BIOD_121_Case_Study_1.docx.pdf

Case Study Module 1 Question 1 2 / 2 pts Fred is a 56 year old, single male. He is employed in sales and spends a great portion of his day either behind his desk making calls or in his car. Fred has a base salary but depends on sales for commission. He has a limited income and attempts to use finances wisely. Due to his schedule, he has few friends and little leisure time. He relays that he has been diagnosed with high blood pressure and has a family history of cardiovascular disease. In a typical day, Fred sets his alarm for 7 am and tries to get to the office by 8:30. He always drives through a donut shop and picks up a reduced fat blueberry muffin and a large latte. For lunch he packs a bologna sandwich, a bag of Corn chips and a Cola and eats at his desk. After making calls and finalizing several deals, he leaves the office around 6 pm. Several times a week, he meets clients for dinner. Today he is having dinner with a couple of guys at a local steak house. After dinner and a business session, he returns home around 10 pm. Fred is exhausted but decides to unwind and watch the nightly news before bed. Fred’s company is collaborating with an insurance company to begin a wellness program. As the nurse for the wellness program, you are to meet with each employee and complete an initial evaluation. Answer the following questions pertaining to Fred’s evaluation. Use myplate.gov (Links to an external site.) and module 1 to answer the questions. Client: Fred Age: 56 Height: 5 feet 10 inches Weight: 270 pounds

Diet Analysis: Food Calories Fat (g) Reduced Fat Blueberry muffin 410 10 Large Latte 490 22 2 slices Bologna, all beef 2 slices white bread 1 tablespoon mayo 174 138 99 16 2 11 Corn chips 2.1 oz 294 13 Cola 12 oz 136 0 Onion Blossom, ¼ with sauce House Salad Honey Mustard Dressing,1 svg 12 oz rib eye Loaded sweet potato Dinner roll with cinnamon butter 787 121 150 680 309 227 70.3 5 14 45 8 11 Total Intake 4015 227.3 1. Daily calorie allowance for the day per myplate plan for Fred’s Height, weight and age_____________ Your Answer: 2200 calories

1. Daily calorie allowance for the day per myplate plan: 2200 Question 2 3 / 3 pts Fred is a 56 year old, single male. He is employed in sales and spends a great portion of his day either behind his desk making calls or in his car. Fred has a base salary but depends on sales for commission. He has a limited income and attempts to use finances wisely. Due to his schedule, he has few friends and little leisure time. He relays that he has been diagnosed with high blood pressure and has a family history of cardiovascular disease. In a typical day, Fred sets his alarm for 7 am and tries to get to the office by 8:30. He always drives through a donut shop and picks up a reduced fat blueberry muffin and a large latte. For lunch he packs a bologna sandwich, a bag of Corn chips and a Cola and eats at his desk. After making calls and finalizing several deals, he leaves the office around 6 pm. Several times a week, he meets clients for dinner. Today he is having dinner with a couple of guys at a local steak house. After dinner and a business session, he returns home around 10 pm. Fred is exhausted but decides to unwind and watch the nightly news before bed. Fred’s company is collaborating with an insurance company to begin a wellness program. As the nurse for the wellness program, you are to meet with each employee and complete an initial evaluation. Answer the following questions pertaining to Fred’s evaluation. Use myplate.gov (Links to an external site.) and module 1 to answer the questions. Client: Fred Age: 56

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Height: 5 feet 10 inches Weight: 270 pounds Diet Analysis: Food Calories Fat (g) Reduced Fat Blueberry muffin 410 10 Large Latte 490 22 2 slices Bologna, all beef 2 slices white bread 1 tablespoon mayo 174 138 99 16 2 11 Corn chips 2.1 oz 294 13 Cola 12 oz 136 0 Onion Blossom, ¼ with sauce House Salad Honey Mustard Dressing,1 svg 12 oz rib eye Loaded sweet potato Dinner roll with cinnamon butter 787 121 150 680 309 227 70.3 5 14 45 8 11 Total Intake 4015 227.3 2. Calories consumed: _____________________ Your Answer: 4015 calories 2. Calories consumed: 4015

