NHM 531 Case Study 2

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University of Mississippi *

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531

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Health Science

Date

Apr 3, 2024

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docx

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4

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1 NHM 531: Case Study 2 Mary Claire Dale Based on Andrew’s nutrition assessment, his sedentary behaviors due to his commute to the office and being seated behind a desk significantly contribute to his fatigue. Along with this, his decisions to eat mainly convenience foods and watch television while having chips and beer also contribute to his low energy levels. His testimony of simply having no time for exercise can simply be replaced with his time spent on the couch after work with his friends. A proper nutrition screen can be administered, but most of the questions present on it have been answered by Andrew already. Thus, a more in depth assessment can be done by the RDN that includes: anthropometrics, biochemical, dietary, energy/exercise, and functional status. With a BMI of 31, Andrew is within the range of obesity, so acquiring information about his food preferences, allergies, diet history, body fat/muscle mass %, fluid accumulation, educational status, and kitchen usage, will help formulate a plan to initiate weight loss. Andrew has stated he desires dietary and lifestyle changes to help positively alter his way of life, so he is apparently aware of the position his health is in at this time. Furthermore, as Andrew has admitted that he does not want to be following the footsteps of his mother being that she died from diabetes, he has a positive perceived susceptibility to his health circumstance. In educating him on the perceived severity of metabolic syndrome, being pre-diabetic with genetic predispositions, and an inflated BMI, it is important for him to understand the consequences of these diagnoses via scientific evidence.
2 Once those points have been covered, it is imperative for Andrew to understand there is a light at the end of the tunnel. Allowing him to see testimonials of previous clients that have been successful in their journey of weight loss as risks for diabetes or heart disease, would allow him to understand this journey is entirely possible. Also, allowing him to share with you what he has learned so far and that he can turn his health around affirms the dietary plan and its effectiveness.
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