Nutrition 170 Case Studies Page

	Nutrition 170 Nutrition Telecourse
EDNA - CASE STUDY #2

Instructions Case Studies

The course case studies are designed to help you apply your nutritional knowledge to a variety of situations. Each case study presents the story of a different individual and gives you tools to assist them in their dietary choices. Print the case study and choose the correct answers before attempting to submit them on-line. After you have decided on your answers, click on Take Case Study and submit your answers. You will be allowed to submit your answers only one time.

Vital Information

Female, 83 years old
5'7" 185lb.

Edna lives alone and has lost all desire to cook. She eats lots of convenience foods and goes out to eat as often as she can however that only happens when someone takes her since she doesn't drive. Edna goes shopping once a week with a friend to buy her food.
Edna is a borderline diabetic and needs to control it with her diet. She also has high blood pressure and a family history of heart problems. Her doctor has told her she needs to improve her diet as her health is at risk.

Edna's two day diet is attached for your review along with her kcal intake based on the formula provided. Edna's activity is very minimal as she just stays at home and only does light household chores her activity level is sedentary. Edna only gets around to her basic needs.

Please answer the questions below based on her profile information provided above and the food Edna has eaten in the last two days. It will be important to keep in mind Edna's current history and how her current food choices may affect her health. When answering the questions please note the food amounts in the questions may be different than the amounts in the two day diet. You will need to refer to the spreadsheet along with the book when answering the questions.

Using the formula provided, Edna's information produced an Estimated Energy Requirements (EER) of 1801 kcal. Using the spreadsheet of Edna's two day diet analyses and the book, answer the following questions:

354 - (6.91 x age) + Physical Activity x (9.36 x weight in kilograms + 726 x height in meters)

(Sedentary= 1, Low Active= 1.11, Active= 1.25)

Questions:

What is Edna’s Body Mass Index (BMI)?
1. 23
2. 29
3. 25
4. 27
According to the BMI chart in chapter 8 what category does Edna’s BMI fall in?
1. Underweight
2. Healthy
3. Overweight
4. Obese
Which food item was the highest source of Protein per serving?
1. 1 serving of Lean cuisine Lasagna
2. 1 Famous Star Hamburger
3. 1 serving of Chicken Chow Mein
4. 2 cups of Minestrone Soup
Which food had the highest source of Carbohydrates?
1. 2 Slices of bread
2. 1 Cup Vanilla Ice Cream
3. 1 Famous Star Hamburger
4. 4 Chocolate Chip Cookies
Which categories was Edna low on meeting her DRI?
1. Vitamin A
2. Calcium
3. Fiber
4. All of the above
What was Edna’s best source of Vitamin C?
1. 1 Banana
2. 1 Cup Vanilla Ice Cream
3. 1 Cup Orange Juice (chilled)
4. 1 serving of French Fries
What was Edna’s best source of Vitamin A?
1. 1Cup of Vanilla Ice Cream
2. 1 Cup of Orange Juice (chilled)
3. 1 Cup of Minestrone Soup
4. 1 T of Butter
How could Edna reduce her amount of fat?
1. Add cream to her coffee
2. Eat more Hamburgers
3. Only use Butter
4. None of the above
What was Edna’s best Source of Calcium?
1. 2 Slices of White Bread
2. 2 Cups of Minestrone Soup
3. 1 Cup of Vanilla Ice Cream
4. 1 Serving of Lean Cuisine Lasagna
Did Edna meet her Calcium Requirements?
1. Yes
2. No
What is an elderly person at risk of if they do not get their recommended amount of Calcium?
1. Osteoarthritis
2. Osmosis
3. Osteoporosis
4. Osmotic Pressure
What would be considered a nutrient dense, low kcal, high calcium choice for Edna to add to her diet and increase her Calcium?
1. 2 cups of whole Milk
2. 2 cups of Non-Fat Milk
3. 2 cups of Low-Fat Milk
4. None of the above
In order to help Edna with her borderline diabetic diet what items should she remove from her food choices?
1. Soda
2. Chocolate Chip Cookies
3. Ice Cream
4. All of the above
What type of food choice would benefit Edna based on her current health?
1. High Fat foods
2. Nutrient Dense Foods
3. Nutrient Free Food
4. High kcal Food
How could Edna decrease her BMI?
1. Increase her Calcium intakes
2. Decrease her Fiber intakes
3. Decrease her Kcal intakes
4. Increase her Carbohydrates
What is the Amount of Carbohydrates Edna should be eating according to her DRI?
1. 120g
2. 130g
3. 140g
4. 150g
Does Edna have a problem with her Carbohydrate intakes?
1. Yes
2. No
What is the main problem with Edna eating 2 Cups of Minestrone Soup?
1. It has too much fiber
2. It has more kcal than a Famous Star
3. It has too much Sodium
4. It has too much Calcium
What would the advantage be for a diabetic to increase their Fiber intake?
1. It would increase their protein intake
2. It would help reduce their blood sugars
3. It would help reduce their sodium levels
4. It would help increase their carbohydrate absorption
What food has the highest amount of Fat?
1. 1 serving of French Fries
2. 4 Chocolate Chip Cookies
3. 1 Famous Star Hamburger
4. 1 Cup of Ice Cream
What type of Fat is Edna’s diet higher in?
1. Saturated Fat
2. Monounsaturated Fat
3. Polyunsaturated Fat
4. Edna’s diet is low in Fat
Based on Edna’s EER what amount of fat should she be eating?
1. 60g
2. 65g
3. 70g
4. 75g
How could Edna increase her Vitamin A in her diet?
1. Eat more bread
2. Eat more Bananas
3. Eat more Vegetables
4. Drink more Orange Juice
How does Edna’s diet fit in the Food guide Pyramid?
1. She eats the correct number of servings per group
2. She eats too many serving of fruit
3. She eats too many serving of vegetables
4. None of the above
How could eating more fruits and vegetable improve Edna’s diet?
1. They would increase her amounts of Phytochemicals
2. They would increase her amounts of Fiber
3. They would increase her amounts of Fat
4. Answers a and b

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EDNA - CASE STUDY #2

Instructions Case Studies

Vital Information