happen, but that would be my rationele for picking chicken if this was a test question. I can't wait to here which it is
This was my thought also! Whenever I eat straight PB, it sticks to the insides of my mouth and I can't imagine it would be good for mouth sores to have peanut butter stuck to them.
I found two websites related to patients living with HIV/AIDS. They both stated to avoid PB when there are mouth sores present, because it's too sticky and will make swallowing more painful/difficult. I am just back and forth and back and forth with these two choices! Not sure about the websites reliability, but that's what they state.
My guess is chicken. The most common mouth sores my patients get are either thrush or apthous ulcers. If a patient is pretty depleted immunologically esophageal thrush is pretty common and it has been described to me as if a big wad of soft bread is stuck about mid way down. Also thrush loves sugar so I would say that peanut butter would not be the best choice. Although I can say that I've had my share of really dry chicken and that would be no picnic to get down.
Personally we just give them a boatload of fluconazole and hope that clears things. I would say eat what you can no matter what. Eggs are usually the best.
Apthous ulcers are a whole different story however, yuck. We try to get some sort of vicous lidocaine for that but that can get tricky if swallowed and the throat is numb. Strangely thalidomide works really well but is hard to get.
I see your point but for me I would still be hungry or the thought of being hungry to just swallow 2 tbls. PB. I would rather chew and swallow and get the entire process of eating. I was on soft diet before and drinking broth and eating jello just never fills you up and partly I think is the psychological process of not chewing and swallowing. A small baked chicken breast certainly gives you much more protein for the healing process.
I think that wouldn't be filling, either, but we are talking a patient with HIV/AIDS. They tend to become anorexic and waste away over time.
I would pick chicken. Peanut butter is too thick and too sweet, it sticks to your teeth and to your mouth. If there are any sores in your mouth, it is very very painful to eat a sticky food. So, I would say that chicken meat is a better choice.
I don't have time to look it up, but I thought peanut butter actually was invented by a doctor for his patients that weren't able to eat much, because of it caloric and nutrient value. Anybody know?
I found two websites related to patients living with HIV/AIDS. They both stated to avoid PB when there are mouth sores present, because it's too sticky and will make swallowing more painful/difficult. I am just back and forth and back and forth with these two choices! Not sure about the websites reliability, but that's what they state.
I am going with chicken. Peanut butter is just too messy and it sticks everywhere. I am just thinking of myself when I swallow a mouth full of peanut butter and I am constantly manipulating my tongue over my teeth and gums-I cant imagine that that would feel good trying to get it all out and down when you have a mouth full of lesions. Also I would think that the peanut butter would require more aggressive oral hygiene measures-it just sticks in every nook and cranny. Baked chicken can be prepared bland and goes down much easier. I think those that are thinking that its too hot are reading too much into that option. Its just says baked chicken-not necessarily fresh out of the oven hot.
:hhmth: I know. There's so many ways to look at the question and I don't know if I'm reading too much into it and missing the boat, or not reading into it enough. There are so many valid points. I think that I'm going to go with D. D is my Final Answer. I'm locking it in. ;-)
I am just back and forth and back and forth with these two choices! Not sure about the websites reliability, but that's what they state.
racquetmom
117 Posts
I see your point but for me I would still be hungry or the thought of being hungry to just swallow 2 tbls. PB. I would rather chew and swallow and get the entire process of eating. I was on soft diet before and drinking broth and eating jello just never fills you up and partly I think is the psychological process of not chewing and swallowing. A small baked chicken breast certainly gives you much more protein for the healing process.