Post 8

1. Jamee, a 50-year-old female, was pulled from her burning home. On review by the physicians, it was estimated that 30% of her body was burned with second-degree burns. Jamee’s usual body weight is 175 pounds and she is 5 feet, 5 inches tall.
A. Using the Harris-Benedict formula, calculate her kcalorie needs, including an injury factor of 1.7 for the burns and an activity factor of 1.2.
B. Describe the nutritional goals for Jamee.

2. A 30-year-old mother of two has terminal breast cancer. She has clearly stated that she wants no heroic measures to maintain life. The doctor says that the only way to feed her now is through total parenteral nutrition (TPN).
A. Discuss the issues related to the decision to use this feeding method.
B. State your decision and defend it.

Post 7

1. Joe, a 40-year-old, has just been diagnosed with kidney stones. His mother and aunt also had kidney stones. When questioned about his dietary intake, Joe seems surprised, asking what that has to do with kidney stones. A review of his diet and supplement intake reveals that Joe does not drink many fluids during the day because his job limits his access to beverages. His dietary intake includes a high percentage of protein because he believes meats help maintain muscle mass. He consumes few foods that contain calcium and tends to eat snack and processed foods that are salty. In addition to his beliefs about protein, he believes that vitamin C keeps him from developing colds, so every day he ingests 1500 mg of vitamin C. What general dietary advice should be discussed with Joe to reduce his risk of developing future stones?

2. Renee developed type 1 diabetes mellitus (T1DM) when she was 12 years old. She is now 25 years old, and she and her husband are considering having children. Her diabetes is mostly well controlled using intensive therapy, but she is concerned about becoming pregnant. How will Renee need to adapt her diabetes self-care?

Post 6

1. Richard recently had an ileostomy placed after resection of part of his colon because of cancer. He is having a difficult time with his bag being distended and having foul-smelling contents. What can he do about this problem?

2. Sally has been a “yo-yo” dieter for years. She has tried every diet known and has invented a few herself. She was most successful with very low-calorie diets. Although she has maintained a healthy weight for many years, she has been diagnosed with cholecystitis and has had a cholecystectomy. What impact might her weight loss history have on her diagnosis?

Post 5

1. Mary Ellen is a first-time mom and is having much difficulty learning how to breastfeed her newborn son, Ethan. What tips could you give her?

2. You have been asked to provide a 30-minute presentation to approximately 30 older adults on the topic of eating healthy during the later years. Develop a presentation outline incorporating five items that you would like to share.

Post 4

1. Think for a minute about your daily physical activity. Compare your activity with the recommendations in the Health Debate box titled “What Kind of Exercise Is Best?”

2. Calculate your BMI for your current weight and height.
• What is your level of health risk based on your BMI?
• Is this satisfactory?
Now calculate your waist-to-hip ratio.
• Do you have an android or gynoid body shape?
• What does this tell you?

Post 3

1. Our food preferences, food choices, and food likes affect the food we consume. Think for a moment about the foods you ate yesterday.
• Why did you choose those particular foods?
• What influenced your selections (e.g., time, convenience, taste preferences, nutritional
value)?

2. Sam, a 35-year-old father of two, is trying to get fit. He weighs about 20 pounds more than he would like and smokes a pack of cigarettes daily. Because he works the second shift at the local factory, he tends to be awake in the early morning hours. He watches several infomercials that promote the use of herbal supplements to help him lose weight. He is suspicious about these products and would like to learn more about them. List several credible sources that he might check to learn more about this topic.

Post 2

1. Kelly, a 20-year-old college student, has been extremely tired lately and has been sick frequently during the past winter. Sandy, her roommate, thinks that Kelly might be anemic. Kelly is a vegan and currently weighs 115 pounds and is 5 feet, 7 inches tall. Consider the following questions:
A. Could Kelly be anemic? What symptoms of anemia does Kelly exhibit?
B. How might Kelly’s eating habits influence her risk for anemia?

2. Scott’s girlfriend has invited him home for Sunday lunch to meet her parents. Their relationship is serious, and Scott is a bit nervous during the lunch. The lunch consists of a tossed salad with her mom’s special buttermilk dressing, baked ham, sweet potato casserole, broccoli in cheese sauce, hard-crusted dinner rolls with butter and strawberry preserves, milk or iced tea, and cheesecake for dessert. About an hour after lunch Scott was not feeling well at all. His stomach was cramping; he felt bloated and developed a case of diarrhea.
What might be the problem?

Post 1

1. Susie, a high school junior, is interested in eating more healthy foods. A noted limitation for this behavior change is her busy after-school schedule that allows only enough time to eat dinner that was purchased at a drive-through. Susie typically orders chicken nuggets with ranch dressing for dipping, fries, and a super guzzler cola.
What other food choices would be quick, but healthier, given her fast-paced life?


2. Think about what you ate for lunch today.
• Which foods would start to be digested in the mouth?
• Which foods would need bile for digestion?
• Where would the majority of the nutrients be absorbed?

NUTRITION

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