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Debra is a 40-year-old woman who had gained over 50 pounds within the last 10 years. Tired of
being overweight and being told she had no willpower, was weak, or that she needed to change
her lifestyle – eat less and exercise more, she sought out medical treatment to help her lose
weight and thus prevent health risks that could cause serious illness or even death.
The physician explained to her that he would not recommend starting weight-loss medications
until she followed a diet subsequent to seeing a nutritionist. He said that she should follow-up
with his office in 3 months for a re-assessment of her lifestyle changes (e.g., healthy eating,
and regular physical activity). Upon follow-up 3 months later, she had lost about 2 pounds.
Debra was referred to the Community Health Nurse for continuing management
Describe how the social and physical environment can support Debra’s health promoting behaviour?
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- Victoria is a 60-year-old woman who weighs 200 pounds and is 5 feet 5 inches tall. She has been recently diagnosed with type 2 diabetes. Her physician states it is necessary for her to lose weight and sends her to see Lauren, the health maintenance organization (HMO) nutritionist. Lauren first discusses with Victoria what makes up a balanced diet. In addition, Lauren will help Victoria determine her BMR and her caloric needs to reach and maintain a healthy weight. Explain the term “Recommended Dietary Allowances.”Victoria is a 60-year-old woman who weighs 200 pounds and is 5 feet 5 inches tall. She has been recently diagnosed with type 2 diabetes. Her physician states it is necessary for her to lose weight and sends her to see Lauren, the health maintenance organization (HMO) nutritionist. Lauren first discusses with Victoria what makes up a balanced diet. In addition, Lauren will help Victoria determine her BMR and her caloric needs to reach and maintain a healthy weight. What is Victoria’s BMR?Victoria is a 60-year-old woman who weighs 200 pounds and is 5 feet 5 inches tall. She has been recently diagnosed with type 2 diabetes. Her physician states it is necessary for her to lose weight and sends her to see Lauren, the health maintenance organization (HMO) nutritionist. Lauren first discusses with Victoria what makes up a balanced diet. In addition, Lauren will help Victoria determine her BMR and her caloric needs to reach and maintain a healthy weight. What is the recommended weight for Victoria according to weight and height scales?
- Victoria is a 60-year-old woman who weighs 200 pounds and is 5 feet 5 inches tall. She has been recently diagnosed with type 2 diabetes. Her physician states it is necessary for her to lose weight and sends her to see Lauren, the health maintenance organization (HMO) nutritionist. Lauren first discusses with Victoria what makes up a balanced diet. In addition, Lauren will help Victoria determine her BMR and her caloric needs to reach and maintain a healthy weight. Discuss the role of carbohydrates, fats, and proteins in the diet."My daughter, Hannah, has been pestering me about changing the way we eat and getting more exercise. She says she is just trying to lose weight, but ever since I learned I have type 2 diabetes I know she's been worried about me. What I didn't realize until last night is that she is worried about herself, too. All through dinner she was really quiet: then suddenly she says, 'Mom, I had my fasting blood sugar tested at the health center, and guess what? They said I have pre-diabetes since my glucose level was 188 mg/dl. They told me that's the first step towards diabetes and that, if I didn't make some serious changes, I would end up just like my mom. I am not sure why but, it made me nervous.’ (Judy takes a deep breath and then tells the nutritionist) “So, I guess we both need to change some things when it comes to eating and exercising. Trouble is, I don't really know where to start." Due to the pandemic, they stay home and are mostly eating canned or frozen foods. Judy primarily cooks…Karen is a 53-year old obese female. She has made an appointment with her physicians for a physical exam because of a recent, unintentional weight loss of approximately 4.5 kg. During her appointment, Karen tells her doctor that she has had a change in bowel habits over the past six months; she is often constipated and needs to use laxatives frequently. As well, she has occasionally noted bright red blood in her stool. Karen also mentions that she often has abdominal discomfort and feels very tired. On reviewing her past history, the physician notes that three years ago she had a benign polyp removed from her colon. He also mentions that Karen previously smoked ½ pack of cigarettes per day for approximately 30 years, but quit 10 years ago. Karen states that she is worried about colon cancer because she has an older brother who was diagnosed with colorectal cancer four years ago. Karen was scheduled for a colonoscopy. During this procedure, a biopsy was taken from a lesion…
- Karen is a 53-year old obese female. She has made an appointment with her physicians for a physical exam because of a recent, unintentional weight loss of approximately 4.5 kg. During her appointment, Karen tells her doctor that she has had a change in bowel habits over the past six months; she is often constipated and needs to use laxatives frequently. As well, she has occasionally noted bright red blood in her stool. Karen also mentions that she often has abdominal discomfort and feels very tired. On reviewing her past history, the physician notes that three years ago she had a benign polyp removed from her colon. He also mentions that Karen previously smoked ½ pack of cigarettes per day for approximately 30 years, but quit 10 years ago. Karen states that she is worried about colon cancer because she has an older brother who was diagnosed with colorectal cancer four years ago. Karen was scheduled for a colonoscopy. During this procedure, a biopsy was taken from a lesion…Except for extreme cases, weight loss is not recommended for children who are overweight. What strategy is used instead?Jeff is a 57-year-old male with a long history of type 1 diabetes. He takes insulin to manage his diabetes, but he has been having trouble maintaining steady blood glucose levels over the last two weeks. Jeff suffered a week-long case of influenza last month but is otherwise healthy. This morning, he began vomiting upon waking. This was followed by extreme abdominal pain and extreme thirst. He called his endocrinologist, who told him that he needs to seek emergency care. If Jeff has diabetic ketoacidosis, which of the following symptoms may he also be experiencing? Infrequent urination Deep, rapid breathing Increased energy Increased salivation
- Jeff is a 57-year-old male with a long history of type 1 diabetes. He takes insulin to manage his diabetes, but he has been having trouble maintaining steady blood glucose levels over the last two weeks. Jeff suffered a week-long case of influenza last month but is otherwise healthy. This morning, he began vomiting upon waking. This was followed by extreme abdominal pain and extreme thirst. He called his endocrinologist, who told him that he needs to seek emergency care.Kidney failure, cardiac arrest, and cerebral edema are all possible complications if Jeff’s condition is not treated. True FalseJeff is a 57-year-old male with a long history of type 1 diabetes. He takes insulin to manage his diabetes, but he has been having trouble maintaining steady blood glucose levels over the last two weeks. Jeff suffered a week-long case of influenza last month but is otherwise healthy. This morning, he began vomiting upon waking. This was followed by extreme abdominal pain and extreme thirst. He called his endocrinologist, who told him that he needs to seek emergency care. Given Jeff’s history of type 1 diabetes, which of the following conditions is he most likely experiencing? Diabetic ketoacidosis Metabolic alkalosis Respiratory alkalosis Diabetic alkalosisJeff is a 57-year-old male with a long history of type 1 diabetes. He takes insulin to manage his diabetes, but he has been having trouble maintaining steady blood glucose levels over the last two weeks. Jeff suffered a week-long case of influenza last month but is otherwise healthy. This morning, he began vomiting upon waking. This was followed by extreme abdominal pain and extreme thirst. He called his endocrinologist, who told him that he needs to seek emergency care. To diagnose his condition, a blood osmolality test is ordered. An abnormally high result could point to all of the following conditions EXCEPT: Diabetic ketoacidosis Stroke or head trauma Dehydration Oversecretion of ADH