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

1. Daily calorie allowance for the day per myplate plan for Fred’s Height, weight and age_____________

Answer 1

Calculate the BMR
weight 270pounds=122kg
Height 5 feet 10inches =178cm
BMR = 10X(weight in kg) + (6.26 X height in cm) - ( 5X age in years) + 5
10 x 122 + 6.25 X 178 - 5 X56 +5
1220 + 1,113 - 280 + 5
2333 - 285
2024 calories
The patient is sedentary(little or no exercise) =1.2
BMR X1.2
2024 X1.2 = 2,458 calories/day