Question

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)

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