48 Hour Intake Journal

9. Which of the symptoms that Y.L. reported today led you to believe she has some form of neuropathy?

The first part of the report I would like to examine is the different food groups taken into my diet over the past four days. There are five major food groups which make up the dietary requirements of the body: Dairy, Grain, Fruits, Vegetables, and proteins. Each brings an essential source of nutrients to the body, which allows the body to function at a normal level of homeostasis. I noticed ever since I have fractured my back there has been a dramatic change in my diet, and physical activity level. Overall, I take in less than the recommended amount of calories of 2000 per day. I on average exceed the amount of fruits needed in a day, hit the level for protein, and dairy, but failed to meet the allocated portion of vegetables everyday. An alarming part of diet that I noticed was I exceeded my sodium intake everyday. This could be attributed to the fact of the

Nicholas T., age 32, is a busy systems analyst for a computer manufacturer. Working his way up the corporate ladder, he travels extensively, putting in many hours without much sleep. Nicholas has a tendency to be overweight but continues to eat fatty foods and does not have an exercise program. He craves salty pretzels and potato chips.  ?  In recent months, however, he has often felt weak, and occasionally experiences dizziness when moving from a lying down to a

Why did the patient lose so much weight despite being on a very high-calorie diet?

Patient Care Coordinator faxes medical record authorization(s) and upload the signed authorization(s) to EeMR under the “Consent” folder.

In viewing Mr. Laurane’s personal health issues as well as his family history, it appears clear that his overall well-being could benefit significantly from a weight-loss regimen that includes health education in terms of nutrition, exercise initiatives, supplements that may be taken to encourage the speeding up of a slow metabolism, etc. Mr. Laurane can only benefit from weight loss, which will reduce his hypertension, congestive heart failure, and high cholesterol, all of which pose serious threats to the patient’s long-term health if not addressed in any way possible.

WEIGHT MANAGEMENT HISTORY: Ms. Glass related she has been of normal weight until her first child was born at age 32. Beginning early in life, she would feel feelings of nausea or stomach upset, and then eat to feel better. Ms. Glass related she continues to do this when feeling slight physical discomfort. In her childhood home, she was required to eat all on her plate and there was a significant amount of fried foods and sweets offered in the home. In one of her marriages, she had to make corn bread or biscuits at least once to twice per day. She stated the reason for gaining significant weight is her tendency toward snack foods and sweets. Ms. Glasses' triggers to eat are: stress eating, eating when she is sleepy and also tends to eat as an activity. Ms. Glass has attempted counting calories, Weight Watchers, the Atkins diet, low carbohydrate diets and exercise. Most successful for her has been calorie counting and Adkins losing 20 to 50 pounds with a one year maintenance period. Her problem foods are fast foods and sweets.

Mikey’s nutrition-related goal was to maintain his weight at 165 being 5’8”. Based upon the Harris-Benedict Equation (66 + (6.3 x 165) + (12.9 x 68) – (6.8 x 20), Mikey’s over all calories that are needed to maintain his weight are 3,185 per day. My partners’ BMI was equal to 25 which was considered an elevated level, but should be fine for his health. His classification was considered overweight, but with his age and activity level this is not excessive. With a weight loss of three pounds he would reach the optimal weight range. As far as energy intake needs, I suggested the percentage of carbohydrates should be 55% calories, 20% calories from fat and 25% protein. Mikey also needs to consume approximately 38 g of fiber per day.

Mitchell stresses an emphasis on maintaining personal fitness. There are several different aspects of fitness. There is exercise, and Ms. Mitchell recommends 45 minutes of exercise per day. Although going to the gym every day sounds ideal, Ms. Mitchell explains that the Westlake Recreation Department offers a wide variety of fitness options. Activities such as swimming, yoga, basketball, and other activities are provided by the recreation department. Another important part of fitness is healthy eating. It is important to eat foods from all the food groups. Ms. Mitchell suggests using websites or phone apps to track your meals. Ms. Mitchell uses a website daily to record her eating habits and to ensure that she includes all types of foods, including meat, grains, dairy, and fruits and vegetables. She also strongly urges against eating 2 hours before falling asleep. She explains eating late can cause you to feel full in the morning, preventing you from eating breakfast and then snacking before lunch. She also explains that her general rule is to eat as much as she knows she will exercise that day. For example, if she has a heavy workout that day, she will eat more, but if she is not working out, she will eat less. The third point of fitness is rest. Ms. Mitchell recommends seven to eight hours of sleep per night. This will ensure that you have energy for the day. She dismisses excuses most people have for not being healthy, especially time. She emphasizes making time for

