Imagine that you are now working as a nutrition assistant at The Nutrition Center that was introduced during Units 2 and 3. The Nutrition Center is an outpatient nutrition, wellness, and weight loss center. The patient that was initially assessed in Unit 3 has decided to utilize The Nutrition Center’s nutrition and wellness program. Upon joining the comprehensive program, she filled out a questionnaire that included three main health and nutrition related goals.
Client MM’s Three Goals:
•Lose weight (lose 30 pounds in 6 months)
•Improve her cholesterol, blood pressure, and glucose control.
•Improve her energy level, overall mood, and be a positive role model for her three teenage children.
Description of client:
•MM is a 40-year-old Hispanic mother of three teenage children who works as a counselor in a job placement bureau.
•Occasionally smokes a cigarette when she is stressed — maybe five per week
•Uses stairs at work, and is tired at night when she gets home
•The children’s birth weight ranged from 9-1/2 to 11 lbs.
•Family history of heart disease, diabetes, cancer
•Blood pressure was 140/92
•Height 165 cm (5’ 5”)
•Weight 93 kg (205 lbs.)
•Glucose test values (GTT) were 300 mg/dl at 1 hour, 248 mg/dl at 2 hours and 195 mg/dl at 3 hours
•Serum cholesterol was 250 mg, HDL 36, LDL 200
•Triglycerides 200 mg/dl.
•Medications: Glucophage, Lexapro, multivitamin
•Eats 2–3 meals per day, and eats goodies at the office
•Irregular bowel movements
•24-hour recall: •Breakfast: Granola bar and a 12-oz. Diet Coke
•Lunch: Large bowl of cream of broccoli and cheese soup and a sandwich with: luncheon meat turkey (about 3–4 ounces), lettuce, tomato, and 2 Tbsps. of mayonnaise from the cafeteria at work
•Large sweet tea
•Snack : 2 glazed doughnuts in break room
•Snickers Candy bar on the way home
•Dinner: Stouffers Lasagna: about 2 portions
•Small salad with 3 Tbsps. ranch dressing (made from a salad kit)
•1 piece of Texas Toast
•2 cans Diet Coke
•Snack: Bowl of chocolate chip ice cream before bed
Imagine that the supervising dietitian has asked you to help in the comprehensive nutrition assessment process of client “MM.” The Nutrition Center has a nutrition assessment protocol that you will follow to organize your information. Your supervisor asks you to keep the client’s goals in mind at all times during the assessment process.
1.Calculate the client’s BMI and include what weight category the BMI result is. Show the BMI calculation/equation.
2.Summarize the client’s current dietary intake (use the calorie/nutrient totals from the Unit 3 Assignment here) by including: a.Total Calories
3.Calculate the clients EER (estimated energy requirement). Table 7.9 on page 240 OR Table 7.10 on pages 242 should be referenced. Please note that calculations are based on weight in kilograms and height in meters. If you propose any alterations to the EER’s original answer (adding or subtracting calories based upon her weight/health goals), then include supporting evidence (references). Include the equation with the patient’s data inserted appropriately and the main mathematical calculation steps.
4.Compare the client’s current estimated calorie intake from #2 with the calorie recommendation in #3 and state the difference (if any).
5.The client mentioned improving her cholesterol, blood pressure, and blood glucose. How do her recent lab values compare to the recommended values? (can include a table/chart)
6.What is one diet or lifestyle change that can be recommended to help improve her cholesterol values?
7.What is one diet or lifestyle change that can be recommended to help improve her blood pressure readings?
8.What is one diet or lifestyle change that can be recommended to help improve her blood glucose (sugar) levels?
9.The patient is scheduled for a follow up appointment in 2 weeks. What nutrition assessment tools and methods do you recommend utilizing during her next visit to measure the patient’s progress? Be sure to think about all nutrition assessment areas and include one from each category. Why did you choose each method?
