Question

** THIS IS A NUTRITION QUESTION, BUT THERE IS NO SUBJECT FOR IT!!**

Mr. D is a 62 year old male weighing 239 lbs, and is 5’9” tall. He smokes a few cigarettes per day and usually drinks 1 glass of red wine at night after a stress-filled day at work. Due to a hectic schedule, he finds it difficult to exercise during the week, but bikes on the weekend, and occasionally swims laps at a local gym. Both parents had a history of hypertension, and his brother experienced a heart attack at 45 years of age. At a recent physical exam, his BP and fasting labs were as follows:

BP: 135/98

Total cholesterol: 198 mg/dl

LDL: 164 mg/dl

HDL: 26 mg/dl

TG: 195 mg/dl

Glucose: 148 mg/dl

A typical day of meals includes:

Breakfast

2 cups coffee with cream and sugar

bagel with egg, cheese, and bacon

Lunch

Deli sandwich (alternates between turkey, ham, tuna)

on white bread with mayo

Diet Coke

Dinner

(often dinner business meetings)

steak (loves red meat!), baked potato with sour cream and butter

tossed salad with bleu cheese dressing

roll and butter

cocktail or wine

Before Bed

glass of red wine

handful of peanuts or pretzels

Consider the chronic diseases reviewed in Chapter 18 (cardiovascular disease, hypertension, diabetes, and cancer). Evaluate Mr. D’s physical data, lifestyle, family history, lab, and diet information.

E exam 4 micro study guide-Goc » eCase Scenario: Mr. Jones lswr 面 Upload Assignment. Chapter A Chapter Assignment #2 Cases × × e>> https://rcbc. blackboard.com/bbcswebdav/pid-1 529939-dt-content-rid-32269516-1/courses/NUR-220-170-2019SP/Chapter%20Assignment%20% Chapter Assignment # 2 Case Study Chapter 18-Mr D and Chronic Disease Risk(1).doc File Edit Format Tools Help Share a Q Q Normal Times New ▼ 12, Blu A. ▼ 1. What is Mr D's BMI and what is his weight classification? (can use BMI table from Chapter 8, p. 242) Ts his weight a risk factor for any of the chronic diseases noted in Chapter 18? If yes, which one(s)? 2. Is his family health history of concern for chronic disease risk? Which lifestyle factors may affect his risk of chronic diseases? How do his labs compare to normal values? Which are outside the range of "normal and may increase his risk for chronic diseases? 3. Of Mr D's dietary choices, which two you consider to be of the greatest concern to increase his risk of chronic discase? 4. 5. Of the risk factors that Mr D may have for chronic diseases, which are modifiable and which are non-modifiable? In addition to answering the above questions, provide 5 suggestions (each suggestion = 5 points) as to appropriate changes (diet and/or lifestyle), and note how/why they would reduce his risk of the chronic diseases identified. + 10:34

Answer 1

Evaluate Mr. D’s physical data,

Physical data mainly include height 5’9” (175cm), 239lbs (108.4kg) so the BMI will be 35.4 , that will come under obese

Also the BP of his is 135/98, it is hypertensive

lifestyle,

he had the lifestyle of using cigarettes per day and usually drinks 1 glass of red wine and he will exercise at the weekend, he had an hectic work schedule and very busy at work. He had dinner always in the business meetings

family history

he had the family history of hypertension, coronary artery disease,

, lab

Total cholesterol: 198 mg/dl borderline

LDL: 164 mg/dl high

HDL: 26 mg/dl low

TG: 195 mg/dl borderline

Glucose: 148 mg/dl high

, and diet information.

The diet he followed is very much with lots of fat and oils and having less amount of vegetables and fruits, also he was taking dinner most of the in the meetings outside it will have lots of fast food items.

So Mr D has all the risk factors of the noncommunicable diseases such as use of tobacco, use of alcohol, lack of exercise and following unhealthy diet with excess fat and oil and less vegetables. This will account for the modifiable risk factors, apart from that non modifiable risk factors such as family history of hypertension and coronary artery disease.