Question

Case F: You are a nurse practitioner taking care of a 50-year old patient with emphysema...

Case F: You are a nurse practitioner taking care of a 50-year old patient with emphysema and lung cancer diagnosed 2 years ago. The lung tumor was surgically removed 2 years ago, and the patient seems to be feeling better. Today he is seeing you for his annual physical. A thorough history and physical exam reveal: height= 170 cm, weight= 65 kg, BP= 150/90, HR= 110 bpm, LDL= 150 mg/dl, TG= 150 mg/dl, HDL= 30 mg/dl, FPG= 100 mg/dl and HbA1c= 5%. He lets you know that he is the CEO of a large company in the city, and that his schedule requires him to work 14 hours a day during the week, as well as half days on Saturdays and even some Sundays.
Question: Create a one week dietary plan for your patient to follow. Provide a short description of the meal plan you are using- DASH, ADA or TLC and why it is most appropriate for your patient. Provide the approximate daily amount of calories for your meal plan. When providing meals be concise- only servings and type of food is required (example: one cup cooked rice with one chicken breast, 2 slices bread with strawberry jam, etc.)

This dietary plan should be in a table format, Monday-Sunday, breakfast, lunch and dinner. Make the plan realistic for your patient, something that they can follow and change the plan regularly to avoid a boring diet (do not copy paste the same meal for each day). (7)

Homework Answers

Answer #1

Proper intake of healthy diet is very important for the physical growth, energy and better health .Nutritious diet has an important role in healthy living and prevention of disease.Diet therapy is mainly used to maintain the quantity and quality of food to improve the health status of an individual.

Emphysema is a condition in which the patient lung lose their elasticity,People in this condition may feel difficulty in breathing,especially while doing excercise or physical exertion. the patient must use the diet with good source of protein will help to maintain strong respiratory muscles.

In this disease condition TLC(theraputic life style changes) diet plan is more sutable for the patient to avoid obesity.and he required more protein in the diet.

Diet plan table

BREAKFAST LUNCH DINNER
SUNDAY

1Cup fat free milk and1/4 cup raisins

1cup oatmeal

1cup calcium fortified orange juice.

Roasted beef sandwich

1/2 cup pasta with 1/4 mixed vegitables

1 apple

1 cup rice

1/2 cup broccoli

1cup strawberries topped with 1/2 cup low fat frozen yogurt

MONDAY

1 hard boiled egg

1 banaba toast 1 cup of coffee with fat free milk

grape fruit

1chicken breast

celery

tomato

fruit salad (consist of apple ,cucumber straw berry and banana)

1 piece of white fish

vegitable salad

1 cup rice

1 cup apple juice

TUESDAY

1 avocado toast

1 cup hot milk

1 joys protein pan cake

vegitable burger

quinoa chickpea salad

1cup orange juice

Beef steak 200gm

celery

tomato

1cup boiled spinach

1 black coffee

WEDNESDAY

1 cup almonds

1 greek yogurt parafit

1 cup oatmeal

1 cup black coffee

1 cup baked potato topped with vegiterian chilli

bean burrito

1 apple

1 portabella pizza

1 cup vegitable soup

1cup baked vegetarian chilli

1cup grape juice

THURSDAY

1 apple  

1 vegitable sandwitch

1 cup coffee with low fat milk

Baked asian tofu

1 cup cold sesame noodles and edamame

1 cup power salads

1 orange

BBQ

Cauliflower steak

quino

1 cup rice

FRIDAY

1 vegitable burger

1cupgreek yougurt parafit

1 craig mc muffin

1 cup black coffee

chinese takeout

1cup rice

1cup vegitable salad

1cup apple juice

1cup black bean soup

baffalo tempeh wings with blue cheese dip

1cup vegitable salad

1 apple

SATURDAY

1cup of hot milk(fat free)

1 burger

2 slice of yam with pumkin stew

4 slice of wheat bread

cabbage soup with chicken

millet meal with vegitable

1cup lemon juice

grilled chicken

pinto bean burritos

fermented salsa and cultured sour cream

berry fruit salad

Know the answer?
Your Answer:

Post as a guest

Your Name:

What's your source?

Earn Coins

Coins can be redeemed for fabulous gifts.

