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CASE STUDY

ASSIGNMENT

Justine
Bennett
NFS 2420

BACKGROUND INFORMATION
Patient is a 55-year-old female smoker
Suff ers from:
Systolic hypertension which has lead to a mild myocardial
infarction
Diverticulosis but has not experienced any symptoms
Being overweight
Slightly elevated serum cholesterol levels

Has a family history of:

Type I and Type II Diabetes


Alzheimer's
Hypertension
Esophageal cancer

NUTRIENT NEEDS

Macronu
trients,
Vitamins
, and
Minerals

MACRONUTRIENT NEEDS
Calorie DRI
1,656 calories/day
Lowered to help
achieve a healthy
weight

Carbohydrate DRI
45-65% of total
calories
207 g/day
(50%/cal.)

Protein DRI
10-35% of total
calories
103 g/day
(25%/cal.)

Fat DRI
20-35% of total
calories
46 g/day (25%/cal.)

NUTRIENT NEEDS
Nutrients
Total Calories
Protein (% Calories)

DRI
1.656
10 - 35%

Protein (g)
Carbohydrate (%
Calories)

45 - 65%

Carbohydrate (g)

207 g

Dietary Fiber
Total Fat (% Calories)
Total Fat (g)
Saturated Fat
Linoleic Acid (g)
Linoleic Acid (%
Calories)

103.5 g

30 g
20 - 35%
46 g
<10%
12 g
5 - 10%

Linolenic Acid (g)


Linolenic Acid (%
Calories)

1.1 g
0.6 - 1.2%

Cholesterol

< 300 mg

Dietary Fiber
Increased patient
consumption to
30g/day

VITAMIN NEEDS
All vitamin
requirements
coincide with
DRIs for women
over 50 except
vitamin C, which
was increased by
30% because the
patient is a
smoker

Vitamins
Vitamin A
Vitamin B6
Vitamin B12
Vitamin C
Vitamin D
Vitamin E
Vitamin K
Folate
Thiamin
Riboflavin
Niacin
Choline

DRI
700 g
1.5 mg
2.4 g
100 mg
15 g
15 mg
90 g
400 g
1.1 mg
1.1 mg
14 mg
425 mg

MINERAL NEEDS
Minerals
Calcium
Potassium
Sodium
Copper
Iron
Magnesium
Phosphorus
Selenium
Zinc

DRI
Sodium
1134 mg
Lowered to
4700 mg
between 1500 1500 - 2000
2000 mg because
mg
of hypertension
900 g
Calcium
8 mg
Increased to 1134
320 mg
mg since the
700 mg
patient is post55 g
menopausal
8 mg

ASSESSMENT,
GOALS, AND
CONCERNS

PATIENT ASSESSMENT
The patient did a 3-day food intake and
fi ndings included:
A high average sodium intake
A high cholesterol and fat intake
A low carbohydrate and fiber intake
The patient achieved most of their
vitamin and mineral intakes but was low
in calcium and potassium intake.

PATIENTS HEALTH GOALS


To achieve and healthy weight at a
pace that will not discourage her
To lower her cholesterol
To better control her blood
pressure so she might not have to
take blood pressure medication
Quit smoking

MEDICATION INTERACTIONS
Daily Medications
Aspirin 325 mg
Hydrochlorothiazide
Cardizem CD
Imdur

Do not take any


of these
medications with
alcohol

Cardizem CD
Should not be
taken with a
calcium
supplement or
calcium rich
multivitamin
Avoid grapefruit
juice

SOLUTIONS

Diet,
Exerc
ise,
and
Other
s

WEIGHT LOSS
Balanced Diet
To loose 1 pound a
week the patient
should consume a
1,600 calorie diet
Eat more nutrient
rich foods
Consume more
whole grains to
increase satiety

Regular Moderate Exercise

Exercise 4 to 5
times a week for
between 1 hour to 1
hours

LOWER CHOLESTEROL
Diet
Consume nearly all
grains as whole
grains
Fulfi ll daily
requirements of
fruits and
vegetables
Substitute lean
meats for fatty
meats

Regular Exercise

30 minutes of
cardiovascular
exercise 4 to 5 times
a week

CONTROL BLOOD PRESSURE


Diet
Consume no more
than 1,500 to 2,000
mg of sodium daily
Choose fresh foods
instead of premade
or prepackaged
foods
Eliminate fried foods
from diet

Exercise

Cardiovascular
exercise helps
strengthen heart
muscles to better
regulate blood
pressure

SMOKING
Diet
Until the patient
successfully quits
smoking she needs
to increase her
vitamin C intake to
100 mg daily to
combat free radical
release and damage

Exercise
Cardiovascular
exercise and yoga
may help alleviate
stress, which the
patient revealed as
her trigger for
smoking

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