Create a 7 day meal plan for the person in your scenario. Include every meal, snack and drink (including water!). Suggest times for each meal/snack.
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Topic:Nutition
Frank P. is a 48-year-old landscape architect who is concerned about his recent weight gain. He is 69 inches tall and weighs 202 pounds. His usual weight is 190 pounds. Mr. P reports that—due to his busy schedule—he often skips breakfast or stops for a donut and coffee with sugar on his way to work in the morning. He frequently eats out with clients for lunch and usually eats dinner at home with his wife. His favorite nighttime snack is ice cream, although he has found that as he’s gotten older, the ice cream seems to cause bloating, abdominal discomfort, and diarrhea. He reports sometimes feeling weak and hungry during the day, but eating a candy bar or drinking a cola makes him feel better. He reports no dietary restrictions, although he states he avoids products that contain high fructose corn syrup, preferring instead products sweetened with sugar. A review of Mr. P’s medical records finds that his most recent fasting blood glucose level was 120 mg/dL.
1. Create a 7 day meal plan for the person in your scenario. Include every meal, snack and drink (including water!). Suggest times for each meal/snack.
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- Mr. X is an 83-year-old married man. He has a history of severe osteoarthritis leading to bilateral hip replacement and one knee replacement. He has mild hypertension controlled by oral medication. At this time, he developed a severe urinary tract infection resulting in weight loss, fatigue and weakness. After stabilizing, he was sent to the skilled nursing unit of the hospital for 2 weeks until ready to go back home. Occupational therapists consulted with him and his wife during hospitalization. He lives in a three-story house with the bedrooms on the top floor, kitchen and living room on the middle main floor and family room on the bottom floor. He has not driven since the last operation but would like to. He has smoked cigars for years and sits on the front porch to smoke. Physical therapists have come to the house three times a week for several months. 1. How can you relate this scenario to the national or global health situation? 2. Name the three types of healthcare agencies he…Mr. X is an 83-year-old married man. He has a history of severe osteoarthritis leading to bilateral hip replacement and one knee replacement. He has mild hypertension controlled by oral medication. At this time, he developed a severe urinary tract infection resulting in weight loss, fatigue and weakness. After stabilizing, he was sent to the skilled nursing unit of the hospital for 2 weeks until ready to go back home. Occupational therapists consulted with him and his wife during hospitalization. He lives in a three-story house with the bedrooms on the top floor, kitchen and living room on the middle main floor and family room on the bottom floor. He has not driven since the last operation but would like to. He has smoked cigars for years and sits on the front porch to smoke. Physical therapists have come to the house three times a week for several months. 1. Name the three types of healthcare agencies he has used. What are the strengths of each of these?Mr. X is an 83-year-old married man. He has a history of severe osteoarthritis leading to bilateral hip replacement and one knee replacement. He has mild hypertension controlled by oral medication. At this time, he developed a severe urinary tract infection resulting in weight loss, fatigue and weakness. After stabilizing, he was sent to the skilled nursing unit of the hospital for 2 weeks until ready to go back home. Occupational therapists consulted with him and his wife during hospitalization. He lives in a three-story house with the bedrooms on the top floor, kitchen and living room on the middle main floor and family room on the bottom floor. He has not driven since the last operation but would like to. He has smoked cigars for years and sits on the front porch to smoke. Physical therapists have come to the house three times a week for several months. 1. What are the services being needed by Mr. X? What other members of the health care profession would most likely be on the team…
- Name: Patient XOXO Age: 54 y/o Patient XOXO, a teacher at public school in Caloocan City. She currently weighs 57kg and stands 5'4'' tall with medium body frame size. She was recently diagnosed with Dysphagia secondary to Neurologic Disorder. Her doctor prescribed a Level 1 Dysphagia diet based on her tolerance after the swallowing assessment and recommendations of OT and PT. Create a one-day meal plan for Patient XOXO requiring such diet.Background Story: 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 counselling. Personal Information: Name: Hufalar, Margaret G. Gender: Female Height: 5’4" Weight: 175 lbs Doctor’s Diagnosis: Obstructive sleep apnea (OSA) secondary to obesity and physical inactivity 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, 4 oz 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…Case Study Personal Information Name: Mr. Elliot Bryan Age: 29 years old Gender: Male Description Mr. Bryan is a 29-year-old married man who came to the medical office because, over