Question 3 3 / 3 pts Fred is a 56 year old, single male. He is employed in sales and spends a great portion of his day either behind his desk making calls or in his car. Fred has a base salary but depends on sales for commission. He has a limited income and attempts to use finances wisely. Due to his schedule, he has few friends and little leisure time. He relays that he has been diagnosed with high blood pressure and has a family history of cardiovascular disease. In a typical day, Fred sets his alarm for 7 am and tries to get to the office by 8:30. He always drives through a donut shop and picks up a reduced fat blueberry muffin and a large latte. For lunch he packs a bologna sandwich, a bag of Corn chips and a Cola and eats at his desk. After making calls and finalizing several deals, he leaves the office around 6 pm. Several times a week, he meets clients for dinner. Today he is having dinner with a couple of guys at a local steak house. After dinner and a business session, he returns home around 10 pm. Fred is exhausted but decides to unwind and watch the nightly news before bed. Fred’s company is collaborating with an insurance company to begin a wellness program. As the nurse for the wellness program, you are to meet with each employee and complete an initial evaluation. Answer the following questions pertaining to Fred’s evaluation. Use myplate.gov (Links to an external site.) and module 1 to answer the questions. Client: Fred Age: 56 Height: 5 feet 10 inches Weight: 270 pounds

Diet Analysis: Food Calories Fat (g) Reduced Fat Blueberry muffin 410 10 Large Latte 490 22 2 slices Bologna, all beef 2 slices white bread 1 tablespoon mayo 174 138 99 16 2 11 Corn chips 2.1 oz 294 13 Cola 12 oz 136 0 Onion Blossom, ¼ with sauce House Salad Honey Mustard Dressing,1 svg 12 oz rib eye Loaded sweet potato Dinner roll with cinnamon butter 787 121 150 680 309 227 70.3 5 14 45 8 11 Total Intake 4015 227.3 3. % of calories from fat : ____________ Your Answer: 227.3 grams x 9 kcal/g = 2045.7 kcal 2045.7/4015 = 51% of calories from fat 3. % of calories from fat: 227.3grams X 9 kcal/g =2045.7 kcal 2045.7/ 4015 =51% of calories from fat

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Question 4 3 / 3 pts Fred is a 56 year old, single male. He is employed in sales and spends a great portion of his day either behind his desk making calls or in his car. Fred has a base salary but depends on sales for commission. He has a limited income and attempts to use finances wisely. Due to his schedule, he has few friends and little leisure time. He relays that he has been diagnosed with high blood pressure and has a family history of cardiovascular disease. In a typical day, Fred sets his alarm for 7 am and tries to get to the office by 8:30. He always drives through a donut shop and picks up a reduced fat blueberry muffin and a large latte. For lunch he packs a bologna sandwich, a bag of Corn chips and a Cola and eats at his desk. After making calls and finalizing several deals, he leaves the office around 6 pm. Several times a week, he meets clients for dinner. Today he is having dinner with a couple of guys at a local steak house. After dinner and a business session, he returns home around 10 pm. Fred is exhausted but decides to unwind and watch the nightly news before bed. Fred’s company is collaborating with an insurance company to begin a wellness program. As the nurse for the wellness program, you are to meet with each employee and complete an initial evaluation. Answer the following questions pertaining to Fred’s evaluation. Use myplate.gov (Links to an external site.) and module 1 to answer the questions. Client: Fred Age: 56 Height: 5 feet 10 inches Weight: 270 pounds

