Background: Margaret was taken to her
doctor because of her breathing problem when sleeping. Her doctor
diagnosed her with sleep apnea related to her weight and referred
to the registered dietitian for nutrition counseling.
Personal Information:
Gender: Female
Height: 5’4"
Weight: 175 lbs
Nutrition:
General: Very good appetite with consumption of a wide variety of
foods. Margaret’s
physical activity level is generally low. She discontinued physical
activities for five years
now. She likes playing video games and reading.
Sample of 24-hour meal recall:
Breakfast: 4 servings of pancakes (4 inches
across, 1/4 inch thick), 8 oz whole milk, 4oz apple juice
Lunch: 2 burrito and cheese sandwiches (2 slices
of white bread, 1 oz. mozzarella, 1 tbsp
mayonnaise each) 1-oz pkg potato chips, 8 oz whole milk
After school snack: Peanut butter and jelly
sandwich (2 slices white bread with 2 tbsp
crunchy peanut butter and 2 tbsp fruit jelly), 12 oz
wholemilk
Dinner: Skinless lean chicken (10 oz.), 1 c
mashed potatoes, 1c blanched okra, 16 oz lemonade
Snack: 3 c microwave popcorn, 12 oz
Coca-Cola
Vitamin intake: Multivitamins (plus zinc)
daily
QUESTION: Make a sample outline of
her new 24-hour meal to improve Margaret's health. Provide
rationale for each food that will improve her health status. (Note:
The meal plan that you will create should comprise breakfast,
lunch, dinner and 2 snack meals).
IV. Laboratory Results: Chemistry Sodium (mmol/L) Potassium (mmol/L) Chloride (mmol/L) Creatinine (mg/dL) Glucose (mg/dL) Bilirubin total (mg/dL) Protein, total (g/dL) ALT (U/L) AST (U/L) Cholesterol (mg/dL) HDL-C (mg/dL) LDL (mg/dL) LDL/HDL ratio Triglycerides (mg/dL) Reference Range 136-145 3.5-5.5 95-105 0.6-1.2 70-110 ≤1.5 6-8 4-36 0-35 <170 >55 F, >45 M <110 <3.22 F; <3.55 M <150 Physical Assessment Results 142 4.3 101 0.6 122 ↑ 0.1 6.2 5 6 180 ↑ 34 ↓ 125 ↑ 3.68 ↑ 114
Background: Margaret was taken to her doctor because of her breathing problem when sleeping. Her doctor diagnosed her wi
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Background: Margaret was taken to her doctor because of her breathing problem when sleeping. Her doctor diagnosed her wi
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