At the present time, the patient has two of the risk factors for heart disease, genetic predisposition, and obesity. The first risk factor, genetic disposition, is non-modifiable, however, the second, obesity, is a modifiable risk factor. The nursing diagnosis that can be applied in this situation is imbalanced nutrition: more that body requirements, evidenced by weight is more than 20% over ideal for height and frame, triceps skinfold >25mm in women and, sedentary lifestyle. The desired outcome for this individual is to demonstrate a change in eating patterns to attain desirable body weight with optimal maintenance of health, as well as to initiate and maintain an individually appropriate exercise program. Nursing interventions for this client should be (1) determine client’s desire to lose weight, (2) review usual daily caloric intake and dietary choices, (3) establish a realistic weight-reduction plan with the client, (4) encourage client to maintain a food diary that includes when and where eating takes place and the circumstances and feelings around which the food was eaten, and (5) refer to dietitian or weight management program (Doenges, Moorhouse, & Murr,

She recalled her 24 hours’ diet as, Bacon egg and cheese sandwich for breakfast, Salad for lunch and fried chicken with mash potatoes and mac and cheese for dinner. She is 119 pound and 5’5 tall. Her body mass index is 19.8 which is in the normal range and she considered as a woman with a healthy weight. She doesn’t exercise much because she can barely make time for it with everything she has to do but she tries to walk and do in home exercise with the little free time she gets.

V.S said that she has a “good appetite, but could follow a more nutrient rich diet.” During a 24 hour diet recall, she described a normal breakfast as toast and coffee, and supper as a sandwich or pasta. She doesn’t eat lunch normally, but admitted to “chronic snacking, and a sweet tooth”. Her typical fluid intake is 16 ounces of water, and two cups of coffee. She denied any changes in appetite, and doesn’t have pain with chewing/ swallowing, or any diet restrictions. Her weight “fluctuates a lot,” and she is 5 feet 4 inches. V.S wears dentures and doesn’t regularly visit the dentist. Her most recent lab values were all normal.

Exercise or activity level/Fitness: As I go through my day, I have been indirectly doing my fair share of exercise by engaging on daily walks and stair climbing. I am proud to say that I was able to log 65,387 for the week or roughly 9,341 steps a day using my iPhone pedometer app before I retire to my bed. Not only did I walk, but I also recorded 120 flights of stairs for the week or nearly 17 flights of stairs a day, after all, our acute care, physical therapy office is located on the 4th floor, and the patient wards are on the 2nd and 3rd floors. Besides, I do not use the elevator. These were my daily work routine. Furthermore, after dinner, I also walk around the neighborhood with wife to encourage her towards fitness. Equally important, is nutrition. I consume at least a bowl of oat bran every morning to provide me that much-needed fiber and carbohydrates, to have a healthy start on my day. Also, at least 3-4 servings of vegetables a day, two for lunch and two for dinner. These edibles are called, "great greens" which includes the following greenery, Arugula, baby spinach, kale and baby lettuces. I combined all these green vegetables with cherry tomatoes, sliced mushrooms, onions and garlic olive oil for a healthy salad. As for my protein, I eat at least a serving of pan grilled salmon, or tilapia, and roasted chicken for dinner. I consider myself a "picky" eater since I

Sam’s doesn’t enjoy sport much either. His weekly physical activity involves walking to and from the school bus stop (5 minutes each way) and playing with the family dog in the yard. Sam’s mother is very concerned with his lack of physical activity and high interest in sedentary activities. She took him to the local doctor where his height and weight were measured to identify his Body Mass Index (BMI). It was identified that Sam’s

Due to long working hours, sedentary activity levels, and other personal responsibilities the nurse may assess some community members display a nutrition imbalance related to excessive caloric intake in comparison to expenditure of calories, evidenced by, weight gain of more than 20% over ideal for height and frame. Interventions provided by the community nurse may include education of a balanced healthy dietary regimen that include foods frequently eaten but prepared with less fat and calories for the targeted population. The nurse will weigh each