Nursing Nutrition Term Paper

Risk Factors for Mr. Jablonski

CHD: Mr. J is a classic case for a potential Coronary Heart Disease (CHD) patient. His history shows several risk factors, which can be divided into uncontrollable and controllable risk factors. The uncontrollable factors are his age (48 years old) -- older people are more susceptible to CHD, his sex (male) -- men are more likely to get CHD, and his family history. The controllable risk factors are his obesity, his smoking habit, lack of physical activity, high blood pressure, and his high LDL cholesterol.

Hypertension: The risk factors for Mr. J are his age, gender, obesity, excessive salt intake, and his inactive lifestyle.

The risk factors described as 'controllable' can be mitigated by dietary control and medication. If his condition remains untreated Mr. J is a potential candidate for a severe heart disease and possible stroke.

Dietary Plan

In order to lower his high LDL cholesterol Mr. J would have to reduce his intake of high saturated fats, trans fats, and cholesterol, by avoiding full fat milk products, tropical oils especially partially hydrogenated vegetable oils, fatty or 'red' meat, and egg yolks. He would have to replace these categories of food by other 'healthier' food. For example, replacing saturated oils by oils such as olive or canola oil; increasing his intake of fresh fruits, vegetables, and whole grain cereals; replacing 'red' meat with fish, skinless poultry, and beans; and full-fat milk products with low-fat and skimmed milk. He would also have to balance the number of calories intake with the calories consumed.Day's Menu for Mr. J:

rule of thumb for the number of calories required per day for people who get very little exercise such as Mr. J is to multiply the body weight with 13. Hence the number of calories required by Mr. J is 2600 / day. However, since the goal for Mr. J should be to reduce his weight, he should be consuming 500 calories less. A recommended menu for Mr. J is as follows:

Food Group

Daily Serving

Serving Size

Grains & grain products slice bread; 1 cup cereal; 1/2 cup cooked rice, pasta, or cereal

Vegetables cup raw leafy vegetable; 1/2 cup cooked vegetable; 6 ounces vegetable juice

Fruits medium fruit; 1/4 cup dried fruit; 1/2 cup fresh, frozen, or canned fruit; 6 ounces fruit juice

Lowfat dairy foods ounces milk; 1 cup yogurt; 1.5 ounces cheese

Lean meats, poultry, and fish or less ounces cooked lean meats,….....