Vous êtes sur la page 1sur 2

Experiment: Cholesterol Lab

I.

II.

Date: March 15, 2013


Ana Maria Pelcastre

Recorder:

Nutrition Assessment
a. Diagnosis: overweight/obese
b. Age, gender: 39, male
c. Dietary Intake: P/O
d. Symptoms: n/a
e. Anthropometric Measurements

Ht.: 61/ 182.5cm

Wt.:245#/111.34kg

BMI: 32.3 (> 30- considered obese).

IBW: 178#/81kg

%IBW: 143% (>120%- considered obese).

ABW for obese >125% IBW: 195#/89kg

Activity level: sedentary


d. Energy, protein and fluid needs: (calculations based on ABW).
o Total energy: 1780-2225 kcals/day
(Total energy needs for overweight/sedentary: 2025kcals/kg).
o Protein: 71.2-89g/d
o Fluid: 3115ml/d
e. Labs/tests (can indicate high or low).
Glucose: 93mg/dl (normal)
Hgb: 15.2 g/dl (normal)
Hct: 43% (normal)
Albumin: 4.5g/dl (normal)
Triglyceride: 123mg/dl (normal)
Serum Cholesterol: 240mg/dl (>200mg: high).
Nutrition Diagnosis: PES Format
Overweight/obese R/T sedentary life style and meal patterns mainly based on
consumption of fatty foods AEB BMI >30, %IBW of 143% & >serum
cholesterol levels (240mg/dl).

III.

Nutrition Intervention
1. Meals & Snacks
o Dietary changes: consume dairy products low in fat. For example
skim or 1% milk, fat free cheese & yogurt. Change sugary
cereals to whole wheat options.
o Consume grilled/baked foods instead of fry foods. For example,
grill chicken & fish sandwich, salad, baked potatoes & steamed
vegetables.
o Consume lean cuts of meats. For example lean ground meat &
chicken/turkey w/out skin. Instead of cheesy foods, sprinkle fat
free cheese options, used low fat/low sodium dressings. For

example, fresh herb salad dressings such as olive oil with dill,
chives, basil & ground pepper. Sprinkle nuts and dry fruit on
your salad. For example, cashews, peanuts & almonds.
Consume home-made salsas instead of gravy. Some examples
are pico de gallo (chopped tomato, cilantro & onion; add
pepper if like spicy), guacamole, green/red tomato sauce.
Change fry method cooking for grill, baked, steam & poach
styles.

2. Nutrition related Medication Management


o Refer to an Exercise physiologist to develop a healthy weight
loss program
o REC Nutrition Education classes to enhance knowledge about
different cooking methods & healthier food options.
3. Goals:
o Bring serum cholesterol levels back to normal range (140-200
mg/dl).
o Get his body weight closer to his IBW (178#).
o

IV.

Increase his physical activity to 3 to 4 times a week 90 minutes


per day.

Brisk walk, bicycle, or join a local gym or samba classes


etc.

Monitoring and Evaluation


o Ask the patient to attend nutrition education classes.
o Follow up phone call within 2 weeks.
o Follow up appointment in one month
o Create a food & weight log and bring it to next visit.
o Check serum cholesterol within one month
o Consult MD if patients health has not improved.

Vous aimerez peut-être aussi