Not the answer you're looking for?
Ask your own homework help question
Similar Questions
Case Study The patient is a 41-year-old male who has a longstanding history of hypertension and...
Case Study The patient is a 41-year-old male who has a longstanding history of hypertension and diabetes and presents with a complaint of pruritis, lethargy, lower extremity edema, nausea, and emesis. He denies any other medical illnesses. On physical assessment, the patient is a well-developed, well-nourished male in moderate distress. Blood pressure 180/110, pulse 80, respirations 24 and he was afebrile. Bodyweight 76.5 kg. HEENT was remarkable for fundoscopic findings of A-V nicking and copper wire changes consistent with the...
Using the information answer the following questions from this case study scenario, A 50 year old...
Using the information answer the following questions from this case study scenario, A 50 year old African American male present in the Emergency room with complaints of severe shortness of breath, fatigue over several days. Patient states a weight gain of over 10 lbs. in a week and his shoes not fitting. He states that he gets up in the middle of the night due to inability to breath. No history of smoking, but patient states he is a diabetic...
Case Study Amnah is a 55-year-old female patient who has been admitted to the medical ward...
Case Study Amnah is a 55-year-old female patient who has been admitted to the medical ward with acute shortness of breath, chesty cough, wheezing and chest discomfort. Amnah’s vital signs were: SpO2 82% on room air, BP 150/90 mmHg, Pulse 110 beats/min, RR 28 breaths/min, and Temperature 38.7 °C. Amnah has a history of COPD and hypertension for 15 years. She was also diagnosed with heart failure 2 years ago. While doing the physical examination, the patient seemed to use...
Case Study Amnah is a 55-year-old female patient who has been admitted to the medical ward...
Case Study Amnah is a 55-year-old female patient who has been admitted to the medical ward with acute shortness of breath, chesty cough, wheezing and chest discomfort. Amnah’s vital signs were: SpO2 82% on room air, BP 150/90 mmHg, Pulse 110 beats/min, RR 28 breaths/min, and Temperature 38.7 °C. Amnah has a history of COPD and hypertension for 15 years. She was also diagnosed with heart failure 2 years ago. While doing the physical examination, the patient seemed to use...
case study Ahmad is a 74 year old male patient who has been admitted to the...
case study Ahmad is a 74 year old male patient who has been admitted to the medical ward with acute fatigue, severe shortness, orthopnea and productive cough with hemoptysis. Ahmad's health conditions started to deteriorate since he had an acute myocardial infarction (MI) five years ago. He also presented with lower limbs edema including ankles and feet. According to Ahmad, the edema has started about 1 year since he had the MI. Ahmad also has a history of hypertension and...
Case study Ahmad is a 74 year old male patient who has been admitted to the...
Case study Ahmad is a 74 year old male patient who has been admitted to the medical ward with acute fatigue, severe shortness, orthopnea and productive cough with hemoptysis. Ahmad's health conditions started to deteriorate since he had an acute myocardial infarction (MI) five years ago. He also presented with lower limbs edema including ankles and feet. According to Ahmad, the edema has started about 1 year since he had the MI. Ahmad also has a history of hypertension and...
Case Study:     Gall bladder John Smith is a 65-year-old retiree who is admitted to your unit...
Case Study:     Gall bladder John Smith is a 65-year-old retiree who is admitted to your unit from the emergency department (Ed). On arrival, you note that he is trembling and nearly doubled over with severe abdominal pain. John indicates that he has severe pain in the right upper quadrant (RUQ) of his abdomen that radiates through to his mid back as a deep, sharp, boring pain. He is more comfortable walking or sitting bent forward rather than lying flat in...
Case Study Mr. Grinch is a 68 year old male who presented to the Emergency Department...
Case Study Mr. Grinch is a 68 year old male who presented to the Emergency Department (ED) with severe shortness of breath (SOB), fatigue, and recent weight gain of 5 kg. It is two days after Thanksgiving and Mr. Grinch has been eating salted ham and a large amount of leftovers for every meal. He is having trouble speaking, but reports he has been having difficulty sleeping and states, “I feel like I’m drowning. I’ve tried using multiple pillows to...
Kenneth Bronson is a 27-year-old male who was just admitted to the Medical Unit from the...
Kenneth Bronson is a 27-year-old male who was just admitted to the Medical Unit from the Emergency Department. He presented to the Emergency Department two hours ago with chest tightness, difficulty breathing, a productive cough for a week, and fever. Chest x-ray revealed right lower lobe pneumonia. IV was started of normal saline at 75 mL per hour. He is receiving oxygen at 2 L/min per nasal cannula. SpO2 on room air was 90%, which increased to 95% with supplemental...
P.W. Is a 40-year old disabled man who recently lost his wife to metastatic breast cancer....
P.W. Is a 40-year old disabled man who recently lost his wife to metastatic breast cancer. His brother has taken him into his home. P.W. has a 22-year history of insulin-dependent diabetes mellitus (Type-1). Until recently, he has taken responsibility for the management of his disease and has been actively involved in the local chapter of the American Diabetic Association. PMH includes 2 amputated toes on his R foot, retinopathy and visual impairment in both eyes, and angina on exertion...
ADVERTISEMENT
Need Online Homework Help?

Get Answers For Free
Most questions answered within 1 hours.

Ask a Question
ADVERTISEMENT