Patient Profile: (Papers is on this patients profile)
60-year old African American male, Catholic. 6.0″, 230lb. Married with three children. Traveling three days a week, eating out three meals per day, sedentary activity. Current diet: Fast foo, high calorie, low nutrients. He has been diagnosed with hypertension and type II diabetes and is to lose one pound per week for three months. Rx. He currently takes 500mg Metformin twice daily, 200mg Metoprolol daily, and a multivitamin.
Part I The Diet (Analyze diet)
Include the following in Part I:
• Criterion 1: Determine if the person’s diet is deficient or in excess of CHO, PRO, and fat and explain why.
• Criterion 2: Explain in detail how the person’s diet meets or does not meet the RDA forfive or more micronutrients.
Part II Disease and Nutrition
Include the following in Part II:
Evaluate how the patient’s diet affects:
The person’s health (anatomy)
The progression of the illness (pathophysiology)
Common medications associated with the disease
• Criterion 1: Explain how the person’s diet would affect the patient’s disease symptoms and progression. Provide a minimum of three examples of how specific foods affect the
disease pathophysiology. Provide examples of foods the person should avoid, and those he/she should consume.
• Criterion 2: Explain how food interacts with the medications this patient takes. What are the nutrient-related side effects of the medication? What are the nutrient restrictions and recommendations for the medications?
o Example: Iron supplements cause constipation, so people are
advised to increase fiber foods; however, if a person is taking fiber with iron, the fiber will reduce the absorption of the iron thus decreasing the effectiveness of the iron.
Part III Patient Education
Include the following in part III:
• Criterion 1: Calculate the following for the patient: BMI, BMR, CHO, PRO, and fat needs and any other relevant calculations that will help you develop a nutritional plan for your patient.
• Criterion 2: Develop an evidence-based nutritional education plan with three SMART goals for your patient. Provide specific nursing strategies and examples for the patient, and consider all aspects of the patient’s lifestyle.
Some common diets in the United States:
• Paleo diet
• DASH
• Diabetic
• Hemodialysis
• Vegetarian
• Atkins
A few recommended peer-reviewed journals:
• Journal of American Medical Association
• Lancet