Diet Analysis: Food Calories Fat (g) Reduced Fat Blueberry muffin 410 10 Large Latte 490 22 2 slices Bologna, all beef 2 slices white bread 1 tablespoon mayo 174 138 99 16 2 11 Corn chips 2.1 oz 294 13 Cola 12 oz 136 0 Onion Blossom, ¼ with sauce House Salad Honey Mustard Dressing,1 svg 12 oz rib eye Loaded sweet potato Dinner roll with cinnamon butter 787 121 150 680 309 227 70.3 5 14 45 8 11 Total Intake 4015 227.3 4. Recommended maximum % of calories from fat: ___________________ Your Answer: 35% 4. Recommended maximum % of calories from fat: 35% Question 5

1 / 1 pts Fred is a 56 year old, single male. He is employed in sales and spends a great portion of his day either behind his desk making calls or in his car. Fred has a base salary but depends on sales for commission. He has a limited income and attempts to use finances wisely. Due to his schedule, he has few friends and little leisure time. He relays that he has been diagnosed with high blood pressure and has a family history of cardiovascular disease. In a typical day, Fred sets his alarm for 7 am and tries to get to the office by 8:30. He always drives through a donut shop and picks up a reduced fat blueberry muffin and a large latte. For lunch he packs a bologna sandwich, a bag of Corn chips and a Cola and eats at his desk. After making calls and finalizing several deals, he leaves the office around 6 pm. Several times a week, he meets clients for dinner. Today he is having dinner with a couple of guys at a local steak house. After dinner and a business session, he returns home around 10 pm. Fred is exhausted but decides to unwind and watch the nightly news before bed. Fred’s company is collaborating with an insurance company to begin a wellness program. As the nurse for the wellness program, you are to meet with each employee and complete an initial evaluation. Answer the following questions pertaining to Fred’s evaluation. Use myplate.gov (Links to an external site.) and module 1 to answer the questions. Client: Fred Age: 56 Height: 5 feet 10 inches Weight: 270 pounds Diet Analysis:

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Food Calories Fat (g) Reduced Fat Blueberry muffin 410 10 Large Latte 490 22 2 slices Bologna, all beef 2 slices white bread 1 tablespoon mayo 174 138 99 16 2 11 Corn chips 2.1 oz 294 13 Cola 12 oz 136 0 Onion Blossom, ¼ with sauce House Salad Honey Mustard Dressing,1 svg 12 oz rib eye Loaded sweet potato Dinner roll with cinnamon butter 787 121 150 680 309 227 70.3 5 14 45 8 11 Total Intake 4015 227.3 5. Based on the recommended calorie allowance, and using the MyPlate Plan, how many servings of each food group should Fred have daily? Fruit: Vegetables: Grains: Protein:

Dairy: Your Answer: Fruit: 2 cups Vegetables: 3 cups Grains: 7 ounces Protein: 6 ounces Dairy: 3 cups 5. Based on the recommended calorie allowance, and using the MyPlate Plan, how many servings of each food group should Fred have daily? Fruit: 2 cups Vegetables: 3 cups Grains: 7 ounces Protein: 6 ounces Dairy: 3 cups Question 6 11 / 11 pts Fred is a 56 year old, single male. He is employed in sales and spends a great portion of his day either behind his desk making calls or in his car. Fred has a base salary but depends on sales for commission. He has a limited income and attempts to use finances wisely. Due to his schedule, he has few friends and little leisure time. He relays that he has been diagnosed with high blood pressure and has a family history of cardiovascular disease. In a typical day, Fred sets his alarm for 7 am and tries to get to the office by 8:30. He always drives through a donut shop and picks up a reduced fat blueberry muffin and a large latte. For lunch he packs a bologna sandwich, a bag of Corn chips and a Cola and eats at his desk.

