Behavior Observations : Ms. Evetta Stowers

The woman I interviewed was Teresa Hays, born July 22, 1948 in Pensacola, Florida during the baby boom era. She was an adopted child who grew up in the rural town of Cantonment, Florida. Her adoptive father was a southern, Baptist who valued hard work, faith, and family. Her adoptive mother was an Italian immigrant and

In today’s society obesity has become a nationwide epidemic that is affecting children and adults daily. Dietitians have an essential role in the health field to treat patients with nutrition problems such as obesity, but every patient is different and how the dietician decides the course of treatment is as well. For example, there are many ways the dietician can treat the patient like goal setting, self-monitoring, meal preparation, and other strategic plans that lead to the best health of the patient. When making a plan to treat the patient many detailed factors come into play. For example, patients age, occupation, family history, and most importantly social environment.

She observed my size and structure. I was 5’1” and wore a size 4, so I was considered small. As she spoke it was as if for the first time I had ears to hear Miranda may genuinely have a problem. The dietician told me she knew a man who could help us. She spoke very highly of him and said he was an excellent endocrinologist. I had never heard the term before, but she felt confident Dr. Endo #1 could help Miranda. She added endocrine disorders were extremely rare, but she believed Miranda may have

According to the Diagnostic and Statistical Manual of Mental Health Disorders, Volume 5 (DMS-5), Shelly’s low body weight, her lack of food intake, and her purging were all qualifying symptoms of Anorexia Nervosa. In addition to these symptoms, she exhibited the additional symptom of a fear of gaining weight. She explained to her therapist that she feared weighing as much as her twin sister, even though her sister only weighed 100 pounds.

She continued to have forgetful episodes and migraines. She rated pain as 7-10 in severity. A total of 12 therapy visits was recommended.

The U.S. Department of Agriculture’s Food Guide Pyramid is based on a recommended number of servings from six food groups. Food groups were the bread, cereal, rice, and pasta group (6-11 servings), vegetable group (3-5 servings), fruit group (2-4 servings), milk, yogurt, and cheese group (2-3 servings), meat, poultry, fish, dry beans, eggs, and nuts group (2-3 servings), and fats, oils, and sweets (use sparingly) (2001). Inexpensive fat-filled, low-nutrient-density foods predominate in African American communities (Rajaram 1998). Proper education would have informed the proper foods, servings, and amount of servings to ensure proper eating habits that abstractly monitors weight control. According to statistics, 27.4% of African American women who had less than high school education was obese as opposed to only 15.7% of African American women with college or above was obese (U.S. Surgeon General, 2001).

Her symptoms started small. She exercised, but slowly it came more extreme. She counted every calorie of every meal. Sally stopped eating her favorite food, like ice-cream and cake. Her family did not understand the seriousness of what was happening. Her menstrual cycle was thrown off, and did not come for some months. Her hair fell out, whether it was from stress or the disorder, it was unsure yet.

Ms. Castellanos reports she suffers from arthritis, dizziness, and headaches due to a head injury, hypertension, and cataract (both eyes). Client reports she underwent cataract surgery 10/8/15 in the left eye and 10/25/15 in the right eye. Client continues to reports she is currently taking the following medications: Meclizine 25mg, Simvastatin 40 mg, Gabapentin 300mg, Oyster Shell Calcium tab 500-200mg, Omega-3 Ethyl Esters 1mg, Losartan-HCI 100-12.5mgG, Amitiza 24 mg, and Sertraline. Client continues to report she is seen by Dr. Molinas Alveris tel3 718-4264747 located at 9319 Roosevelt Ave Fl 1, Jackson Heights, NY 11372.

On February 12, 2006, I was involved in a motor vehicle accident causing me to sustain injuries to my upper, mid and lower back; and as a result of these injuries, I sought medical attention at Hanford Hospital, located in Hanford, California. I was treated in the Emergency Room for those injuries and various medications were prescribed, including Motrin, Percocet and Soma, all of which I took as prescribed.

She continues to take the following medications: GABAPENTIN 400MG , ASPIRIN 81MG, Oxaprozin 600mg and

She has a medical history of severe RA, had an upper gastrointestinal bleed in 1993, and had coronary artery disease with a coronary artery bypass graft (CABG) 9 months ago. She lives alone but has three children whom live close to her. She is a widow and her father died of cancer at 62 years old and mother died from heart failure at 79 years old. She has a 50-pack-year smoking history but denies alcohol use. Ever since her CABG she has engaged in “very mild exercises at home.” Her medications are Rabeprazole (Aciphex) 20mg/day, Prednisone (Deltasone) 5 mg/day PO and Methotrexate (Amethopterin) 2.5 mg/week.

Per the medical report dated 07/18/16, patient is being seen for her lower backache, rated 7/10 with medications and 10/10 without medications. Current medications include Ambien 10mg; Maxalt-MLT 10mg; Norco 10/325mg; Evzio 0.4mg; orphenadrine 100 mg and gabapentin 600 mg.

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.

Per medical records (2008-2014), the claimant had a history of multiple medical issues, including migraines, right hand tremors, alcohol abuse, obesity, gastro-esophageal reflux disease (GERD), nausea, abdominal pain, endometriosis and degenerative changes in the left knee. In 2014, she was evaluated for hip

While 34 percent people in the United States are obese, almost one out of every six households will find themselves fearful sometime in a year of not having sufficient amount of food to eat. Truly, these problem are not related to any specific one race or gender, and they are not simply due to faults of willpower or personnel discipline. As author mentioned they are symptoms of a broken food system.