Krause\'s Food & the Nutrition Care Process 14th edition Chapter 19 Case Study A
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Question
Krause's Food & the Nutrition Care Process 14th edition Chapter 19 Case Study
Aileen is a 28-year-old woman who lives in an urban neighborhood with her husband and 12-year-old daughter. She is 5 ft, 10 in tall and currently weighs 165 pounds. In the past 2 years she has gained 10 pounds. At a recent neighborhood health fair at the YMCA, Aileen’s blood glucose and blood pressure screening results were higher than they had been a year ago but were still in a good range. She has a family history of heart dis- ease and diabetes and recognizes that her weight gain is an issue. Both she and her husband work full time, and blending their schedules with that of their daughter is hectic. Aileen does all the cooking and shopping, they have a kitchen with a range, oven, microwave, and refrigerator/ freezer. She describes her food shopping habits as chaotic and last min- ute, often stopping at the local convenience store. They eat out (fast food or take out) for most lunches and at least two dinners a week. They have no regular activity or exercise. They have the minimum health insurance with a large copayment; thus they do not have an ongoing health care routine.
Aileen made an appointment with a locally based health care source. She asked for dietary counseling and was asked to bring a 1-day food recall for the registered dietitian. She reported the following: breakfast: egg and sausage on a bagel, coffee; midmorning: low-fat snack bar from vending machine with coffee; lunch: double burger with cheese on a bun and large fries, ketchup, and extra pickles, diet soda; dinner: frozen din- ner that included chicken, rice, and corn. She had an iceberg lettuce salad with diet ranch dressing “to add something green.” Beverage was a diet soda. During the evening she had a dish of chocolate ice cream and sweet tea. She reports that in her coffee she likes two packets of sugar and some nondairy creamer.
Nutrition Diagnostic Statements:
Physical inactivity related to lifestyle issues as evidenced by no regular
physical activity and a 10-lb weight gain.
Undesirable food choices related to high fat and low fruit and vegetable intake as evidenced by diet history revealing high-fat foods at every meal and an average of one fruit or vegetable each day. Sodium level questionable.
1- What is Aileen’s BMI?
2- What lifestyle factors can you identify that contribute to Aileen’s weight gain?
3- Aileen wonders if she can qualify for SNAP, what can you tell her?
4- Who do most adults trust for health information?
5- According to the ADA/AND’s Trend survey what do half of consumers believe regarding a healthy diet?
6- Aileen read that chocolate is good for her, what can you tell her?
7- Does Aileen’s diet include phytochemicals? Identify phytochemicals Aileen could add to her diet and why would she want to add these?
8- Aileen wants to try a “detox” program, what can you tell her?
9- What foods will help boost detoxification?
10- What can Aileen and her family do together that promotes balanced and nutritious meals?
Explanation / Answer
1) BMI is Body Mass Index.It is calculated as Your weight in Kilogram over Height in centimeter squared.
Aileen is 5 feet 10 inches tall and weighs 165 pounds.Since weight is in pounds,the formula would be weight in (lb) divided by height in inch 2 x703.
Here BMI would be 165 / (5 ft 10 in =5x12 +10 =70 inches as 1 ft - 12 inches)2 x 703.
So BMI = (165/ 70 x 70) x703 = (165 /4900) x703 = 0.0336 x703 = 23.62.
BMI of Aileen is 23.62.
2) Life style factors that contribute to Aileen's weight gain is
a) No regular physical activity.
b) High fat diet.
c) Low fruit and vegetable intake leading to low fibre and low vitamin mineral .
3) Eligibility for SNAP: If the household meets "Gross income test" and a" monthly net income test" she can qualify for SNAP.
4) Despite all the available communication channels, most adults trust their physicians.
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