Question

In: Nursing

EJ is a 14-year-old male who currently resides at a behavioral health resident treatment facility. He...

EJ is a 14-year-old male who currently resides at a behavioral health resident treatment facility. He has been diagnosed with obesity and hyperlipidemia, most likely due to side effects from the medications he is taking for bipolar disorder. The registered dietitian has been asked to speak with EJ about his new diet order for a low-fat diet and to provide suggestions to EJ’s family. EJ is expected to return home next month. His family has been participating in family counseling weekly with EJ while he has been at the facility. Currently EJ is 195 pounds and 70 inches tall. EJ’s mother reports that EJ typically eats at fast-food restaurants after school three or four days a week. His intake of fruits and vegetables has only been 1-2 daily while at the facility, and his mother indicates this is more than he eats at home. When EJ does drink milk, it’s usually whole milk. EJ’s family is very busy, and often EJ and his two older siblings prepare their own dinner.

Questions:

1. What is EJ’s BMI? How does this classify his weight at this time?

2. What dietary recommendations do you have, specific to EJ’s situation, that can help him improve his nutritional intake and reduce his fat consumption?

3. What guidelines do you need to keep in mind as you provide nutrition education and counseling to adolescents?

4. Research the impact of family meals in the lives of adolescents using PubMed (http://www.ncbi.nlm.nih.gov/pubmed/). What is the consensus on family meals as they relate to the health of adolescents?

Solutions

Expert Solution


Related Solutions

EJ is a 14-year-old male who currently resides at a behavioral health resident treatment facility. He...
EJ is a 14-year-old male who currently resides at a behavioral health resident treatment facility. He has been diagnosed with obesity and hyperlipidemia, most likely due to side effects from the medications he is taking for bipolar disorder. The registered dietitian has been asked to speak with EJ about his new diet order for a low-fat diet and to provide suggestions to EJ’s family. EJ is expected to return home next month. His family has been participating in family counseling...
EJ is a 14-year-old male who currently resides at a behavioral health resident treatment facility. He...
EJ is a 14-year-old male who currently resides at a behavioral health resident treatment facility. He has been diagnosed with obesity and hyperlipidemia, most likely due to side effects from the medications he is taking for bipolar disorder. The registered dietitian has been asked to speak with EJ about his new diet order for a low-fat diet and to provide suggestions to EJ’s family. EJ is expected to return home next month. His family has been participating in family counseling...
EJ is a 14-year-old male who currently resides at a behavioral health resident treatment facility. He...
EJ is a 14-year-old male who currently resides at a behavioral health resident treatment facility. He has been diagnosed with obesity and hyperlipidemia, most likely due to side effects from the medications he is taking for bipolar disorder. The registered dietitian has been asked to speak with EJ about his new diet order for a low-fat diet and to provide suggestions to EJ’s family. EJ is expected to return home next month. His family has been participating in family counseling...
Mr. Evans is an 82 year old resident of a long-term care facility who tells the...
Mr. Evans is an 82 year old resident of a long-term care facility who tells the nurse, “I have an ache in my left foot.” He offers an explanation, suggesting, “I must have stepped and twisted my ankle. Maybe I was bit by a bug outside this morning.” The nurse notes the medial aspect of Mr. Evans left ankle is reddened, warm, and swollen. His temperature is 98.6°F. He has a strong pedal pulse bilaterally. Mr. Evans ankle is x-rayed...
Mr. Rogers is a 91-year old resident of a long-term care facility who tells the nurse,...
Mr. Rogers is a 91-year old resident of a long-term care facility who tells the nurse, "I have an ache in my right foot." He offers an explanation, suggesting, "I must have stepped on something or twisted my ankle. Maybe I got bit by a bug when I was outside yesterday." The nurse notes the medical aspect of Mr. Rogers's right ankle to be reddened, slightly swollen, and warm. His temperature is within normal limits. He has strong pedal pulses...
What would be the diagnosis and treatment? Peter is a 40 year old male who came...
What would be the diagnosis and treatment? Peter is a 40 year old male who came to the office with complaints of anxiety, sadness, nightmares, and difficulties concentrating. He also reported poor memory, low libido, feelings of guilt, despair, hopelessness and helplessness and occasional suicidal thoughts. In addition, he has difficulties in his marriage. He had been married for 10 years to a woman 15 years his senior. His wife is a very attractive woman, who looks younger than her...
The nurse is preparing to discharge a 43-year-old male client who has received treatment for a...
The nurse is preparing to discharge a 43-year-old male client who has received treatment for a fracture of the right tibia. The nurse provides the client with a prescription for a narcotic analgesic to be used as needed for pain, along with information about the medication. The client states, “I don’t need the prescription. My cousin just had surgery and didn’t take all of his pain medicine. I can just use his. That will be cheaper for me, anyway, since...
Jaron Baker is a 10-year-old boy who is admitted to the health care facility with a...
Jaron Baker is a 10-year-old boy who is admitted to the health care facility with a fractured tibia after falling from his bicycle on the way home from a friend’s house. He is scheduled for surgery to repair the fracture. During the interview, Jaron offers little information, allowing his parents to answer most of the questions. When the nurse asks Jaron questions, he uses few words, often limiting the answers to yes, no, or I don’t know. (Learning Objectives 14,...
Scenario: Chief Complaint: Fever , AIDS. 40 year old white male resides at the hotel and...
Scenario: Chief Complaint: Fever , AIDS. 40 year old white male resides at the hotel and lives on social security disability; diagnosed with AIDS, end stage, addiction, and agoraphobia presents with fever X2 weeks, no thermometer available, diarrhea daily. He tends to miss appointments because of his extreme anxiety in public places. He has not been on antiretroviral therapy due to his inability to regularly take medications. He is not in contact with case management, but there is a special...
A. The patient is a 23-year-old male who works as a baker's assistant. He presented to...
A. The patient is a 23-year-old male who works as a baker's assistant. He presented to the local emergency room with low-grade fever, malaise, and headache. He was sent home with a diagnosis of influenza. He presented 7 days later with a 1-day history of worsened headache, photophobia, and stiff neck. On physical examination he appeared to be in mild distress with a temperature of 102.2 oF. He had mild nuchal rigidity and a maculopapular rash on his trunk, arms,...
ADVERTISEMENT
ADVERTISEMENT
ADVERTISEMENT