Question

Fred is a 56 year old, single male. He is employed in sales and spends a great portion of his day either behind his desk making calls or in his car. Fred has a base salary but depends on sales for commission. He has a limited income and attempts to use finances wisely. Due to his schedule, he has few friends and little leisure time. He relays that he has been diagnosed with high blood pressure and has a family history of cardiovascular disease.

In a typical day, Fred sets his alarm for 7 am and tries to get to the office by 8:30. He always drives through a donut shop and picks up a reduced fat blueberry muffin and a large latte.

For lunch he packs a bologna sandwich, a bag of Corn chips and a Cola and eats at his desk.

After making calls and finalizing several deals, he leaves the office around 6 pm. Several times a week, he meets clients for dinner. Today he is having dinner with a couple of guys at a local steak house.

After dinner and a business session, he returns home around 10 pm. Fred is exhausted but decides to unwind and watch the nightly news before bed.

Fred’s company is collaborating with an insurance company to begin a wellness program. As the nurse for the wellness program, you are to meet with each employee and complete an initial evaluation.

Answer the following questions pertaining to Fred’s evaluation.

Use myplate.gov (Links to an external site.) and module 1 to answer the questions.

Client: Fred

Age: 56

Height: 5 feet 10 inches                            Weight: 270 pounds         

Diet Analysis:

Food	Calories	Fat (g)
Reduced Fat Blueberry muffin	410	10
Large Latte	490	22
2 slices Bologna, all beef 2 slices white bread 1 tablespoon mayo	174 138 99	16 2 11
Corn chips 2.1 oz	294	13
Cola 12 oz	136	0
Onion Blossom, ¼ with sauce House Salad Honey Mustard Dressing,1 svg 12 oz rib eye Loaded sweet potato Dinner roll with cinnamon butter	787 121 150 680 309 227	70.3 5 14 45 8 11
Total Intake	4015	227.3

6. Looking at Fred’s diet recall and the MyPlate recommendations:

a. What food groups are inadequate in his diet?

b. What are the three concepts that MyPlate emphasizes to encourage healthy eating habit?

c. The Dietary Guidelines can be used by consumers to help them make changes to their eating habits that will last for a lifetime. Review the Dietary Guidelines MyPlate messages. Explain the 5 messages to Fred.

D. What information has Fred provided concerning his environmental assessment?

e. Before concluding this session, you provide recommendations for a healthier lunch. Discuss three recommendations that you might suggest.

Answer 1

6a- Fred has a very poor nutritional intake. He has less intake of fruits, vegetables and whole grains but his diary products intake is inadequate.

6b- Eat a healthy diet, Be physically active, Stay at a healthy weight.

6c-

1. Bse your meals on higher fibre starchy carbohydrates. ...
2. Eat lots of fruit and veg. ...
3. Eat more fish, including a portion of oily fish. ...
4. Cut down on saturated fat and sugar. ...
5. Eat less salt: no more than 6g a day for adults. ...
6. Get active and be a healthy weight. ...
7. Do not get thirsty.

6d- Fred has a busy schedule and stressful work environment to meet his daily needs, that limited his friends circle and decreased his leisure activities. these are the main components that made him unhealthy. These can eventually damage his mental health as well.

6e-Vegetables and fruits are also low in calories and rich in dietary fiber. Vegetables and fruits, like other plants or plant-based foods, contain substances that may help prevent cardiovascular disease. Eating more fruits and vegetables may help you cut back on higher calorie foods, such as meat, cheese and snack foods.

Day 1 menu

Breakfast

• 1 cup cooked oatmeal, sprinkled with 1 tablespoon chopped walnuts and 1 teaspoon cinnamon
• 1 banana
• 1 cup skim milk

Lunch

• 1 cup low-fat (1 percent or lower), plain yogurt with 1 teaspoon ground flaxseed
• 1/2 cup peach halves, canned in juice
• 5 Melba toast crackers
• 1 cup raw broccoli and cauliflower
• 2 tablespoons low-fat cream cheese, plain or vegetable flavor (as a spread for crackers or vegetable dip)
• Sparkling water

Dinner

• 4 ounces salmon
• 1/2 cup green beans with 1 tablespoon toasted almonds
• 2 cups mixed salad greens
• 2 tablespoons low-fat salad dressing
• 1 tablespoon sunflower seeds
• 1 cup skim milk
• 1 small orange

Snack

• 1 cup skim milk
• 9 animal crackers