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A Patient with Cardiovascular Disease and Diet Planning
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Unit outcomes addressed in this Assignment:
Discuss diet therapy for treatment of CVD
Develop dietetic and nutritional protocols for clients with chronic progressive degenerative diseases
Course outcome assessed with this Assignment:
NS335-1: Design a therapeutic menu for a progressive degenerative disease.
Instructions:
Mr. E is a 55 year-old corporate lawyer who was last seen a year ago for a physical examination. At that time he appeared to be in good health, although he was 15 lbs. over ideal weight for his 5’ 10” height. His blood pressure was 140/85 and total cholesterol was 225 mg/dl. He has no hobbies or outside activities except occasional golf with his friends. His workdays are sometimes long and hectic. The doctor advises him to get a daily exercise program and lose 20 lbs.
Three months later during a lawyer-client meeting he collapsed after a sudden onset of severe chest pain that radiated into his left arm. He was brought to the emergency room pale, frightened and short of breath. He was cold, sweaty and vomited shortly after arriving in the emergency room. His nail beds and lips were cyanotic and blood pressure was 100/70.
Mr. Edwards was placed on strict bed rest and a liquid diet ordered for the first 3 days, progressing to a low saturated fat, 1000 kcal soft diet the fourth day. The dietitian visited him and reported that his appetite was improving and responding well to the treatment. A regular texture diet was then recommended. A 1200 kcal, low-saturated fat, low-cholesterol diet was ordered by the end of the week. The diet specifications were for cholesterol limited to no more than 300 mg. Daily and total fat was limited to 20% of total kilocalories, with not more than 7% in saturated fats.
Just before discharge the dietitian met with Mr. Edwards and his wife several times to discuss his home care and dietary regime. Mr. Edwards showed good general recovery and was willing to continue his new modified fat and cholesterol food plan.
Respond to the following questions:
What is meant by the term “myocardial infarction”?
What were the predisposing factors in Mr. Edwards’ lifestyle that placed him in the high risk category?
What were the reasons for modification in texture, fats, and total caloric level in each diet prescribed for Mr. Edwards?
Explain why Mr. Edwards’ final diet order is appropriate for his lipid disorder.
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What other advice could you give Mrs. Edwards regarding preparation and shopping for recommended foods on the diet?
Write a sample menu for Mr. E to follow when he arrives home. Show the calorie, total fat, cholesterol, and saturated fat content and how the food choices meet the guidelines prescribed.
Requirements
Paper format: Answer questions numbers1–5 in a 2–3 page paper in APA format. Include a title page, introduction, body, conclusion, and reference page. Answer question number 6 as an appendix. Be aware that the title page, reference page, and appendix DO NOT count towards the 2–3 page minimum.
Please organize your paper in the following paragraph format. Please see KUs Writing Center for more information regarding essay and paragraph format.
Section 1: Introductory paragraph (incorporate your answer to question 1)
Section 2: Body paragraph(s) (incorporate your answer to question 2)
Section 3: Body paragraph(s) (incorporate your answer to question 3)
Section 4: Body paragraph(s) (incorporate your answer to question 4)
Section 5: Concluding paragraph (incorporate your answer to question 5)
Appendix: Your response to question 6. One day’s worth of meals/snacks should be included in an organized table/chart. Please include the serving sizes of all the foods/beverages. There should be a total column provided for the nutrients: calories, total fat, cholesterol, and saturated fat.
References: Incorporate a minimum of 3 quality references. Your textbook may count towards this requirement. You can use reputable websites or other textbooks/ scientific or medical journal articles. Please use APA style citations within the paper itself and also on the reference page. See Writing Center Resources found in Doc Sharing and the Kaplan University Writing Center for complete details and examples regarding APA style references.
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