Question

Be able to answer the following questions for each of the case studies described below.

What additional questions do you have for the client/patient? Why?

Calculate IBW, UBW, %IBW, %UBW, BMI and what they mean to nutrition care plan

Be able to calculate Energy and protein needs, show your work

List a nutrition screening tool that would work well for this population

What anthropometrics do you know, what additional information would you like to collect? Why?

What additional biochemical markers would be helpful to know? Why?

What dietary intake tool would you use and why? How will you assess the information from this tool?

What labs will be necessary to assess acid/base balance?

What are some mediators for inflammation and which can you measure?

Describe how the client/patient’s diet is influencing his/her immunity and why

List some possible contributors to inflammation

Patient/Client has increased risk for what diseases?  Why?

What are some modifiablecontributors to weight and overall health?

A functional, integrative nutritional screening and intervention might include:

Which are examples of endo and exo-toxins client has or could be exposed to?

When specific reactions are blocked due to insufficient enzymes or cofactors, what is the result?

If you suspect a food allergy, what labs would you request?

What are the most common food allergies? (children and adult)

What specific advice can you provide client with for meeting fluid needs?

What foods would you recommend adding to their daily diet? Why?

Prepare a one day food plan for the client, include rationale for adding foods

68-year old Caucasian female who works as a teacher’s aide complaining of severe headaches, significant edema in lower legs, and fatigue; she was prescribed Metformin and takes NSAIDs for pain regularly and a laxative when she needs it.  Tried online detox to lose weight.  Detox involved stringent fasting together with juices at periodic intervals.  Within 2 days, she felt worse than she did at the beginning, but thought that was normal for a detox. Even though she tried to push through, she could not sustain the detox and stopped after day 4. Ht: 5’4”, Wt: 185 lbs., Dx: T2DM (12 yrs, fibromyalgia, generalized joint pain. Her regular diet includes coffee with creamer (loves Coffee Mate Mocha mix added), toast or cereal; lunch is sporadic, sometimes a sandwich or she eats at the school cafeteria; Likes cookies as snacks in afternoon, dinner is with her husband, she cooks and says her husband prefers meat/potatoes or casseroles with something chocolate for dessert.   She likes to drink iced green tea during the day.

Answer 1

Q. No 1. Answer :

The additional questions should be ask the client like,

* where she is hypertensive ? Because she is having edema in lower legs and head ache,

* And her BODY MASS INDEX is 31. 30 so she is obese client.

* so there is a chance to hypertension and cardiovascular diseases.

* her dietary patterns also cause for these.

* And to ask regarding dietary habits and patterns, because she have constipation it seems, so she is using laxatives.

* Ask regarding family history of diabetes and cardio vascular diseases.

* Ask regarding any other treatments and past surgical history. Ect.

Q. No 4. Answer :

Nutritional screening tools are

Measurement of anthropomorphic measurements like height, weight and mid arm circumference, skinfold thick ness ect.

* MUST nutrientional screening tool it is a one of the five step assessment ,that is

1. calculation of body mass index to find out obesity and

2. second step is to calculate or assess the weight loss of client and

3. Third one is to find out I'll ness of clients and assess their nutrientional intake items,

4. Identify the overall risk of malnutrition in the clients by categorization.

5. That is low risk, medium risk and high risk ect.

This is the nutritional screening tools we can use for the population.

Q. No 11. Answer :

Patient is have increased risk for to get disease is cardiovascular and renal problems .

Because she is obese the body mass index is 31. 30 kg per meter square.

And edema, due to decreased output, so we can absorves decreased functioning of kidneys.

And her dietary patterns and habits also not good.

So, she is having more risk to get cardiovascular diseases and kidney problems.

Q. No 12. Answer :

Some modifiable contributors to weight and over all health is :

* Regular exercises, like walking, jogging, aerobics ect.

* Eating high fiber diet.

* Eating less carbohydrate diet.

* Avoid to eat chocolate, potatoes and cookies may increases the blood glucose levels and weight.

* so to reduce weight these should be avoid.

* Regular health check ups .

* Monitoring of weight regularly.