the last three years, he has progressively increased the size of his shoes, and he has resized his wedding ring three times. He says his feet and hands have grown. He has also noticed that his face has turned coarse. He was a very active man and practiced sports, but now he fatigues just by walking, and feels weakness in his muscles and stiffness in his joints. He is depressed because in the last few months he has been experiencing erectile dysfunction, which is affecting his relationship with his wife. He feels he is losing his vision as well. Mr. Bryan does not drink alcohol, smoke, or use any recreational drug. His mother suffers from diabetes mellitus type II, and his father suffers from hypertension. On physical examination we found: Remarkable Signs on Physical by Regions Head: Enlarged and coarsened…
- L.M. is an 81-year-old female who lives in a nursing home. She had a stroke 2 years ago and has residual right-sided weakness. She also has gastroesophageal reflux disease, hypertension, and stress incontinence. She currently takes the following medications: Omeprazole 20 mg PO daily before breakfast Captopril 50 mg PO BID Furesomide 20 mg PO daily Today she tells the nursing assistant that she has a lot of pain when she urinates. The charge nurse completes a physical exam and notifies the provider of the exam findings and patient’s painful urination. A urinalysis is ordered. Subjective Data Pain with urination began 2 days ago States she usually doesn’t drink much because of the stress incontinence and not wanting to have “accidents,” and now she is drinking even less because doesn’t want to have to urinate due to the pain and burning Wearing feminine hygiene pads she had in her closet since the painful urination started because her stress incontinence “is…L.M. is an 81-year-old female who lives in a nursing home. She had a stroke 2 years ago and has residual right-sided weakness. She also has gastroesophageal reflux disease, hypertension, and stress incontinence. She currently takes the following medications: Omeprazole 20 mg PO daily before breakfast Captopril 50 mg PO BID Furesomide 20 mg PO daily Today she tells the nursing assistant that she has a lot of pain when she urinates. The charge nurse completes a physical exam and notifies the provider of the exam findings and patient’s painful urination. A urinalysis is ordered. Subjective Data Pain with urination began 2 days ago States she usually doesn’t drink much because of the stress incontinence and not wanting to have “accidents,” and now she is drinking even less because doesn’t want to have to urinate due to the pain and burning Wearing feminine hygiene pads she had in her closet since the painful urination started because her stress incontinence “is worse”…Communication: Therapeutic/Nontherapeutic Video scenario Catherine: Hello Ron:hi Catherine:My name is catherine, and i'll be asking you some questions.could you please tell me your name and your date of birth? Ron: Yes, Ron Toledo. september 14th, 1958. Catherine: All right, Mr. toledo. Are we felling any better now? Ron: No, I i still think I'm having a nervous breakdown. I just can't get over loosing my job, and since my mother died, I just don't have anyone. I mean, she did everything for me. I just don't think i can do this. Catherine: And what exactly makes you say that? Ron: I just told you! she did everything for me! Catherine : Dont worry. Things will get better soon. I know exactly how you feel. I felt the same when i lost my father.Perhaps you should just focus on something else to get off your mind. Question: What nontherapeutic communication styles did the nurse use in this scenario? What therapeutic communication styles could the nurse have used instead? In your response,…
- John Doe, 53y.o., has a history of Type I diabetes mellitus, cigarette smoking 40 pack-years, CAD, and PVD. Six weeks ago, he developed a wound in his left heel which measured 4cm by 2cm when he discovered it. Despite IV antibiotics and chemical debridement, the wound developed a gangrene infection. He is scheduled for a BKA of the left lower extremity tomorrow at 10:00 am. His meds include daily insulin, aspirin 325mg/day, Pletaal 100mg BID. Question: Preventing complications of surgery is an important part of all surgical patient care. What preoperative While Mr. Doe is in the Operating Room, what considerations will be taken to ensure Mr. Doe’s safety and positive outcome? Identify 2 IntraOp nursing diagnoses for Mr. Doe teaching does Mr. Doe require in order to prevent complications? Give 3-4 examples)R9. N.H. is a 76-year-old male admitted to the hospital through the emergency department. He fell outside his home. It appears that he may have sustained a fracture to his left hip. He has a history of type 2 diabetes mellitus and has a 40 pack-year smoking history that is now complicated by chronic obstructive pulmonary disease. Data Collected (use only those that apply) Complains of excruciating pain and tenderness in left hip Pain not relieved with morphine BP 166/94 mmHg Diaphoretic and pale skin Respiratory rate 36; crackles, expiratory wheeze X-ray of left hip reveals extracapsular fracture Hematocrit 30%; hemoglobin 15g/dL; WBC 15,000/uL Do ASAP.What will be your best advice regarding exercise regimen and diet therapy for a 60-year-old client with gouty arthritis?