Theoretical Mobile phones have turned into a to a great degree normal electronic contraption for some individuals who may lean toward their utilization rather than the house telephones which has since been overwhelmed in the business. The development in the use of the mobile phones depends on their capacity to end up innovatively progressed since a large portion of them can take a send photographs and recordings and associate with the web of web surfing. Without a doubt, this is the principle motivation behind why such a large number of understudies in the school will dependably have their heads down, their earphones on and their telephones to their ears. Shockingly, most kids including the kindergarten kids have dependably since been PDA proprietors in the event that they can react to the calls. There are perpetual indicating things which should be possible by these executes. Ordinarily, the utilization of mobile phones has helped numerous clients to convey over long separation through the correspondence arrange. In this manner, there are various advantages of the utilization of cell phones both for school going youngsters and in advancing effective business tasks that will guarantee the profitability and maintainability of numerous organizations. There is have to decide the ominous the impacts of the utilization of mobile phones in our general public. Presentation The use of cell phones can bring about a noteworthy risk to the soundness of the clients. Numerous worries have been raised on the phone radiation that causes other extreme wellbeing dangers in the individuals. Completely, the utilization of cell phones encourages the emanation of low levels of radiofrequency vitality (RF) that has an antagonistic natural effect to the wellbeing of individuals. Plus, the low levels of the radiofrequency vitality the cell phones transmit while being used are in the microwave recurrence assortment. In addition, they additionally discharge the radio recurrence vitality at a generously limited time interims when in the method of standby. Essentially, the high level of RF can create critical medical issues or impacts through warming of tissues, introduction to low level of radiofrequency vitality that ca not deliver the warmth impacts which can cause the obscure unfriendly wellbeing impacts. Besides, a critical level of electromagnetic vitality, for example, those found in the X-beams and the gamma beams can ionize the organic tissues. Likewise, a considerable measure of the radio-recurrence vitality can expand the body temperature and impact the harm of the tissues (Cell Phones - Health Issues). Other prominent here and now and long haul impacts of PDAs on wellbeing incorporate the effects on feelings as the nearness of cell phones can impact the relationship of the individual as they may create adverse emotions towards individuals having their gadgets noticeable. The levels of pressure can likewise be expanded with the more prominent utilization of the phones. For example, the frequenting ringing, vibrating cautions and the consistent updates can put the client on a disappointing edge. Plus, the utilization of cell phones can cause discouragement, stress and rest unsettling influences on the grown-ups. Also, there is expanded danger of disease in the resistant framework with the steady utilization of the phones. The dangers of perpetual torment can likewise be affected utilizing mobile phones. In this manner, there is almost certainly that the utilization of cell phones can essentially add to the unfriendly wellbeing of the clients. The utilization of phones can likewise have incredible drawbacks to the school going understudies in their scholastic trip. In particular, tricking utilizing cell phones has turned into a huge test in different instructive foundations. For example, utilizing web crawlers, understudies can utilize the mobile phones to find solutions to the gave test questions. The understudies are supposedly occupied from their investigations and other essential occasions by the usage of the cell phones. Clearly, the understudies put much spotlight on consideration in messaging or conversing with their associates or companions (Solway, 2010). In any case, the utilization of mobile phones can likewise hamper the genuine human collaboration as individuals are normally stuck to their telephones while disregarding the customary connections with the general population around them. There is a probability of a major issue later on considering the much fixation set on the telephones rather than the typical mingling which is basic in the human social advancements. Besides, the utilization of phones has progressed toward becoming instruments for consistent intrusions in the business and social condition. For example, the ringing of a telephone amid key gathering sessions may interfere with the smooth and customary business of the gathering (Solway, 2010). The utilization of cell phones conveys the protection dangers and the security breaks to the clients. For example, there are high odds of the private messages, money related data, photos, the web based systems administration accounts and different applications being spilled to an outsider when one's telephone is stolen, or one has erroneously abandoned it on office work areas or general society couch. A standout amongst the most squeezing inconveniences of the regular utilization of the cell phones is the expanded odds of getting into auto collisions. Ordinarily, the diversions from utilizing the phones not just keep individuals from gainful association with others yet additionally cost lives of both the client and nonuser in the event that the mishap has happened. For example, the drivers have dependably been infamous for overlooking the activity governs through participating in messaging, and checking the online networking stages henceforth cause loss of control of their which prompts mischances. Moreover, messaging or utilizing the cell phones by people on foot have likewise turned out to be the main source of numerous mishaps which have brought about losing of lives (Want, 2006). Sexting, sending the sexual messages or photographs to someone else is an issue all guardians ought to consider before purchasing a mobile phone for their children. Especially, the children are inclined to get sexually unequivocal messages or data using cell phones. Additionally, through the web, youngsters are probably going to check the destinations which are restricted for the kids' view. In this manner, PDAs can altogether impact the youngster's social and mental advancements (Want, 2006). Clearly, mobile phones are constantly costly thinking about the normal updates of different devices and gadgets from the particular organizations. Numerous portable clients will dependably need to move up to new gadgets as long as new updates are accessible in the market. This is on the grounds that individuals are typically captivated with the different kinds of mobile phones, for example, the BlackBerry Bold and the Second-Generation iPhone. Conclusion Despite the fact that there are different advantages of utilizing mobile phones in the different social situations, there is likewise the more noteworthy inconvenience of the use of the gadgets. The unfavorable impacts of the utilization of cell phones impacts might be felt on the people groups' wellbeing, the children's' improvement and training, socialization and communications of people in the general public among other critical effect on the business and social condition. References Phones - Health Issues. (n.d.). Recovered, from https://www.fda.gov/Radiation-EmittingProducts/RadiationEmittingProductsandProcedures/HomeBusinessandEntertainment/CellPhones/ucm116282.htm Solway, A. (2010). Correspondence: The effect of science and innovation. Pleasantville, NY: Gareth Stevens Pub. Need, R. (2006). RFID clarified: An introduction on radio recurrence recognizable proof advances. San Rafael, Calif.: Morgan and Claypool.>GET ANSWER