Question

Mary Williams is a 78-year-old female who has stage 4 CKD, poorly controlled type 2 diabetes,...

Mary Williams is a 78-year-old female who has stage 4 CKD, poorly controlled type 2 diabetes, and Class II obesity. She has was “chunky” as a child and adolescent with a life-time habit of having consumed a relatively high-fat, high-calorie diet. As she recalls, her entire family was overweight and she believed she had little control over the obesity.

After marriage she gained excess weight with each of her 3 pregnancies and was never able loose all the weight. Throughout her career, she worked as a legal assistant and spent most of her free time watching her children involved in various activities or watching television, and freely admits she has not really exercised since high school. Now, in her later years and following the recent death of her husband, Mary moved to a one-bedroom apartment within a long-term senior health care center.

Shortly after moving to her new residence, she experienced acute heart failure, which was subsequently resolved. She was also told her kidneys were “on the verge of failing”. The episode of acute heart failure and the realization that she could have renal failure frightened Mary, so she has become very engaged in her care and making an effort to follow medical recommendations. Since that time she has been advised to follow a Controlled Carbohydrate diet with a protein limit of 1 gram of protein/Kg and moderate intake of sodium, potassium, and phosphorus. She was also switched to a basal/bolus insulin regimen. She takes insulin at mealtime based on the percentage of meal intake corresponding to the insulin-to-carbohydrate ratio. For three months she has been successful at adhering to the treatment strategies, maintaining optimal blood glucose levels, meeting dietary goals, and maintaining a stable weight.

Case Analysis

Mary has come to realize the adverse effects of chronic obesity and uncontrolled diabetes as reflected heart failure and chronic kidney disease. Her recent interested in following treatment recommendations is associated with the hope of avoiding further complications. Continuing to follow the treatment plan improves her overall health outlook. This case illustrates the complexity of this concept from the standpoint of the longstanding effects of overweight and obesity starting in childhood. Her family history, sedentary lifestyle, lifelong eating habits, and the subsequent complications are very typical for an individual with longstanding obesity.

Question 1;

What is the formula to find BMI? Mary’s height is 5’4” and her weight is 240 lbs. Calculate her BMI and identify the class of obesity.

Homework Answers

Answer #2

5 feet 4 inches is the height of this women

162.56 centimetres

She is having a weight of about  240 pounds =

108.862 kilograms

BMI = weight in kg/ height in meter square

So we get it as BMI = 108.862 /( 1.6256 meters)2

BMI = 41.2 kg/m2

Obese Class III is the catagory under Which she will come under

The healthy BMI range of an individual is about : 18.5 kg/m2 - 25 kg/m2 she is having a BMI much higher to be considered as type 3 obese catagory

She has to loose about 42.8 kgs to Specifically reach a BMI of about 25 kg/m2.

