23 Jul Comprehensive Nutrition Assessment of a Client
Order Instructions
Imagine that you are now working as a nutrition assistant at The Nutrition Center that was introduced during Unit 2. The Nutrition Center is an outpatient nutrition, wellness, and weight loss center. The patient that was initially assessed in Unit 2 has decided to utilize The Nutrition Center’s nutrition and wellness program. Upon joining the comprehensive program, she filled out a questionnaire that included three main health and nutrition related goals.
Client MM’s Three Goals:
Lose weight (lose 30 pounds in 6 months)
Improve her cholesterol, blood pressure, and glucose control.
Improve her energy level, overall mood, and be a positive role model for her three teenage children.
Description of client:
MM is a 40-year-old Hispanic mother of three teenage children who works as a counselor in a job placement bureau.
Occasionally smokes a cigarette when she is stressed — maybe five per week
Uses stairs at work, and is tired at night when she gets home
The children’s birth weight ranged from 9-1/2 to 11 lbs.
Family history of heart disease, diabetes, cancer
Blood pressure was 140/92
Height 165 cm (5’ 5”)
Weight 93 kg (205 lbs.)
Glucose test values were 300 mg/dl at 1 hour, 248 mg/dl at 2 hours and 195 mg/dl at 3 hours
Serum cholesterol was 250 mg, HDL 36, LDL 200
Triglycerides 200 mg/dl.
Medications: Glucophage, Lexapro, multivitamin
Eats 2–3 meals per day, and eats goodies at the office
Irregular bowel movements
24-hour recall:
Breakfast: Granola bar and a 12-oz. Diet Coke
Lunch: Large bowl of cream of broccoli and cheese soup and a sandwich with: luncheon meat turkey (about 3–4 ounces), lettuce, tomato, and 2 Tbsps. of mayonnaise from the cafeteria at work
Large sweet tea
Snack : 2 glazed doughnuts in break room
Snickers Candy bar on the way home
Dinner: Stouffers Lasagna: about 2 portions
Small salad with 3 Tbsps. ranch dressing (made from a salad kit)
1 piece of Texas Toast
2 cans Diet Coke
Snack: Bowl of chocolate chip ice cream before bed
Imagine that the supervising dietitian has asked you to help in the comprehensive nutrition assessment process of client “MM.” The Nutrition Center has a nutrition assessment protocol that you will follow to organize your information. Your supervisor asks you to keep the client’s goals in mind at all times during the assessment process.
Calculate the client’s BMI and include what weight category the BMI result is. Show the BMI calculation/equation.
Summarize the client’s current dietary intake (use the calorie/nutrient totals from the Unit 3 Assignment here) by including:
Total Calories
Total Fat
Total Carbohydrates
Dietary Fiber
Total Protein
Sodium
Calculate the clients estimated energy needs using an equation of your choice. Please note that some calculations are based on weight in kilograms and height in meters. I Include the equation with the patient’s data inserted appropriately and the main mathematical calculation steps.
Compare the client’s current estimated calorie intake with the calorie recommendation in #3 and state the difference (if any).
The client mentioned improving her cholesterol, blood pressure, and blood glucose. How do her recent lab values compare to the recommended values? (can include a table/chart)
What is one diet or lifestyle change that can be recommended to help improve her cholesterol values?
What is one diet or lifestyle change that can be recommended to help improve her blood pressure readings?
What is one diet or lifestyle change that can be recommended to help improve her blood glucose (sugar) levels?
The patient is scheduled for a follow up appointment in 2 weeks. What nutrition assessment tools and methods do you recommend utilizing during her next visit to measure the patient’s progress? Be sure to think about all nutrition assessment areas and include one from each category. Why did you choose each method?
Requirements
This Assignment should be at least 4 pages. It should be in APA format and include at least four references.
