My patient is J.W., he is a 60 year old African-American male who identifies as Catholic. J.W. is 6’0” in height and weighs 230lbs.
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The patient is married and has three children. He leads a fairly sedentary lifestyle as he travels three days a week for work and tends to eat out three meals per day. His current diet consists of high calorie fast food which is low in nutrients. The patient has been diagnosed with hypertension (HTN), and dibetes mellitus type to (DM2) and his doctor has recommended that he lose one pound per week for three months in order to help him achieve a healthy weight. Medications that J.W. is currently taking are Metformin 500mg twice a day, Metropolol 200mg once daily as well as a multivitamin. J.W.’s body mass index is at 31.2 which categorizes him as obese. For a male of his height, the BMI chart recommends that he should weight between 140lbs-180lbs in order to be considered healthy (aim for healthy weight 2018).
J.W. stated that he eats fast food three times a day, and although there are some healthy choices that can be made when eating out, most people opt for the less healthy options. Based on what Americans commonly eat in fast food restaurants, such as burgers and fries with say, a coke, J.W.’s diet is high in fat, cholesterol, sodium, and sugar. There is definitely some protein in there, however, fat, cholesterol and sodium far outweigh the amount of protein. In order for J.W. to achieve the one pound weight loss per week, he will have to learn what the healthier options are at the places he eats and stick to those when eating on the go. Restaurants such as Subway offer healthier options. They serve egg white omelets for breakfast and lean meats or veggie subs for lunch. McDonalds and Starbucks offer oatmeal for breakfast, chicken wraps, and chicken salads as their healthier options. One of the most popular now, Chick-Fil-A offers a variety of salads as well as skinless grilled nuggets and chicken strips. Panera also has some sensible meals, soup or salad and a sandwich for lunch for example (fast food places that serve healthy foods). Most people in our society today are always on the go and it is less likely that we eat homecooked meals every day, which is why it is important that we educate patients on proper nutrition even when having to eat out often.
Micronutrients are defined as “nutrients that are needed in small amounts” (Dudek, 2018), these are our vitamins and minerals. Vitamins A, D, E, and K,
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