What is his current body mass index


Problem

Dietary Needs for Patient with Heart Disease

Will answer questions about a client named Mr. Smith. Will analyze the dietary needs and risks for patients who are at risk for heart disease. will identify the best recommendations, risks, and needs of a patient in Mr. Smith's condition, based on the explore differences between macronutrient and micronutrient concepts and describe their physiological functioning. Additionally, will apply human nutritional theories and relevant research to formulate nutritional assessments and describe nutritional requirements corresponding to stages in the life span. will also examine how effective nutritional counseling is contingent upon collaboration, organization, and concurrence among the members of the health care team.

Case Study:

Mr. Andrew Smith is a 50-year-old male, 5 feet 10 inches tall and weighs 265 lbs. He has gained 30 pounds in the past year. He has been diagnosed with heart disease. Testing revealed his total cholesterol is 225 mg/dL, and blood pressure is 150/95. Mr. Smith eats a diet that is high in saturated and trans fats. He also complains of shortness of breath when climbing stairs. Mr. Smith meets with his physician and is started on atorvastatin. Mr. Smith is concerned because he has never taken anything besides over-the-counter medicines before. He would like to explore dietary interventions to improve his heart health.

Reading the Case Study and responses

A. Based what is learned about Mr. Smith in interview, briefly explain his modifiable risk factors for heart disease.

B. Based on client's height and weight, what is his current body mass index? Based on his current BMI, how many pounds should client lose to achieve a healthy weight?

C. Discuss the recommendations that would make for Mr. Smith's fat intake (in grams) What foods should be limited to restrict saturated and trans fat intake (list 5)?

D. Discuss heart healthy fats. What foods should be included to increase clients intake of heart healthy fats? (list 5)?

E. Briefly discuss three nutritional interventions that would suggest to client to improve his heart health.

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