A person was admitted to hospital for a car accident andsustained a fracture in his right arm and left leg with burns oftotal burn surface area of 68% and injury in his head and neck dueto accident but with no fracture in them. He stayed in coma for 3days to control his situation and the severity of brain injury ismeasured by the Glasgow Coma Scale and found to be 14. The patienthad no previous medical or nutritional problems. The patient had asurgery for his leg (installation for hip joint), but all otherproblem were solved with no surgeries. An inflammation happened tohis hip after the surgery where the physician delayed his dischargefrom the hospital. The patient weight upon his admission tohospital is 109 Kg and his height is 188 cm.

1-Discuss the metabolic response in this case describingphases, hormonal state, regulations? (Please notice thatyour answer not to exceed 300 words, and list the reference youhave used).

2-If you are working in this hospital as a dietitian,explain the nutrition plan you will follow for this case, in eachstage of his medical treatment plan, from his admission, ICU,before surgery, after surgery, at home, mention all nutrients toconcentrate on, or to supply and method of feeding to use in eachstage? (Please notice that your answer not to exceed 1word page, with single space between lines, and no need forreferences).

-How to assess thyroid disorders medically andnutritionally?

(Please notice that your answer not to exceed 150 words for eachpoint, and list the reference you have used).