After making calls and finalizing several deals, he leaves the office around 6 pm. Several times a week, he meets clients for dinner. Today he is having dinner with a couple of guys at a local steak house. After dinner and a business session, he returns home around 10 pm. Fred is exhausted but decides to unwind and watch the nightly news before bed. Fred’s company is collaborating with an insurance company to begin a wellness program. As the nurse for the wellness program, you are to meet with each employee and complete an initial evaluation. Answer the following questions pertaining to Fred’s evaluation. Use myplate.gov (Links to an external site.) and module 1 to answer the questions. Client: Fred Age: 56 Height: 5 feet 10 inches Weight: 270 pounds Diet Analysis: Food Calories Fat (g) Reduced Fat Blueberry muffin 410 10 Large Latte 490 22 2 slices Bologna, all beef 2 slices white bread 1 tablespoon mayo 174 138 99 16 2 11 Corn chips 2.1 oz 294 13 Cola 12 oz 136 0 Onion Blossom, ¼ with 787 70.3

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sauce House Salad Honey Mustard Dressing,1 svg 12 oz rib eye Loaded sweet potato Dinner roll with cinnamon butter 121 150 680 309 227 5 14 45 8 11 Total Intake 4015 227.3 6. Looking at Fred’s diet recall and the MyPlate recommendations: a. State 2 food groups that are inadequate in his diet. (1 point) b. According to the Dietary Guidelines for Americans, the three key dietary principles are? (3 pts) c. Explain to Fred that small changes can lead to eating habits that last a lifetime. Review the 7 simple tips on the MyPlate site to encourage healthy eating habits. (7pts) Your Answer: a. fruits, vegetables, grains and dairy b. Meet nutritional needs primarily from nutrient dense foods and beverages. Choose a variety of options from each food group. Pay attention to portion size. c. A healthy eating routine can help boost your health now and in the future. Pick one or two ways to switch your current choices to healthier options. Slowly your food choices will come together over the course of your day or week and help your create a healthier routine. The below tips reflect concepts of balance, variety and moderation. 1. Make half of your plate fruits and vegetables 2. Focus on whole fruits - can add to bananas or apples, etc to breakfast cereal or grains in the morning 3. Vary vegetables - try many different types of vegetables 4. Make half of your grains whole grains - such as whole grain breads, whole grain crackers

5. Vary your protein 6. Move to low fat or fat free dairy or yogurt (lactose-free dairy or fortified soy) 7. Choose foods and beverages with less added sugars, saturated fat and sodium 6. Looking at Fred’s diet recall and the MyPlate recommendations: a. whole fruits, vegetables, whole grains or low-fat dairy b. 1. Meet nutritional needs from nutrient-dense foods and beverages 2. Choose a variety of options from each food group 3. Pay attention to portion size c. 1. Make half your plate fruits and vegetables 2. Focus on whole fruits 3. Vary your vegetables 4. Make half your grains whole grains 5. Vary your protein 6. Move to low fat or fat free dairy or yogurt (lactose-free dairy or fortified soy) 7. Choose foods and beverages with less added sugars, saturated fat and sodium Question 7 4 / 4 pts Fred is a 56 year old, single male. He is employed in sales and spends a great portion of his day either behind his desk making calls or in his car. Fred has a base salary but depends on sales for commission. He has a limited income and attempts to use finances wisely. Due to his schedule, he has few friends and little leisure time. He relays that he has been diagnosed with high blood pressure and has a family history of cardiovascular disease. In a typical day, Fred sets his alarm for 7 am and tries to get to the office by 8:30. He always drives through a donut shop and picks up a reduced fat blueberry muffin and a large latte.

