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Instructions: Each question below has a scenario with communication responses

Unit 9 Assignment Imagine that you are now working as a nutrition assistant at The Nutrition and Wellness Center that was introduced during Unit 2. The Nutrition Center is an outpatient nutrition, wellness, and weight loss center. The patient CO who was initially assessed in Unit 2 has decided to utilize the 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 CO’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: CO is a 45-year-old Hispanic mother of three teenage children who works as an executive secretary in a law office. Occasionally smokes a cigarette when she is stressed — maybe five per week Uses stairs at work; 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 150/90 Height 165 cm (5′ 5″) Weight 100 kg (220 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: Metformin, 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 Tbsp. 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 Tbsp. 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 “CO.” 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 2 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?

 
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