Question

Case Study: Ellen is a 55-year-old African American woman with multiple medical problems, including chronic back pain. She is 66 inches tall (5’6”) and weighs 286 pounds. She takes medications for high blood pressure and hypercholesterolemia, both of which are currently under control, and she is a non-smoker. She also takes pain medications every day and has difficulty walking but attends a water exercise class at the local sports center one day a week. She states that she has been overweight most of her life and confesses that foods, especially sweet foods, are a comfort to her when she experiences physical or emotional pain. Her diet history reveals an intake of two or three cans of regular soft drinks each day. Her usual meals with her husband include meat or chicken (she does not like fish) and starchy vegetables, such as corn and potatoes. She snacks on several types of frozen desserts between meals. A recent visit to her doctor reveals a weight gain of 15 pounds over the past 6 months and an increase in her fasting blood glucose level into the “pre-diabetes” range. She has a family history of diabetes. Her doctor has recommended she lose weight and make lifestyle changes to prevent her from developing type 2 diabetes. Ellen’s CARE PLAN: Based on the case presented, information you learned throughout the semester, in class assignments and activities, and/or review research, answer the following questions providing details and in complete sentences. Please use grammar and spell check. Consult the grading tool provided in the assignment folder for more details on expectations related to grading. 1. What chronic diseases does Ellen currently have? What chronic diseases might Ellen be at risk for if she does not make lifestyle changes? (5pts) 2. Describe the factors you used to determine Ellen’s diagnoses? Include diet, lifestyle, family, history, lab data, etc. 3. Does Ellen’s family history and ethnic background influence her risk for developing any specific chronic disease? Please explain why or why not. (5pts) 4. What are 5 heath behaviors that need to be changed? (5pts) 5. Describe 5 specific dietary recommendations you would encourage Ellen to implement in order to plan healthy meals to manage her multiple health concerns? (5pts) 6. Based on your reading and research, what specific meal plans or diets would benefit Ellen based on her multiple diagnoses? What are they, why should she consider them, how may they improve her condition? (5pts) 7. What factors should be considered in developing a fitness plan for Ellen? (5pts) 8. Develop an appropriate/individualized comprehensive fitness routine including all four components of fitness that would help Ellen achieve her goals. (10pts) 9. How will the diet and physical activity recommendations you made impact Ellen’s health status? Describe all factors that will be influenced. (5pts) 10. Using the picture below as a reminder, plan a well-balanced meal for Ellen. Using the USDA five food groups make considerations for the diet planning principles. Include each of the five food groups, select a nutrient dense food, indicate how the food is prepared, and include serving sizes to represent moderation. Reference chapter 2 for this information. (20 pts) Food Group 1: 2: 3: 4: 5: Nutrient dense food item Method of Food Prep. Moderation (Serving Size) 11. Personal reflection: Now that you have completed the coursework for Nutrition, what are the five most important things you have learned in the course that you will implement into your life? (5pts)

Answer 1

1. What chronic diseases does Ellen currently have?

• High blood pressure
• hypercholesterolemia
• Chronic back pain
• Obesity

What chronic diseases might Ellen be at risk for if she does not make lifestyle changes

• Diabetes type 2
• Cardiovascular diseases
• Obesity
• hypercholesterolemia
• High blood pressure
• Lifestyle diseases
• Physical immobility

2. Describe the factors you used to determine Ellen’s diagnoses?

• Patient history
• Diet type
• Level of activity
• Family history
• Physical activities
• Medical history
• Cholesterol levels
• Blood sugar levels

​​​​​​ 3. Does Ellen’s family history and ethnic background influence her risk for developing any specific chronic disease?

Yes her ethnic background put her in a risk of developing diabetes. Since African American population is at risk of developing diabetes more than 77percentage than a white American.

Her family history of diabetes add more risk .