For lunch he packs a bologna sandwich, a bag of Corn chips and a Cola and eats at his desk. After making calls and finalizing several deals, he leaves the office around 6 pm. Several times a week, he meets clients for dinner. Today he is having dinner with a couple of guys at a local steak house. After dinner and a business session, he returns home around 10 pm. Fred is exhausted but decides to unwind and watch the nightly news before bed. Fred’s company is collaborating with an insurance company to begin a wellness program. As the nurse for the wellness program, you are to meet with each employee and complete an initial evaluation. Answer the following questions pertaining to Fred’s evaluation. Use myplate.gov (Links to an external site.) and module 1 to answer the questions. Client: Fred Age: 56 Height: 5 feet 10 inches Weight: 270 pounds Diet Analysis: Food Calories Fat (g) Reduced Fat Blueberry muffin 410 10 Large Latte 490 22 2 slices Bologna, all beef 2 slices white bread 1 tablespoon mayo 174 138 99 16 2 11

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Corn chips 2.1 oz 294 13 Cola 12 oz 136 0 Onion Blossom, ¼ with sauce House Salad Honey Mustard Dressing,1 svg 12 oz rib eye Loaded sweet potato Dinner roll with cinnamon butter 787 121 150 680 309 227 70.3 5 14 45 8 11 Total Intake 4015 227.3 7. What information has Fred provided concerning his environmental assessment? Your Answer: Fred is single, limited income, medical info/history - high blood pressure and family history of cardiovascular disease, lack of socialization due to time constraints (social history). 7. What information has Fred provided concerning his environmental assessment? (Single, limited income, medical history and social history) Question 8 3 / 3 pts Fred is a 56 year old, single male. He is employed in sales and spends a great portion of his day either behind his desk making calls or in his car. Fred has a base salary but depends on sales for commission. He has a limited income and attempts to use finances wisely. Due to his schedule, he has few friends and little leisure time. He relays that he has been diagnosed with high blood pressure and has a family history of cardiovascular disease. In a typical day, Fred sets his alarm for 7 am and tries to get to the office by 8:30. He always drives through a donut shop and picks up a reduced fat blueberry muffin and a large latte.

For lunch he packs a bologna sandwich, a bag of Corn chips and a Cola and eats at his desk. After making calls and finalizing several deals, he leaves the office around 6 pm. Several times a week, he meets clients for dinner. Today he is having dinner with a couple of guys at a local steak house. After dinner and a business session, he returns home around 10 pm. Fred is exhausted but decides to unwind and watch the nightly news before bed. Fred’s company is collaborating with an insurance company to begin a wellness program. As the nurse for the wellness program, you are to meet with each employee and complete an initial evaluation. Answer the following questions pertaining to Fred’s evaluation. Use myplate.gov (Links to an external site.) and module 1 to answer the questions. Client: Fred Age: 56 Height: 5 feet 10 inches Weight: 270 pounds Diet Analysis: Food Calories Fat (g) Reduced Fat Blueberry muffin 410 10 Large Latte 490 22 2 slices Bologna, all beef 2 slices white bread 174 138 16 2

1 tablespoon mayo 99 11 Corn chips 2.1 oz 294 13 Cola 12 oz 136 0 Onion Blossom, ¼ with sauce House Salad Honey Mustard Dressing,1 svg 12 oz rib eye Loaded sweet potato Dinner roll with cinnamon butter 787 121 150 680 309 227 70.3 5 14 45 8 11 Total Intake 4015 227.3 8. Before concluding this session, you provide recommendations for a healthier lunch. Using his current lunch choices, make recommendations using this format. For example: Instead of a hot dog choose a vegetable wrap Your Answer: For a healthier lunch my recommendations are as follows: - Use whole grain bread instead of white bread - incorporate whole grains - Add 1 or 2 cups of vegetables into lunch. Raw vegetables are a great option or a small leafy green salad instead of corn chips - Add a dairy to lunch. Could be a slice of natural cheese to your sandwich - Change sandwich meat to grilled chicken instead of bologna - Drink water or flavored water instead of soda 8. Before concluding this session, you provide recommendations for a healthier lunch. Using his current lunch choices, make recommendations using this format. For example: Instead of a hot dog choose a vegetable wrap

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Appropriate answers include: Whole grain bread rather than white, healthier meat choices, alternate protein choice, add fruits and vegetables, substitute whole grain crackers for chips, add a dairy product