Question

REVIEW CASE STUDY Annie is an 80-year-old widow who lives alone. She has a long history of hypertension and diabetes and suffers from the complications of CHD and neuropathy. She has diabetic ret- inopathy, which has left her legally blind. She has never been compliant with a diabetic diet but takes insulin as directed. She is 5 ft 5 in tall and weighs 170 pounds, down from her usual weight of 184 pounds 5 months ago. Annie reluctantly agreed to receive Meals on Wheels so she does not have to prepare lunch and dinner except on week- ends. Her daughter buys groceries for Annie every week, and her grocery list generally consists of milk, oatmeal, two cans of soup, two bananas, a bag of chocolate candy, a layer cake, two doughnuts, and mixed nuts. Her weekend meals consist of whatever she has available to eat. • What is Annie's BMI? How would you assess her weight status? • Is her recent weight loss significant? Is it better for her to lose weight, maintain her present weight, or try to regain what she has lost? What would you recommend Annie eat for breakfast? For snacks? For weekend meals? Would you discourage her from eating sweets? What arguments would you make for her to eat better?

Answer 1

BMI is body mass index: body mass index can be find out using a formula

here the patient's weight is 170 pounds .in kilogram it is approximately 77 kg

here the patient's height is 5 feet 5 inch .in meters it is approximately 1.65

BMI = weight in kg/ height in meter square

= 77/1.65 * 1.65

=28.28

here the patient's BMI is 28.28

here the patient has a long history of hypertension and diabetes,and also she is experiencing the complications of diabetes now a days.she didn't follow any sort of diabetic diet. here the BMI index shows that her weight is not ideal to her height.as compared to previous years now she has lost weight .it indicates she is improving in her diet .weight should be reduced to some extend also.but considering her age which is 80 yrs indicates she is old.she can maintain the preset weight,but no need to improve the weight to other extend.

she has to change her diet ,because her diet is not in a proper way.she has to follow a diabetic diet.it siply means eating the healthiest food in moderate amount and sticking to regular meatimes.it is naturally rich in nutrients and low in fat and calories.key elements are fruits ,vegetables and whole grains.

for breakfast:

• shake
• muffin parfait
• whole grain cereal
• scrambled eggs and toast
• breakfast burrito
• almonds and fruits

for lunch:

• includes soup
• grilled veg sandwich on high fiber bread
• three cheese vegetable sandwich
• chicken breast,pumpkin seeds,and beans in lettuce cups with salsa

for snacks:

• hard boiled eggs
• yogurt with berries
• handful of almonds
• veggies and hummus
• avocado
• sliced apples with peanut butter
• roasted chickpeas

the patient can eat any of the listed items in a better and comfortable way.she has to avoid too much of fat in her diet,.rice items should be avoided.if consume means little amount should be taken.bananas should be eaten in a controlled manner.too much amount should be avoided.sugar or sweetened beverages should be avoided.dried fruits should be avoided ,flavored coffee drinks should be avoided,or else she can be used in a controlled manner.weight should also be in a controlled manner.better should not gain weight.