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    2.0-ADULT-WEIGHT-MANAGEMENT

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    Marielle Tomes

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    2.0-ADULT-WEIGHT-MANAGEMENT

    Uploaded by

    Marielle Tomes
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    2 views13 pages

    2.0-ADULT-WEIGHT-MANAGEMENT

    Uploaded by

    Marielle Tomes

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
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    ADULT WEIGHT MANAGEMENT

    (Mr. Robertson’s Case)


    GROUP 5
    Alicia Mae M. Perez
    Marielle Crystal Joyce D. Tomes
    Hannah Masagca
    Baby Rose Omadto
    Nessa Omadto

    Patient’s Name: Mr. Robertson


    FOOD/NUTRITION RELATED HISTORY
    FOOD/NUTRIENT INTAKE
    1. On, Wednesday he goes to cinema with his film club, he has a chocolate coated milk
    2. On Friday and Saturday nights, he watches football on television and snacks on potato chips.
    3. Sunday, chocolates, two fun size chocolate bans.
    4. He takes a cup of tea and fruit cake with his friends.

    BELIEFS/ATTITUDES
    1. He wants to practice modified diet but he never know where to start.
    2. He describe his diet as a "good diet"

    PHYSICAL ACTIVITY
    1. Does chores around his small garden
    2. Every Monday, he goes bowling.
    3. He walks slowly for 30 minutes per week and gardens daily for 15 minutes.k
    ANTHROPOMETRIC MEASUREMENT
    Height: 5’9 (175 cm)
    Previous Weight: 172 lbs (78kg)
    Present Weight: 198 Ibs (90kg)
    BMI: Weight
    Height²
    78kg
    1.75m² Previous BMI: 25.5 – OVERWEIGHT

    90kg
    1.75m² Present BMI: 29.4 – OVERWEIGHT

    ANTHROPOMETRIC MEASUREMENT
    Weight Status: Weight Gain
    BMI: 29 or high BMI
    Growth Measurement: No Data

    BODY COMPOSITION
    Waist-Hip Ratio: 1.0 (Normal)
    BIOCHEMICAL DATA, MEDICAL TEST AND PROCEDURES
    Abnormal Laboratory Values: No Data
    Medical Test: No Data

    NUTRITION/FOCUS PHYSICAL FINDINGS


    Global: Overweight
    Digestive: No Data
    Skin: No Data

    CLIENT HISTORY
    Personal: He is 65-year-old male and he gave up smoking 20 years ago.
    Retired Overseer
    Medical: (Family History)
    His father died due to Myocardial Infarction(Heart Attack) and his mother and older brother
    diagnosed with Type 2 Diabetes (Diabetes Mellitus)
    Social: He loves spending more time with his family and friends.

    NUTRITION DIAGNOSIS
    Increased carbohydrate intake related to his uncontrolled food eating habit as evidence by
    weight gain.

    NUTRITION INTERVENTION

    PROBLEM: Uncontrolled Increasing Weight

    OBJECTIVES:
    1. The patient will be able to slowly losing his weight by achieving the desirable body weight
    (68kg)
    2. The patient will be able to control his food eating habit
    3. Will be able to see the changes and improvement after applying the diet prescription for
    the patient.

    COMPUTATION OF DBW BY USING TANNHAUSER METHOD


    5 feet and 9 inches
    5x12 = 60+9 = 69
    69x2.54 = 175.26
    175.26-100 = 75.26
    75.26-10%of 75.26
    75.26-7.526 = 67.7/68
    DBW = 68 kg

    TOTAL ENERGY REQUIREMENT


    TER: DBW x PA
    DBW: 68 kg
    PA: 30 (Sedentary Lifestyle)

    68x30 = 2,040/2,050
    TER = 2,050 kcal

    CHO: 2,050 x 55% or .55 = 1127.5 ÷ 4 = 281.8 or 280g


    PRO: 2,050 x 20% or .20 = 410 ÷ 4 = 102.5 or 105g
    FAT: 2,050 x 25% or .25 = 512.5 ÷ 9 = 56.9 or 55g

    Diet Prescription: 2,050 kcal C 280g P 105g F 55g

    Short term Goal:


     Mr. Robertson will maintain his current weight, to do an exercise to improve the body
    composition that he will begin slowly loss weight up to a target weight of 68 kg.
    Implementation of short term:
     Balancing the calories he eats and physical activity to maintaining a healthy weight. Read
    on to learn why weight may change as you get older, exercise more and eat fewer calories
    than is recommended.

    Long term Goal:


     Mr. Robertson will modify diet to include calories through the use of diet description to
    prevent his loss weight and eventually to promote his gain loss.
    Implementation of long term:
     Body needs a certain number of calories each day, try to follow a healthy eating pattern in
    diet prescription, decrease the number of calories you eat while maintaining a moderate
    activity level.

    Food Exchange Group No. of Exchange CHO PRO FAT ENERGY (KCAL)
    VEGETABLE 5 15 5 - 80

    FRUIT 4 40 - - 160

    Whole
    MILK Low Fat
    2 24 16 10 250
    Skim/Fat-Free
    -

    Low Protein 2 46 - - 184


    RICE Medium Protein
    2 46 4 - 260
    High Protein
    4 92 16 - 432

    Low Fat 4 - 32 4 164


    MEAT Medium Fat
    4 - 32 24 344
    High Fat

    FAT 3 - - 15 135

    SUGAR 3 15 - - 60

    278g 105g 53g 2,009kcal


    Food Exchange Group No. of BREAKFAST A.M. LUNCH P.M. SUPPER
    Exchange SNACK SNACK

    VEGETABLE 5 1 2 2

    FRUIT 4 2 2

    Whole
    MILK Low Fat
    2 1 1
    Skim/Fat-Free

    Low Protein 2 2
    RICE Medium Protein
    2 2
    High Protein
    4 2 2
    Low Fat 4 4
    MEAT Medium Fat
    4 4
    High Fat

    FAT 3 1 2

    SUGAR 3 2 1

    Food Exchange No. of Household


    Meal Sample Menu
    Group Exchange Measure
    Fruits 1 Watermelon 1 slice

    Egg Sandwich

    Rice C 2 Loaf Bread 2 slices


    BREAKFAST

    Vegetables 1 Lettuce 2 pcs

    Medium Fat 4 Medium-Sized Egg 2 pcs

    Cheese, cheddar, pasteurized 2 pcs

    Milk 1 Milk, Low fat 1 cup

    Sugar 2 Dates 2 pcs


    SNACK

    Tea 1 cup
    AM
    Fruit 2 Banana 1 pc

    Rice B 2 Boiled Rice 1 cup

    Chicken Tinola
    LUNCH

    Vegetables 2 Papaya
    ½ Cup
    Sili Leaves

    Low Fat 4 Chicken (Breast) 4 slices

    Fat 1 Canola Oil 1 tsp

    Rice A 2 Sweet Potato 2 pcs


    PM SNACK

    Sugar 1 Sugar 1 tsp

    Milk 1 Milk, Low fat 1 cup

    Fruit 2 Mango 1 cup

    Fennel Spaghetti
    SUP
    Lemon 1 tsp

    Rice C 2 Pasta (Enriched) 1 cup


    PER

    Vegetable 2 Kale ½ cup

    Fat 2 Olive OIl 1 tsp

    INTERVENTION
    1. To provide diet description that will guide the patient to achieve his desirable body weight which
    is 68kg.
    2. In order for the patient to maintain the weight loss, it is necessary to follow the assigned menu

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