Final Project

Project directions and proposed time frame

Assignment Point value: 210 points Due date: 11:59 PM on Tuesday of week 9

This is a large project and requires that you start early. See the link below for the proposed time frame and grading criteria

Unit 9 Project proposed time frame and grading criteria

For this project, you are to complete the following case study. This project needs to be completed in a Microsoft Word document answering each question individually. The document should be set up in a numbered format. For example:

  1. Type your answer here
  2. Type your answer here

Include references in APA format for each pertinent question and include a Reference page as well.

This assignment should follow the conventions of Standard American English (correct grammar, punctuation, etc.). Your writing should be well ordered, logical and unified, as well as original and insightful. Your work should display superior content, organization, style, and mechanics.

Case Study

DB is a 50 YO African American woman. She has been diagnosed with type 2 Diabetes Mellitus and hypertension. DB takes the following medications: Novolin 70/30 insulin breakfast and supper, Lasix and Cymbalta. DB lives with her husband and 3 children, ages 13, 15 and 17. Her height is 5’6”.

Weight: 185 pounds.

Activity level: sedentary

DB reports the following 24-hour food intake:

Wakes up at 6am: Skips breakfast because needs to be at work at 6:45am. Will have coffee with 2 sugars and cream at work.

11am lunch: usually eats out. Yesterday - ate at a popular fast food restaurant. Ate: 2 pieces of fried chicken, 1 biscuit, 1 cup cole slaw, 1 large sweet tea, 1 cup mashed potatoes with gravy, 1 slice of fruit pie.

3pm snack: regular size candy bar from vending machine at work

6pm dinner: 1 large plate of spaghetti with meat sauce. 1 slice of garlic toast with parmesan cheese. 1 large glass of diet soda.

9 pm bedtime snack: 1 bowl of chocolate ice cream

Goes to bed at 10pm.

DB reports that she will walk 1 mile on Saturday and Sunday at a local mall. DB will eat some vegetables, such as corn and potatoes. DB reports that she rarely eats green vegetables. DB’s favorite ways to prepare foods are to grill them or fry them. DB’s family eats at least three meals a week together as a family.

Questions:

  1. Assess DB’s food intake for calories, fat, saturated fat, carbohydrate, dietary fiber, protein, and sodium. Please indicate how you assessed the diet and include your work.
    1. Analyze the 24-hour recall using example fitday.com or www.choosemyplate.gov. Provide an in text citation for the source of your nutrient analysis.
    2. Show the results of your food intake analysis in a table or cut and past your data table from the web site.
      Sample data table to present the results of you intake analysis

      24 hour recall nutrient analysis on _____________.com
      Equation to calculate percentage CHO, PRO, FAT
    3. Identify DB’s intake goals:
      Calculate DB’s BMI and identify weight classification.
    4. Compare DB’s intake to the recommended intake. Present this data in a table and discussion format. Your discussion should include your assessment DB’s intake of Calories, CHO, PRO, FAT, saturated fat, sodium, dietary fiber highlighting any shortage or excess of these nutrients.
  2. Based on your analysis of DB’s intake, list and describe the current and potential nutritional deficiencies DB is at risk for developing.
    1. Identify current nutrient deficiency as you find it on the nutrient analysis. You can cut and paste your data table from your nutrient analysis software or create your own data table to show which nutrients are below 100% RDA/AI. Your answer should also include a short written description of DB’s actual nutrient deficiency.

      Sample shown is from fitday.com
    2. Identify potential nutrient deficiency. Based on DB’s 24-hour recall, identify what food groups she is consuming and how this compares to the recommended number of food groups based on your calorie recommendations. Identify key nutrients that each missing food group represents as a potential deficiency.
      Sample comparison of intake by food group
      Dietary exchange calculator: http://diabeteslibrary.org/View.aspx?url=DiabeticExchangeList
    3. Using the DRI tables for vitamins and elements identify additional nutrients DB would potentially be deficient in based on identified missing foods/food groups.
      http://iom.edu/Activities/Nutrition/SummaryDRIs/~/media/Files/Activity%20Files/Nutrition/DRIs/DRI_Vitamins.ashx DRI: Vitamins
      http://iom.edu/Activities/Nutrition/SummaryDRIs/~/media/Files/Activity%20Files/Nutrition/DRIs/DRI_Elements.ashx DRI Elements
    4. Write a summary of the potential nutrient deficiency you identify in b and c.
  3. Identify potential pharmacotherapy issues related to DB’s drug prescriptions.
    For each medication identify:
    1. Why the medication is prescribed?
    2. Important facts about this medication.
    3. How do you take this medication?
    4. Identify considerations for timing, and missed doses.
    5. Special warnings about this medication.
    6. How do these drugs affect nutrients?

    Suggested websites:
    http://www.pdrhealth.com/drugs/rx/rx-a-z.aspx
    http://www.drugs.com/drug_information.html (food & drug information under “What should I avoid)
  4. Create a 1-day meal plan for DB and explain how the menu meets the some of the guidelines you set in question 1c. You may use the 1 day sample meal plan link below to help the process.
    Address these aspects:
    1. Identify calorie and % CHO, PRO, FAT goals
    2. Identify timing for meals and snacks
    3. Identify CHO goals for meals and snacks
    4. Create a sample menu to match your goals
    5. Complete a nutrient analysis on your menu
      Day 1 Sample
  5. Describe how you would educate DB on the meal plan you created and your health maintenance recommendations.
  6. During your counseling session, DB confesses to not taking as much of her prescribed medicines so that she can sell it to people at her church that she thinks need it more than she does. She assures you that she charges less than her friends would have to pay for it at the pharmacy. How would you counsel her regarding this new information?
ID: NS270-09-09-P