Question

1.

Allen is a 46 year old truck driver who smokes an average of one pack per day. He eats

on the run for the majority of his meals, which consist of cheese steak subs, meat lovers

pizzas, vanilla protein shakes with fresh strawberries, Chik Fila crispy chicken

sandwiches, fries, and side salads, water, and diet colas. He is currently on a low dose of

lisinolopril for his blood pressure. He is a sedentary individual with a blood pressure of

135/88, total cholesterol of 220 and HDL cholesterol of 32. What is his calculated 10-

year risk, what lifestyle factors could he modify to lower his score and which risk factors

does he have no control over? Please show all work.

2.

Karen is a 67-year old mother of three adult children and grandmother of five

grandchildren. She is on a mild dose of Lasix for borderline elevated blood pressure. One

of her favorite hobbies is gardening during seasonal periods and she brisk walks for 30-

45 minutes three times per week. She has a guilty pleasure for two scoops of mint

chocolate chip and cookies and cream ice cream three times a week, however, she is

drinking two liters of water daily, eats 7-8 servings of fresh fruits and vegetables daily,

whole grains and consumes beans, lentils, soy protein, peanut butter, tree nuts, salmon,

tuna and occasional eggs for her protein options as a pescatarian. She is a non-smoker

with total cholesterol of 184, HDL of 62 and blood pressure of 120/70. What is her

calculated 10-year risk, what lifestyle factors could she modify to lower her score and

which risk factors does she have no control over? Please show all work.

Health Literacy Assessment

1.

Choose one volunteer and perform a Health/Nutrition literacy assessment from the

Newest Vital Sign (NVS) tool on page 414 of your text (Munoz and Bernstein) OR one

of the validated tools within the

http://www.healthliteracy.bu.edu/

website (preferably

one of the nutrition/food label literacy-based tools).

A.

Define health literacy and explain its importance.

B.

Upload the questionnaire and score results as a separate file.

C.

Obtain additional data on the volunteer’s gender, age, race/ethnicity, education level,

geographic residence, marital status, # of children, medical history (optional).

D.

Discuss what your experience with completing this exercise was like, your findings,

and ways in which the client’s demographic information may or may not have

influenced the results.

Answer 1

Answer 1. Based on the data used below, the Allen had 14.5% risk of having a heart disease or stroke.

Age - 46

Bloop pressure - 135/88

Cholesterol -220

HDL cholesterol- 32

Male

Smoker - yes but no diabetes

Blood pressure medication - yes

According to this data & calculated 10 year risk, the chances of getting a heart disease and stroke are quite high.

He has to bring a lot of changes to lower the risk of disease.

- change in diet habit - Allen has to adopt some healthy diet habit which includes less cheese & sugar, more green vegetables, fruits, regulated diet chart.

- Allen does not do any physical exercise & it is very important for him to do some yoga, aerobic exercise or cardio workout to improve his health & fitness, it will also help him maintain weight body. Not maintaining proper weight can be major risk factor in the heart diseases.

- He have to stop smoking or any other tobacco products he use because tobacco have adverse affects on heart & lungs.

The only factor Allen does not have any control is his age, because age is also a big risk factor in heart diseases and stroke.

But apart from that, he has to modify his lifestyle to improve his health.