Scribd
Upload
63 views

HDL NCP

A 54-year-old female smokes 2 packs per day and consumes a high-fat, high-calorie diet without regular exercise. Her lab tests show high triglycerides, total cholesterol, and LDL and low HDL, indicating undesirable food choices. Her nutrition intervention plan includes increasing intake of nutrient-dense, high-fiber, low-fat foods; attending smoking cessation classes; and referring her to a personal trainer and smoking cessation counselor. Goals are to start an exercise routine, normalize lab tests within 3 months, stop smoking immediately, and consume a low-fat diet. She will be monitored with follow-up calls and retesting of labs and diet within 3 months.

Uploaded by

api-301024560
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
63 views

HDL NCP

A 54-year-old female smokes 2 packs per day and consumes a high-fat, high-calorie diet without regular exercise. Her lab tests show high triglycerides, total cholesterol, and LDL and low HDL, indicating undesirable food choices. Her nutrition intervention plan includes increasing intake of nutrient-dense, high-fiber, low-fat foods; attending smoking cessation classes; and referring her to a personal trainer and smoking cessation counselor. Goals are to start an exercise routine, normalize lab tests within 3 months, stop smoking immediately, and consume a low-fat diet. She will be monitored with follow-up calls and retesting of labs and diet within 3 months.

Uploaded by

api-301024560
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
You are on page 1/ 2

Jessilyn Cauble

March 23, 2015


HDL & LDL NCP
Nutrition Assessment

Age, gender: 54, female

Dietary intake: PO intake

High fat, high kcal diet

No regular exercise or physical activity

Smokes 2 packs/day

Family history of heart disease

Anthropometric measurements
o Ht/wt: 54 / 162.56 cm and 148 lbs / 67.27 kg
o BMI = 25.5 kg/m2 (overweight)
o IBW = 120 lbs / 54.5 kg, %IBW = 123.4% (ideal)

Energy, protein, and fluid needs


o Range

Total energy: 1,585-1,962 kcal/d

Protein: 84.1-100.9 g/d

Fluid: 1,585-1,962 mL/kcal/d


o Basis for estimation

For energy, used the Mifflin-St. Jeor equation for REE multiplied by activity factor
confined to bed (1.2) and multipled by stress factor postoperative (1.05-1.3)

For protein, used major surgery (1.25-1.5 g PRO/kg)

For fluid needs used 1 mL/kcal/d

Lab and tests


o Serum triglyceride: 250 mg/ dL, high (<150 mg/dL)
o Total cholesterol: 240 mg/dL, high (<200 mg/dL)
o HDL: 37 mg/dL, low (>50 mg/dL)
o LDL: 153 mg/dL, high (<130 mg/dL)
o AST: 76 U/L, high (10-34 U/L)
o LDH: 322 U/L, high (85-285 U/L)
o CPK: 268 U/L, high (24-195 U/L)
Nutrition Diagnosis

Undesirable food choices R/T consumption of high fat diet and lack of physical activity AEB high
triglyceride (250mg/dL), high total cholesterol (240 mg/dL), low HDL (37 mg/dL), and high LDL (153
mg/dL).
Nutrition Intervention
1. Meals and snacks
a. Increase consumption of nutrient dense food (darky leafy greens, blueberries, salmon)
b. Increase intake of high fiber foods (oatmeal, whole wheat pasta, broccoli)
c. Increase intake of low fat foods (low-fat dairy, lean meats)
d. Consume low kcal foods (spinach, mushrooms, cucumbers)
2. Nutrition counseling and education
a. Attend smoking cessation classes
3. Coordination of nutrition care
a. Refer to personal trainer
b. Refer to smoking cessation counselor
Goals
1. Increase physical activity, have exercise regimen within 2-3 weeks (after release)
2. Normalize lab tests- triglycerides, total cholesterol, HDL, and LDL levels to normal ranges within 3
months
3. Stop smoking immediately
4. Consume low fat, low kcal diet immediately (dark leafy greens, blueberries, low fat dairy, lean
meats)
Monitoring and Evaluation

Follow-up phone call within 1 week

Re-assess biochemical tests triglycerides, total cholesterol, HDL, and LDL after 3 months

Follow up with personal trainer

Jessilyn Cauble
March 23, 2015

Follow up with smoking cessation counselor

Have patient complete 3-day food record within 3 weeks to re-asses diet intake

You might also like