answered by: anonymous
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 #12 – Nutrition for Patients with Diabetes Mellitus Keisha is a 42-year-old black female...
Case Study #12 – Nutrition for Patients with Diabetes Mellitus Keisha is a 42-year-old black female with a BMI of 29. She was recently diagnosed with diabetes and hypertension. Her mother and two sisters also have type 2 diabetes. She is the mother of three children, who each weighed more than 10 pounds at birth. Although she knows she should exercise, she doesn’t have time in her busy schedule. The doctor gave her a 1500-calorie diet and told her if...
Elizabeth’s Story: Gestational Diabetes Elizabeth is a 36 year old who entered pregnancy with a BMI...
Elizabeth’s Story: Gestational Diabetes Elizabeth is a 36 year old who entered pregnancy with a BMI of 23.5 kg/m. She began receiving prenatal care at 32 weeks gestation and was screened for gestational diabetes the next day. Results of her oral glucose tolerance test revealed the following blood glucose levels: Fasting: 90mg/dl 1 hour: 195 mg/dl 2 hour: 163 mg/dl Elizabeth’s health care provided advised her to consume a no-sugar, low carbohydrate diet and to keep her weight gain low...
Hannah is a 10-year-old female who has a 2-week history of polyuria, polydipsia, and a 19-lb...
Hannah is a 10-year-old female who has a 2-week history of polyuria, polydipsia, and a 19-lb weight loss. Her parents say that they have noticed that she looks quite thin. Approximately 4 days prior to admission, she began to have abdominal pain, nausea, and vomiting, which the family initially attributed to gastroenteritis. She has been tired for the past several days and today her parents found her lethargic but responsive. She was admitted to the hospital for diabetic ketoacidosis and...
Andrea Doyle is a 61-year-old white female with a history of type 1 diabetes and has...
Andrea Doyle is a 61-year-old white female with a history of type 1 diabetes and has been bothered by osteoarthritis for the past couple of years. Her diabetes is well controlled with diet and insulin. Recently she began taking over-the-counter ibuprofen 400 mg twice a day to manage the arthritis. For the past 6 weeks, Ms. Doyle has experienced abdominal pain and increased frequency of bowel movements. Her stools are loose and not formed; quite frequently they are a liquid...
Type 1 Diabetes Mellitus Susan is an 8-year-old girl who has been brought to her pediatrician...
Type 1 Diabetes Mellitus Susan is an 8-year-old girl who has been brought to her pediatrician by her mother for a weight loss of 5 pounds over the past 2 months, despite an increased food intake. Subjective Data Susan complains of thirst, hunger, and frequent voiding. Objective Data Today’s weight: 25 kg Weight from a physical examination 6 months ago: 27.3 kg Finger stick glucose: 325 Hemoglobin A1c: 9.1 Urinalysis: glycosuria pH: 7.34 Father was diagnosed with type 1 diabetes...
Mrs. G is a 61-year-old female who is being seen as part of ongoing care. During...
Mrs. G is a 61-year-old female who is being seen as part of ongoing care. During her assessment, she tells the nurse that she has been feeling much worse over the course of the past 2 weeks. Her skin is very dry and itchy, she has headaches, and she complains of feeling exhausted. Mrs. G was diagnosed with type 2 diabetes 8 years ago and has developed chronic kidney disease, in which she takes diuretic medications and has a modified...
Charlie is a 40-year-old Caucasian male; he was an athlete in high school and exercised regularly...
Charlie is a 40-year-old Caucasian male; he was an athlete in high school and exercised regularly in college. Since then, he has not eaten well or exercised on a regular basis; he gets motivated to lose weight and starts eating better and exercising, but when he attains his goal, he then goes back to old habits. There is a family history of diabetes and heart disease. At Charlie’s yearly check-up, his HbA1C, cholesterol, and triglyceride levels were all too high....
Patient A is a 43 year old woman, with a 15-year history of type 2 diabetes,...
Patient A is a 43 year old woman, with a 15-year history of type 2 diabetes, hypertension, and hyperlipidemia and a 20-year history of smoking. She had been referred to a diabetes clinic for intensive diabetes self-management education and training over this period. She presents in the office with shortness of breath, pruritus (itching), and edema of bilateral extremities. Her blood pressure is 165/92 mm Hg, heart rate 94 beats per minute (regular rate and rhythm), and respiration 26 breaths...
Case Study: Chloe is a 21 year old, female student athlete. She is 5’7” and weighs...
Case Study: Chloe is a 21 year old, female student athlete. She is 5’7” and weighs 130 pounds. Chloe is on the college cross-country team. She tries to eat plenty of grains and fruits to get the carbohydrates needed for her high level of physical activity. She eats 3 meals a day and a snack in the evenings. Chloe is a fairly strict vegetarian, typically including foods consistent with a lactovegetarian or lacto-ovo-vegetarian depending on the season and her current...
Mrs. G is a 61-year-old female who is being seen as part of ongoing care. During...
Mrs. G is a 61-year-old female who is being seen as part of ongoing care. During her assessment, she tells the nurse that she has been feeling much worse over the course of the past 2 weeks. Her skin is very dry and itchy, she has headaches, and she complains of feeling exhausted. Mrs. G was diagnosed with type 2 diabetes 8 years ago and has developed chronic kidney disease, in which she takes diuretic medications and has a modified...
ADVERTISEMENT
Need Online Homework Help?

Get Answers For Free
Most questions answered within 1 hours.

Ask a Question
ADVERTISEMENT
Active Questions
  • Suppose that the time (in hours) that Irene spends on an untimed final exam follows an...
    asked 6 minutes ago
  • The following sample observations were randomly selected. (Round intermediate calculations and final answers to 2 decimal...
    asked 19 minutes ago
  • what type of graph is best suitable for data obtained from customer ratings. The ratings are...
    asked 22 minutes ago
  • Determine the cumulative 15-year 18 kip ESAL’s in the design lane for 2-lane highway for the...
    asked 30 minutes ago
  • Q: Dr.Grimace, the evil dentist, is trying to find out if his patients suffer from periodontal...
    asked 30 minutes ago
  • After collecting data on 19283 dogs, you find that male vallhunds have an average weight of...
    asked 32 minutes ago
  • Research Target Corporation and assess your satisfaction with the company you researched and make recommendations about...
    asked 33 minutes ago
  • Evidence suggests that 70% of FSU students like turtles. Suppose we randomly sampled 15 FSU students....
    asked 33 minutes ago
  • Ulrich challenges the appropriateness of the nearly universal symbolism of the spinning wheel as the marker...
    asked 34 minutes ago
  • Differential Equations: Please try to computer type, if not possible be clear and organize. Thank you...
    asked 34 minutes ago
  • In your opinion, what are the three (3) most important benefits an employer can give to...
    asked 40 minutes ago
  • In a test of the effectiveness of garlic for lowering​ cholesterol, 81 subjects were treated with...
    asked 42 minutes ago