Question

Mrs. Margaret Moore is a 57-year-old retired nurse. For the past year, she has treated her newly diagnosed hypertension with lifestyle changes including diet, smoking cessation, and exercise. She is in to see her physician for further evaluation and treatment for essential hyperten- sion. Blood drawn 2 weeks prior to this appoint- ment shows an abnormal lipid profile. List 2 PES statements and a nutrition prescription

Case#4: HTN & CVD". Please design a nutritionally adequate menu (with fluids and activity recommendations) so your patient will lose around 15 pounds over the next 12 weeks (or 3 months).

Please write a 3 (-7) day diet plan that will meet the needs of this patient, make sure to include food/beverage quantities in common household measurements, and also provide some exercise suggestions. In your 3(-7)-day menu make sure to include everything such as condiments, sauces, beverages, as well as fluids etc. and the combined 3(-7) day average calorie provision

Answer 1

Hypertension

The disease or disorder of abnormally high blood pressure ( above 140/90) is called Hypertension.

PES statement

It is a statement that describes the nutrition diagnosis of the patient. It stands for Problem, Etiology, and Symptoms or signs.

PES statement ( patient: Mrs. Margaret)

1. Excessive sodium intake related to ( high salt intake or frequent intake of junk food or fast food) as evidenced by weight gain or high blood pressure.

2. Excessive fat intake related to frequent consumption of high fat food, junk food or fast food as evidenced by abnormal lipid profile( high cholesterol levels).

Nutrition prescription

* Include whole grain foods in the daily diet

* Stop having junk food and fast food that are high in salt and fat

* Avoid red meat , eat more fish , vegetables and fruits

* Stop sugary drinks and sweets

* use skimmed milk and diary products

Case# 4: HTN and CVD

Menu plan for patient with HTN and CVD(a DASH diet , Dietary approaches to stop Hypertension, is highly recommended for such patients)

Day 1 ( calories approximately 2160)

Break fast:

medium pear 1

bran muffin 1

margarine ( fat free) 1 teaspoon

green tea 1 cup

skimmed milk 1 cup

Lunch:

cooked rice 1/2 cup

cooked meat ( chicken) 3 ounces

vegetable salad 1 cup

Dinner:

whole wheat bread 2 slices

Salmon

pineapple chunks 1 cup

snack

medium sized apple

light yogurt 1 cup

Day 2 ( calories approximately 2000)

Break fast :

Decaffeinated coffee 1 cup

Oat meal 1/2 cup

Vanilla Greek yogurt 1 cup

Apple 1 medium size

Lunch

cooked pasta 1/2 cup

mixed veg and fruit salad with 1 teaspoon of olive oil 1 cup

cooked chicken 3 ounces

Dinner:

wheat roll 1

Tuna salad 1/2 cup with light mayonnaise

banana 1

skimmed milk 1 cup

snack:

raisins 1/4 cup

vanilla wafers 3

herbal tea

Day 3 ( calories approximately 2100)

Break fast:

Whole wheat toast 2 slices

chocolate peanut butter

Green tea 1 cup

lunch:

Tuna ( steamed or baked)

pasta with green lentil 1/2 cup

Dinner:

Chicken , grilled or baked  

Fresh spring roll 1

Snacks:

popcorn 1 cup

banana 1

nuts or almonds 2 servings

Along with a healthy fat free, salt free diet , Physical exercise is must to reduce blood pressure and body weight.

Walking( 30 minutes a day) bicycling, jogging ay least 5 days in a week is help ful in maintaining healthy body weight and blood pressure. Ensure adequate water intake.