Activity 3.2.4: PLTW Nutrition – Client Report for Trisha Knowles Client Name: Trisha Knowles Health History (including any specific health goals): Trisha Knowles is a 19-year-old sophomore majoring in biology. Trisha exercises regularly, sometimes twice a day. She has been a vegetarian for just under a year and she recently eliminated almost all carbohydrates from her diet. Trisha does eat dairy and occasionally, she eats seafood. She packs small meals to take with her to campus as she refuses to eat in the cafeteria. The patient has no family history of heart disease or diabetes, however both her parents are on medication for high blood pressure. Her paternal grandmother died of breast cancer at age 47. Her maternal grandmother …show more content…
She reports drinking 8-10 glasses of water a day. She does not drink soda or coffee, but she does drink 1-2 sugar-free energy drinks per day. She sometimes skips meals if she forgets to pack food to take to campus. Trisha does not eat fast food and only orders salad (with the dressing on the side) when she eats out. Calorie Deficit or Surplus (Compare Inputs and Outputs): Compare calories consumed versus calories expended.
PHYSICAL EXAM: Temperature 98.6, Blood pressure 140/90. Pulse 110. Respirations 26. Her lungs are clear, showing mild signs of distress. Heart sounds are normal, irregular rhythm and bradycardia noted. No edema noted in extremities. Patient skin is cool to touch, slightly clammy. EEG shows prolonged QRS wave, with ischemic ST changes and PVCs. Chest radiograph clear.
She converses appropriately. Blood pressure 92/60 supine. Blood pressure decreased to 72/50 standing. Pulse is 90 and regular. Weight 113 pounds. She has a normal appearance of her face and does not have a masked appearance of her face. She has good strength throughout her face. She has good strength of her extremities. She has only minimal cogwheel rigidity at the left wrist, but no cogwheel rigidity at the right wrist. She has no tremor of her hands. She moves her extremities freely and with normal speed. She is able to rise on her own from a sitting to a standing position, only minimal bradykinesia of standing. She walks fairly freely and there is a normal cadence of her gait. She did not have dyskinetic movements of her extremities. She is able to walk, including turning without losing her balance. She does not shuffle her feet when walking. She does not have en bloc turning. She has good posture stability
My article was about the dreaded freshman 15 and how it’s common for freshman students to gain weight during their first year. The article talks about if students actually gain 15 pounds just in their first year alone. Some studies have said that this is false, and the average weight gain is closer to around 7 and ½ pounds. While this isn’t so bad, the article goes on to show where all those calories will be coming from, and give tips as to how to avoid weight gain. The article mentions how to pick healthy food in the dining hall, and how to eat less while there. It advises also getting into habits of going to the gym and staying active alongside eating healthy. Lastly, it talks about snacking in between meals and drinking calories. The author
V.S’s mother died in 2011, at the age of 73 from a myocardial infarction, and her father died at the age of 89, from complications from Alzheimer’s. Her husband passed in 2008; he lived through a ruptured aortic aneurysm, and then died from sepsis following a hernia surgery. She has 8 siblings, all living. She has three children (ages 30, 40, and 42) who are all healthy. She has five grandchildren, and one great grandchild. There is no known family history of hypertension, diabetes, or cancer. See genogram that follows…
Third-year students were split between the 7-day meal plan and no meal plan at all, eating two times a day or less on campus, eating out at least two to three times week, and eating store-bought food two to three times a week.
In the case study it discusses a patient, Mrs. Harris, who is a 72 year old and is complaining of fatigue and swelling in her feet. Mrs. Harris also expresses her concern on the swelling, as some days she is unable to put her shoes on despite proper elevation. She also states walking to her mailbox can be challenging because it causes her to feel more tired and to have shortness of breath, also known as dyspnea. Mrs. Harris is currently taking medication for high blood pressure, hypertension; and is also drinking approximately 8-12 glasses of wine a week. While examining Mrs. Harris it’s clear she is a little overweight and has swollen ankles. Upon listening to Mrs. Harris’s breathing, crackles are heard. Therefore, Mrs. Harris seems to have congestive heart failure.
She reports a history of back pain, ovarian cysts excision, and breast tumor. She denies chest pain, shortness of breath, or palpitations. Patient reports that her immunizations and preventive care are up to
7. A 56-year-old patient who has no previous history of hypertension or other health problems
Having bad eating habits can cause vastly eating disorders and illnesses. Students attending college that do not eat right are most likely to conceive an illness or become overweight. “An unhealthy diet is a major risk factor for becoming overweight and obese,” (McNight). Freshman 15 is most likely to get to the students that have This is something to think about when it comes to meal plans. The majority of the meal plans offered at any college are high in fats and calories. By consuming all of these foods you are more likely to having this problem.
This is a patient with a past history of hypertension, hyperlipidemia, diabetes, CAD and congestive heart failure who presented initially complaining of chest discomfort in the upper left side of her chest which was thought could be consistent with angina. The patient's initial workup showed the blood pressure was elevated at 193/77. The EKG had nonspecific changes. The chest x-ray had no acute disease. The troponin was negative.
Ms. R. is a 73 year-old divorced female, who has history of hypertension (HTN), coronary artery disease (CAD), hypercholesterolemia, and osteoporosis. She is on Ecotrn, Fosamax, Citracal, Crestor, Zestril. Ms. R. has been retired for more than 7 years as a factory worker. She lives with her daughter and a dog, named Abbey. Ms. R. lives an active lifestyle, e.g., she walks Abbey three times a day, walks to church for three miles on Sundays, and does work around the house. Every afternoon, she works in her garden where she grows some herbs and seasonal flowers. The vital signs taken at the time of the interview: Temperature = 98.8°F; Pulse = 78; Respiration = 12; and Blood Pressure = 110/80.
The patient is a 64-year-old, African-American female with a body mass index (BMI) of 51.31. She has a medical history of type 2 diabetes mellitus, asthma, hypertension, and history of gastric bypass surgery in 2014. She lives alone in a one-storey apartment. Her walking is limited to household distances and occasional walks outside her apartment. She reports avoiding walking outside due to fear of falling and shortness of breath. Her blood sugar
The final three diseases that we were able to narrow down after considering our patient’s complaints, symptoms and test results were Type 1 and Type 2 Diabetes Mellitus and Hypothyroidism. The elevated A1C, glucose and insulin levels pointed to one of the two types of diabetes. The normal thyroid panel results helped us to rule out Hypothyroidism, which we originally thought could be the problem because of her matching symptoms of remarkable fatigue, weight gain and dry skin. The dry skin, weight gain, and recent fatigue also pointed to Diabetes, along with her other key symptoms, blurred vision, thirst, and appetite. After ruling out Hypothyroidism, we had to determine whether our patient had Type 1 or Type 2 Diabetes. To determine between the two, we compared the insulin and glucose levels of our patient to the levels of both types of Diabetes, and researched vital differences between the two types. Type 1 Diabetes normally does not have enough insulin being made because of viral or immune damage to the Islets of Langerhans. Our patient had a high insulin level. Type 1 Diabetes is usually diagnosed before age 30 (Saladin, 2014). With our patient being 55, age was another strong determinate that led us to look more closely at Type 2 Diabetes. Type 2 Diabetes is not the lack of insulin, which matched the result of high insulin levels, but insulin resistance by the hormones target cells. It is normal for the patient’s insulin level to be high at the start of the disease and
Family History: The patient’s mother has diabetes and is still alive, his father medical and past history is unknown, and he has no siblings.
1990: Diagnosed with peptic ulcer disease, which resolved after three months on cimetidine. She describes no history of cancer, lung disease or previous heart disease.