In: Nursing
DIET ANALYSIS PART 4 : NO FILE NEEDS TO BE ATTACHED FOR THIS SECTION. Cannot submit part 4 if you have not submitted part 1-3.
Review SAM: SUBJECT:
SAM
Age: 39
Birthdate:7/14/1980
Height: 6 feet 2 inches
Weight: 312 pounds
Waist circumference: 65 inches
Sam works at the local
Wells Fargo Bank. He is a Branch Manager He works 40 hours per
week. Sam spends a lot of his time behind a desk working for his
clients. He smokes cigarette two pack per day.
His current blood work is as follows
Blood Pressure: 140 ( systolic)/ 95 ( Diastolic)
Total Cholesterol: 385
TG: 178
LDL: 165
HDL: 45
fasting blood Glucose:124
Review: SALLY
SUBJECT: SALLY
Age: 39
Birthdate:7/14/1980
Height: 5 feet 7 inches
Weight: 312 pounds
Waist circumference: 65 inches
BMI =48.9
Sally works at the local Wells Fargo Bank. She is a Branch Manager.
She works 40 hours per week. She spends a lot of his time behind a
desk working for her clients. She smokes cigarette two pack per
day.
Her current blood work is as follows
Blood Pressure: 140 ( systolic)/ 95 ( Diastolic)
Total Cholesterol: 385
TG: 178
LDL: 165
HDL: 45
fasting blood Glucose:124
1. Please look at Sam or Sally Blood lab work. Please review fasting Glucose lab result.
normal fasting plasma
glucose is 70-100 mg/dl. What does Sam/Sally fasting blood glucose
indicates ? 2 points
review, please Sam or Sally blood work and physical data (
height,weight, BMI waist circumference) identify two risk factors
for type 2 diabetes.?2.5
Please read the
announcement for Part 4 on Hemoglobin A 1 C.
Sam/Sally Physician has ordered a hemoglobin A 1 C. The result is
Hg A1c=5.8 Considering Sam or Sally's blood sugar along with
current Hemoglobulin A1C comment on Sam or Sally risk factor for
diabetes.
( 13.5 points)
2. What is a DASH
diet? Please review amounts of Each food groups Recommended by the
USDA. Next review food groups in the Dash Diet. What do you see the
difference between their recommendation about food groups?
Please provide detailed information on DASH diet. One sentence
answer will result in 0/17.5 points. Do you think Sam or Sally
could benefit from a DASH diet? 17.5 points
3. Please review blood lipids ( HDL cholesterol, TG, HDL
cholesterol, LDL cholesterol) and blood pressure.
what is the normal value of HDL cholesterol, Triglycerides ( TG),
LDL Cholesterol, Total Cholesterol and blood pressure? Now compare
Sam OR Sallys current HDL cholesterol, TG, LDL Cholesterol, total
cholesterol and blood pressure value with normal lab value. What
are the risk factors for Sam or Sally for cardiovascular diseases?
17.5 points
4. Considering Sam or Sally waist circumference, BMI, Current body
weight smoking two pack a day weight, please provide three
lifestyle changes and discuss why these three lifestyle changes
that would greatly impact their health. ( 17.5)
Ans) 1) Normally fasting blood glucose should be less than 100 mg/dL. If fasting blood glucose level is 126 mg/dL or higher you may have diabetes. If your test result is in the 100 mg/dL to 125 mg/dL range, you have impaired fasting glucose and may have prediabetes. Same is in the case of Sam/Sally lab work.
- Risk Factors for Type 2 Diabetes
• are overweight or obese.
• are age 45 or older.
• have a family history of diabetes.
• are African American, Alaska Native, American Indian, Asian
American, Hispanic/Latino, Native Hawaiian, or Pacific
Islander.
• have high blood pressure.
• have a low level of HDL (“good”) cholesterol, or a high level of
triglycerides.
2) The DASH diet is a dietary pattern promoted by the U.S.-based National Heart, Lung, and Blood Institute to prevent and control hypertension. The DASH diet is rich in fruits, vegetables, whole grains, and low-fat dairy foods.The DASH diet (Dietary Approaches to Stop Hypertension) is a dietary pattern promoted by the U.S.-based National Heart, Lung, and Blood Institute (part of the National Institutes of Health (NIH), an agency of the United States Department of Health and Human Services) to prevent and control hypertension.
- Foods and drinks to avoid when following the DASH diet include high sugar, high fat snacks, and foods high in salt such as: Candy. Cookies. Chips.
- The DASH diet emphasizes vegetables, fruits and low-fat dairy foods — and moderate amounts of whole grains, fish, poultry and nuts. In addition to the standard DASH diet, there is also a lower sodium version of the diet.
3) Triglycerides are not a type of cholesterol, but they are part of a lipoprotein panel (the test that measures cholesterol levels). A normal triglyceride level is below 150 mg/dL. You might need treatment if you have triglyceride levels that are borderline high (150-199 mg/dL) or high (200 mg/dL or more).
- Risk factors for heart disease and other cardiovascular
disease include:
Smoking.
Lack of exercise.
Diet.
Obesity.
High blood pressure.
High LDL or low HDL cholesterol levels.
Family history of heart disease or other cardiovascular
disease.
4) Lifestyle changes you can make to lower your blood pressure
and keep it down.
Lose extra pounds and watch your waistline.
Exercise regularly.
Eat a healthy diet.
Reduce sodium in your diet.
Limit the amount of alcohol you drink.
Quit smoking.
Cut back on caffeine.
Reduce your stress.
- TheThe development of hypertension is related to both genetic and lifestyle factors. Genetic factors include age, gender, body shape, and family history, and lifestyle factors include excessive drinking, smoking, poor eating habits, and reduced physical activity.