Case Study By Jessica Gibson HAIL Dietitian Jerolyn

Case Study By Jessica Gibson HAIL Dietitian: Jerolyn

Assessment: Client Info v. Client: Mrs. T v. Age: 74 Years Old v. Height: 4 ft. 11 in. (59 inches) v. Weight: 170 lb (77. 1 kg) v. BMI: 34. 33 v. Ideal Body Weight (IBW): 95 lb (43. 1 kg) v. Estimated Energy Needs: 1050 -1300 kcal v. Estimated Protein Needs: 35 -43 grams v. Primary Health Concern: Weight v. Additional Health Concerns: Arthritis, Hypertension, Incontinent, Weakness, blood clots in legs

Assessment: Medications & Diet Recall v Medications: v. Lisinopril- Used to treat blood pressurel; avoid alcohol to avoid blood pressure from going abnormally low Breakfast Lunch Dinner Snacks Eggs, bacon, toast, oatmeal or cereal with 2 oz milk + 8 oz coffee with sugar and creamer MOW Lunch with 8 oz OJ Pork Chops, greens, sweet potato, cornbread, 16 oz of kool aid or tea Popcorn, Ice cream, chips or whatever else family gives her + 48 of water through the day

Diagnosis v. Excessive fat intake related to knowledge deficit of healthy oils as evidence by diet recall of high fat meat and snack choices

Intervention v Educated on decreasing salt intake, nutrition label reading, saturated fat, cholesterol, importance of appropriate fluid intake and benefit of regular physical activity such as chair exercises §Recommendations/Clinical Goals 1. Choose liquid oils over saturated fats 2. Exercise daily for muscle strength § Behavior Goal 1. To watch portion sizes for weight control

Monitoring/Evaluation v Follow-Up Phone Call § She is around the same weight §She watches her portion sizes sometimes but is still eating similar foods §Skips meals from time to time §Other than walking around the house it’s hard for her to get around