assume the role of an RDN (Registered Dietitian Nutritionist) whose job is to educate patients about their nutritional requirements and needs. Your patients have been referred to you by a doctor who sees that some of the patients’ medical issues are related to unbalanced nutrition. Get these patients “back on track” in their nutritional habits!
Choose TWO of the following scenarios, assess their nutritional status and formulate a one day, complete dietary plan that meets the nutritional needs of the patient while taking into consideration other lifestyle, social and health-related factors that are present in the patients’ life.
For each patient:
a. Identify the life factors that may be contributing to unbalanced nutrition in the patient. Based on the information provided, is the patient consuming too few or too many calories? Are supplements needed? Is the right combination of nutrients being consumed? Etc.
b. Identify the key nutrient requirements for the patient based on their stage in the life cycle
c. Formulate a complete, one day dietary plan for the patient with specific examples of food and portions for each meal and snack in your recommendation
d. Explain your plan to the patient and indicate the short and long-term health benefits of your plan
Address TWO of the following cases!
Scenario 1: Ethel is a 38-year-old woman with a normal BMI who is pregnant with her first child. She is in her second trimester, yet has only gained 2 pounds. She complains of being so tired, she can “barely get out of bed” in the mornings and suffers from “morning sickness” at least 4 times per week. She is referred to you for your sound nutritional advice!
Scenario 2: Harold is an 80-year-old man who was admitted to the hospital with severe COPD (chronic obstructive pulmonary disease). He has a 21 pound weight loss in the past 8 weeks. His height is 68 inches and his weight on admission is 154 pounds. He reports that nothing tastes good to him anymore and wishes his wife would quit trying to “force him to eat”. You notice that even when he is sitting in your office, he seems to be having difficulty breathing. What can you do to address the nutritional needs of this patient?
Scenario 3: Kasey is a 21-year-old college student who wants to go to veterinary school. While she knows it’s important to eat a balanced diet, Kasey still skips breakfast or lunch several days a week. She finds that with her busy class schedule and her other activities, she simply doesn’t have time to eat. Kasey often feels so tired in the afternoons that she needs to have a few diet soft drinks or lattes to perk up. Kasey is also concerned about her body weight and shape. She is 5' 6", weighs 142 lbs, and is of medium build, but she feels like she is never at her “ideal” weight, which she considers to be about 125 lbs. She usually eats salads for lunch or dinner, and when she eats things she considers “bad,” like creamy sauces or high-fat foods, she works out longer. She is particularly stressed right now as she is beginning to apply to veterinary schools. Can you help Kasey?
Scenario 4: Joey is a 13-year-old boy who is a sports nut! He is involved in at least one sport for every season, baseball, hockey, basketball, soccer etc. and it described by his coaches as being an “extreme” athlete! It is now hockey season, and Joey plays as a forward for his team. The team practices 5 days per week, they have ice time from 5-7 in the mornings and from 6-730 in the evenings. Weekends are game days, and the team often competes on both Saturday and Sunday! Joey has grown 2 inches in the last 6 weeks and his hockey coaches notice he seems to be more fatigued when he plays. Many days, he eats with the team and they just “grab a bite” whenever they can! Joey’s parents are concerned about his diet and his lack of energy. They are referred to you for your expert nutritional advice!