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    Weight Loss Mandatory Case Study Ehrgo

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    api-434982019
    Henry is a 53-year-old man who weighs 242 pounds and has a BMI of 34.7, classifying him as obese. He has a sedentary job and eats a highly processed diet high in fat and carbs. He has a history of failed weight loss attempts and lacks cooking skills. His medical issues include diabetes, high blood pressure, and smoking. The nutrition assessment found his diet consists primarily of fast food with low fruit and vegetable intake. The intervention plan includes educating him on basic cooking, increasing physical activity, and monitoring his progress through food and activity logs.

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    Weight Loss Mandatory Case Study Ehrgo

    Uploaded by

    api-434982019
    168 views2 pages
    Henry is a 53-year-old man who weighs 242 pounds and has a BMI of 34.7, classifying him as obese. He has a sedentary job and eats a highly processed diet high in fat and carbs. He has a history of failed weight loss attempts and lacks cooking skills. His medical issues include diabetes, high blood pressure, and smoking. The nutrition assessment found his diet consists primarily of fast food with low fruit and vegetable intake. The intervention plan includes educating him on basic cooking, increasing physical activity, and monitoring his progress through food and activity logs.

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    Henry is a 53-year-old man who weighs 242 pounds and has a BMI of 34.7, classifying him as obese. He has a sedentary job and eats a highly processed diet high in fat and carbs. He has a history of failed weight loss attempts and lacks cooking skills. His medical issues include diabetes, high blood pressure, and smoking. The nutrition assessment found his diet consists primarily of fast food with low fruit and vegetable intake. The intervention plan includes educating him on basic cooking, increasing physical activity, and monitoring his progress through food and activity logs.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    168 views2 pages

    Weight Loss Mandatory Case Study Ehrgo

    Uploaded by

    api-434982019
    Henry is a 53-year-old man who weighs 242 pounds and has a BMI of 34.7, classifying him as obese. He has a sedentary job and eats a highly processed diet high in fat and carbs. He has a history of failed weight loss attempts and lacks cooking skills. His medical issues include diabetes, high blood pressure, and smoking. The nutrition assessment found his diet consists primarily of fast food with low fruit and vegetable intake. The intervention plan includes educating him on basic cooking, increasing physical activity, and monitoring his progress through food and activity logs.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    Weight Loss Mandatory Case Study

    Assessment​:

    The client is a 53 year old male named Henry who is 5”10 and weighs 242lbs. His BMI is
    34.7 (obese) and he lives a mostly sedentary lifestyle due to his long hours at his desk job. He
    reportedly consumes a heavily processed diet high in fat and carbohydrates. He has intentions
    to lose weight but has never done so successfully. He lives alone following a divorce and he
    only buys food for himself (reports minimal to no cooking). Henry has been a smoker for almost
    40 years, has high blood pressure, and has insulin dependent T2DM. he also reports smoking
    1.5 PPD and consuming 2-3 alcoholic drinks per week. His parents died of colon cancer and a
    heart attack at relatively young ages.

    Client arrives to visit 30 minutes late, expresses his belief that he will not be able to lose weight.
    Has tried low CHO, high protein, and “weight watchers” diets in the past and has not been able
    to stick with them due to his job and lack of desire to commit. Also expresses a cooking skills
    knowledge deficit.** reportedly does not monitor his blood sugar levels and does not see that as
    a problem.

    Labs: CBGR - 145 mmol/L

    Medications: Lantus insulin

    Nutrition Focused Physical Exam Findings: reports numbness in fingers (possibly diabetic
    neuropathy).

    Food and Nutrition Related History: Consumes a diet of mostly fast food, frozen, or
    pre-prepared meals. Reports difficulty sticking to a diet and exercise program. Lives alone so he
    only buys food for himself. He consumes 3-8 cups of coffee per day. His 24 hour recall shows
    only one serving of F/V and no water consumption.

    Estimated Energy Requirements:


    - Mifflin St. Jeor: 1,953kcals x 1.2AF = 2,344kcals
    - Weight loss: 2,344 - 500 = 1,844kcals (​1,800kcals​)

    Estimated Protein Requirements:


    - (IBW: 166lbs) 75kg x .8 = ​60grams

    Estimated Fluid Requirements:


    - 75kg x 30mL = ​2 ¼ L ​(9 cups)

    Diagnosis​:
    PES:
    Impaired ability to prepare foods related to a lack of cooking skills as evidenced by client’s
    report of not knowing how to cook.

    Physical inactivity related to long working hours as evidenced by client’s report of a sedentary
    lifestyle.

    Not ready for diet / lifestyle change related to consistency with diet and physical activity
    regiment as evidenced by client’s expression of his perceived inability to lose weight.

    Intervention​:
    Nutrition related skill education on how to cook easy and healthy meals for one via cooking
    videos, information on a community cooking class, and recipe handouts from RDN.

    Physical activity guidance on how to incorporate more exercise into the client’s daily life via
    physical activity handouts and individualized advice from RDN.

    Education on nutrition’s influence on health through a detailed explanation of the client’s


    personalized risk facts from his current diet and lifestyle (smoking included).

    Monitoring ​/ ​Evaluation​:
    Follow up with RDN in 2 weeks to see more meals prepared by the client through a 5 day food
    log.

    Follow up with RDN in 2 weeks to see an increase in physical activity to 2-3 times a week via an
    activity log.

    Follow up with RDN in 2 weeks to see an increase in F/V and water consumption and a
    decrease in processed food consumption and smoking via a food / smoking log.

    Maya Yoder 7/19/2020

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