Question

Chapter 11: Nutrition Case Study Joan is an 82 year old woman whose husband died last year. Now, she lives alone in a small apartment with no money for "luxuries". She has no family or friends in the area having relocated for her husband's job. She takes medication for type 2 diabetes but has had increasing difficulty controlling her blood sugar because of her "sweet tooth”. She generally eats alone and reluctantly admitted she has been drinking more than she used to (at least 3 alcoholic beverages a day). Although she is able to cook she prefers not to and frequently skips meals. She also admits that she won't eat anything green so her diet is lacking vegetables. She has been referred for nutritional counseling because she has lost 20 pounds this past year without dieting. She is 5'5" tall and weighs 110 pounds. 1. Using the "Determine" scale printed on page 279 of your text, what is her score? What does that score mean? 2. What factors contributed to Joan's weight loss? 3. What do you think is the underlying issue causing the weight loss? 4. What should be done in the short term to help Joan with her weight? 5. What should be done long term to help her maintain good health?

page 279

Answer 1

#. Nutrition score of self :-

1. I have an illness or condition that make me change the kind and /or amount of food I eat - 2

2. I eat fewer than 2 meals per day - 4

3. I eat few fruits or vegetables or milk products - 4

4. I have 3or more drinks of beer , liquor or wine almost every day - 5

5. I have tooth or mouth problems that make it hard for me to eat - 3

6. I don't always have enough money to buy the food I need -6

7. I eat alone most of the time - 1

8. I take 3 or more different prescribed or over the counter drugs a day - 6

9. Without wanting to , i have lost or gained 10pounds in the last 6 months - 3

10. I am not always physically able to shop , cook and /or feed myself - 5

Total nutritional score - 39