Question

Case Study: Julia Roberts Julia Roberts, a 66 year-old female has scheduled an appointment to meet with you and find out how the quality of her diet is. She also wants to know how to improve her habits and make more items at home instead of eating out so often. She reports she has a sweet tooth and often eats out because she likes to try new desserts at restaurants and her husband passed away last year so she does not like to make meals for herself. Julia suffered a stroke 2 years ago, but regularly follows up with her doctor and he said she "is in pretty good health now, but her inflammation markers are higher than he would like." She is 5 foot, 6 inches tall and weighs 75 kilograms. She reports not doing much exercise except walking around the mall when she is shopping She reports this is what her usual diet looks like: Breakfast: 2 cups of black coffee, 1 glass of orange juice, instant oatmeal with almonds in it Lunch: tuna fish sandwich from Subway on white bread with Lay's Potato chips, and a chocolate chip cookie Snack: Twinkie and a cup of coffee Dinner: Large bowl of pasta with Alfredo sauce, green beans, garlic bread, and glass of Riesling wine from Macaroni Grill Bedtime: 1 small cup of water and her daily medications, which include Coumadin, 2000 IU vitamin E, 1000 mg calcium, and she just started taking a fish oil because she heard about its benefits on the news related to reducing inflammation. Supplemental Facts Serving Size: 1 Softigel Capsule(s) Ingredients Per Serving % DV Natural Vitamin E (ns d-alpha tocopherol 1000 ku 3333% Notes: VITAMIN E 1000 LU. d-ALPHA TOCOPHEROL AND MXED TOCOPHEROLS. 100 % NATURAL SOURCE VVITAMIN E. Each capsule of Vitamin E contains 100 % naturaly occurring d-apha, beta, gamma and delta tocopherols. Other Ingredients: Gelatin, glycerin, water, (May contain soybean oil andlor beeswax)

1) What are 2 things you would tell Julia she is doing a good job with as far as her eating or health habits go?

2) Julia wants to set 2 short-term goals while she is with you. Please give suggestions as to goals she might have using the SMART goal acronym. She hopes to have these completed when she meets with you again in 2 weeks.

Answer 1

1, 2 things that Julia doing a good job with her eating habits are
-She prepares more items at home instead of eating out often.
-Bedtime nutrition supplements that help her to stay fit and reduce the inflammation.
2, Short term goals should be achievable in a shorter time
-suggest Julia to have a brisk wall outside for one mile, it helps her reduce the craving
- Advice her to eat a fresh fruit piece like banana, apples and orange, dark chocolate when she is craving for sweet tooth instead of eating artificial sweeteners.