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- Case Study for Overweight/Obesity – Lynn This client is a female 58 years old, nonsmoker. She drinks on average two standard drinks a day, but because of a menopausal middle, is cutting back to just the weekends. Lynn walks or does an exercise class on most days during the week for about 30 minutes each day. She has no history of cardiovascular disease. Her family history shows no history of cardiovascular disease, other than a tendency towards hypertension. She got a blood panel done because she wants to take better care of herself and needs an exercise prescription. Her main goal is general fitness and to lose the menopausal middle. She is frustrated because her current walks and workouts have only shown a weight loss of 4 lb. She wants to lose about 15 more. She has come to your facility where you are doing your internship. Your supervisor assigns this client to you to work with, and here is her information: Height: 5’4” Weight: 167 lbs…? Diabetes ComplicationsDevelop a nutritional education plan for a person with type 1 diabetes and a person with type 2 diabetes. In your educational plan, include the nutritional considerations and medication interactions for at least one oral medication and one type of insulin.
- R.K is a 50 homemaker. She has always been a little overweight, but now that she is in menopause, her weight has increased to 180 lbs. Her height is 5’5”. She was diagnosed with Diabetes Mellitus about 2 years ago. Initially Kelly did well with just one medication and diet and exercise. However, at her last two visits her Hgh A1C was greater than 8% with fasting blood sugars of 180 mg/dL. Therefore Januvia has been added to her medications. KR has also been admonished to increase her exercise to 20 minutes of aerobic exercise three times a week. Although she did join a gym her busy schedule is such that she can only do aerobic exercise for 15 minutes 2 times during the weeks. He took medications such as Metformin in 500 mg tablets PO BID and Januvia 50mgs PO BID. Explain the relationship of carbohydrate to the development of diabetes mellitus? What are the good sources of carbohydrate must K.R. consumed? Explain. Explain the role of diet that K.R intervene to improve her condition…what nutritional assessment can nurses do for patients with gestational diabetes?CASE STUDY: Jeric has been gaining weight over the last five years in his group home and his doctor has said that he needs to exercise more or he will become obese. Jeric is 62, a large man weighing around 200 pounds, who really doesn’t want to be told that he needs to exercise for his health. When Jeric first came to the group home he was much more active than currently. Jeric would go for walks in Sunrise Park by himself when the weather was good and he seemed to enjoy that. Jeric also bowled every week with the other men in the group home and was very good at it. A year later Jeric climbed Mt. Clemons with one of the staffs. Unfortunately, the staff person left his job at the group home about three months later and no one else was interested in taking him hiking. Jeric worked out at the YMCA for a period of time but he didn’t find other people to workout with him and he quit. Jeric started eating more food within the next year as he started to gain weight. Format of Documentation…
- Plan and prepare a therapeutic diet. GI Disorder: Diabetes Meal Pattern Menu 1 I Dietary Consideration (e.g. method of cooking, foods avoided, etc)Prepare a 1-week food guide that is applicable for an adolescent suffering from alcohol or drug addiction. Why did you choose to prepare those meals? How do you think it can help the individual?Discuss the nutritional needs and challenges for school-aged children (6-12 years).
