You have an appointment in the cancer prevention clinic with GC a 32-year-old Caucasian male. He is concerned about his health since he has been told that cancer runs in “the family”. He knows he needs to make some changes in his lifestyle therefore he has an appointment with you today for some suggestions. He played basketball in high school and club sports in college but now feels like there is never enough time to exercise regularly. He describes his job as very stressful causing difficulty with sleep and additionally reports that he has frequently heart burn. However, he states, “it’s time to make some changes”. Ht: 6’ 3” Wt: 250 lb. (stable) Blood Pressure: 142/82 Labs: BMP: normal labs Lipid panel: T cholesterol: 240 LDL: 132 HDL: 42 TGs: 155 Family History: Dad: stage 1 prostate cancer; Mom: osteopenia Brother: age 48: stage 1 colon cancer Dad’s family: Uncle with colon cancer; Grandfather: prostate cancer and heart disease; Grandma: unknown Mom’s family: Aunt with pancreatic cancer; Grandfather: heart disease; Grandmother died young Diet history: B: Large bowl of corn flakes with whole milk (~1.5 c); 2 large cups of black coffee (~20 oz. total) L: Fast food typically – burgers, Subway, Pizza Hut, etc., Coke (64 oz.) D: Hamburgers, chicken, casseroles, pizza, French fries, 2-3 of beers with dinner on most nights Snack before bedtime: large bowl of ice cream, chips or popcorn and 6 oz. red wine (helps relieve stress) Design 2 PES Statements (10 points) P: E: S: P: E: S:
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You have an appointment in the cancer prevention clinic with…
You have an appointment in the cancer prevention clinic with GC a 32-year-old Caucasian male. He is concerned about his health since he has been told that cancer runs in “the family”. He knows he needs to make some changes in his lifestyle therefore he has an appointment with you today for some suggestions. He played basketball in high school and club sports in college but now feels like there is never enough time to exercise regularly. He describes his job as very stressful causing difficulty with sleep and additionally reports that he has frequently heart burn. However, he states, “it’s time to make some changes”. Ht: 6′ 3″ Wt: 250 lb. (stable) Blood Pressure: 142/82 Labs: BMP: normal labs Lipid panel: T cholesterol: 240 LDL: 132 HDL: 42 TGs: 155 Family History: Dad: stage 1 prostate cancer; Mom: osteopenia Brother: age 48: stage 1 colon cancer Dad’s family: Uncle with colon cancer; Grandfather: prostate cancer and heart disease; Grandma: unknown Mom’s family: Aunt with pancreatic cancer; Grandfather: heart disease; Grandmother died young Diet history: B: Large bowl of corn flakes with whole milk (~1.5 c); 2 large cups of black coffee (~20 oz. total) L: Fast food typically – burgers, Subway, Pizza Hut, etc., Coke (64 oz.) D: Hamburgers, chicken, casseroles, pizza, French fries, 2-3 of beers with dinner on most nights Snack before bedtime: large bowl of ice cream, chips or popcorn and 6 oz. red wine (helps relieve stress) List his current risk factors for developing cancer (10 points):
You are meeting with Mr. Adams in the medical oncology outpa…
You are meeting with Mr. Adams in the medical oncology outpatient clinic today. Mr. Adams is a 49-year-old Hispanic male who is currently receiving chemotherapy and radiation for lung cancer. He received a PEG for tube feedings when diagnosed 6 weeks ago because of dysphagia as the tumor was pressing on his esophagus. He has had 3 weeks of radiation and 2 rounds of chemo, which has resulted in the tumor shrinking enough for Mr. Adams to start taking some oral nutrition. He and his wife have an appointment with you today because they would like to know how to best manage his nutrition now. He will have radiation for at least 3 more weeks and will have his last chemo treatment in 4 days – he has been tolerating chemo well. He reports tolerating his tube feedings ok; no problems with nausea, diarrhea or constipation. He doesn’t really get hungry in between feedings. Ht: 5′ 7″ Current Wt: 125 lb. Wt before starting treatment: 148 lb. (2 months ago) Labs: reportedly WNLs Meds: none besides the chemo. PEG feedings: 4 cans per day providing ~1420 calories & 50 grams of protein; he flushes his feeding tube with 60 mL of water before and after each feeding. The formula is 76% free water. He also drinks about 3-4 oz. of juice in the morning without too much difficulty – it just takes him about 10 minutes to get it all down. He is not experiencing any coughing or difficulties with swallowing when he drinks the juice. He is just cautious because if he drinks it too fast he thinks he might aspirate. Labs: not available but reportedly WNLs. What are your MNT recommendations (formatted in SMART goal format) and plan for follow-up? (10 points)
Mr. Jackson is having surgery in 2 weeks for a hip replaceme…
Mr. Jackson is having surgery in 2 weeks for a hip replacement. Based on the following information, which of the following would you recommend? Ht: 6′ Wt: 188 lb. (stable) B.P.: 124/80 Lipid panel: Total cholesterol: 182 LDL: 144 TG: 400 HDL: 45 Medications: BP medication, statin, MVM, vitamin E, ginseng & garlic
According to the National Center for Complementary and Integ…
According to the National Center for Complementary and Integrative Health, art and music therapy would be classified as
A goal of nutrition therapy during palliative care is to
A goal of nutrition therapy during palliative care is to
Macroeconomics is a branch of economics that deals with ____…
Macroeconomics is a branch of economics that deals with _____.
La condensación es cuando se reduce el número de ideas mient…
La condensación es cuando se reduce el número de ideas mientras que la reducción es disminuir el número de palabras.
En cuáles cuatro grupos se dividen las técnicas de traducció…
En cuáles cuatro grupos se dividen las técnicas de traducción? 4 Pts. [BLANK-1]______________________________________________ [BLANK-2]______________________________________________ [BLANK-3]______________________________________________ [BLANK-4]______________________________________________ Signos para que copien si no tienen teclado en español: á é í ó ú ñ
La modulación es cuando no es posible mantener el nivel de e…
La modulación es cuando no es posible mantener el nivel de especificidad del texto original y por ello se usa un término cuyo sentido es más amplio. Por ejemplo el uso de coctél en vez de Moscow Mule.