Assignment 8 - Case Study: CVD

Case Study: Cardiovascular Disease (CVD)

Objectives:

• Develop a Nutrition Care Plan (NCP) in ADIME format, including a PES statement.

• Create meal suggestions aligned with the patient’s dietary needs.

Case Details:

Lenora, a 60-year-old woman, lives with her husband and maintains moderate activity (gardening daily, walking most mornings, and dancing weekly). She frequently dines out and has struggled with weight loss. She has a family history of heart disease (both parents) and presents with:

• Height/Weight: 5’8”, 190 lb (BMI: 29)

• Labs:

  • TG: 400 mg/dL

  • Total Cholesterol: 253 mg/dL

  • HDL: 37 mg/dL

  • LDL: 185 mg/dL

  • BP: 160/90

• Medications: Prescribed Metoprolol but may not be taking it consistently.

• Diet: High in fat (45% kcal) and cholesterol (>360 mg/day), with frequent dining at restaurants such as Lepe’s Taqueria, Lococo’s Cucina Rustica, Gio’s Pizza, Monti’s, and Ozzie’s Grill.

Assignment:

As the outpatient RDN, develop a Nutrition Care Plan (ADIME format) for Lenora, including one or more PES statements. Additionally, provide a one-page handout with heart-healthy meal and snack ideas she might enjoy.

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