Question

College of Health Sciences - Biomedical Sciences Program BMS 332: Clinical Nutrition Student Name Practice Worksheet 3 1. For each scenario below, identify two follow up questions you could ask about personal/social factors fi.e. social determinants of health) that influence food choices and eating behavior. a) A child's intake of sugar-sweetened beverages b) A persons use of non-pasteurized milk c) A 24-hour food recall consisting of the following. Breakfast: Coffee, 2 sugars, one non-dairy creamer Lunch: Fast food restaurant: % pound burger with mayo on a bun; fries: Chocolate milk shake Dinner: Fried chicken Mashed potatoes Coleslaw Biscuit Snack: 4 cups buttered popcorn 12-ounce cola 2. Refer to the following scenario to respond to the question You are the community nutritionist who works with your county's day care centers to help ensure their clients receive adequate nutrition. One of the center directors has called to ask whether he should use the Estimated Average Requirement, Recommended Dietary Allowance, Adequate Intake, Estimated Energy Requirement, Acceptable Macronutrient Distribution Range, or the Tolerable Upper Intake Level in planning his menus. How should you advise him? 3. Describe three ways in which illness can affect a person's nutritional status. Then describe three ways poor nutrition status affects health maintenance and/or recovery from illness. 4. Identify three personal/social factors that impact food intake and describe how each one can influence nutritional status. 5. Compare and contrast the Nutrition Care Process and the Nursing Care Process as described in your assigned reading. 6. Describe two advantages and two disadvantages of food records. Then describe 2 strategies to improve the accuracy of food records.

Answer 1

1. i). Elicit the question why using the unpasteurized milk?

It gives you the answer that about their inadequate knowledge about importance of pasteurization and proper using of milk.The personal choice reveals the ill health behavior.

ii). Investigate about the type of job the individual is doing.

Based on the work type people prefer to foods which are readily available.Individuals who are working in a busy schedule not prefer to healthy food habits.Because which is not readily available.

By this due to the social factor that is the work , the individual prefer to their personal choice of food.

2. Initially investigate about the individual history about health which includes personal history,social history, family history,diet history , past and present health history .From this you can know about the individual personal choices of food and eating behavior, diseases,health problems, affordability to buy food items.Then calculate his BMI and according to that prepare a healthy diet chart that should gives him the recommended dietary intake.Advice him according to his health condition.

3. i). Individual who is having fever unable to take food items and healthy drinks which results in dehydration.( Inability to take food items)

ii). Restrictions on food items even though it is the person's choice of food.Individual who prefers to fatty food due to the illness he needs to compromise his own choice of food.

iii) . Due to the health problem individuals are forced to take the disliked choices of food.example: A girl who is having anemia to increase her hemoglobin level she needs to eat the liver but she don't like it.

Thus the illness affect the person's nutritional status.

I).Individuals who prefers to high fatty,cheesy and spicy foods always ate junk foods like cheesy chicken pizza,burger and pork which may cause heart problems.

ii). Person's choice of taking alcohol cause illness.

iii). Person's choice of avoiding healthy items results in health problems.

Thus the person's choice of food affect the health status.

4. Social factors include age,work and place affect the health.

The mother who is unwilling to give breastfed this choice affect the health.

The one who is doing sedentary work can have the health problems such as diabetes mellitus and obesity.

The personal choice of likes and dislikes foods can cause health problems.May be he prefers to junk foods and dislikes healthy veggies can cause health problems.