|Height: 1m 76cm, Weight: 92kg,
FH: Father who died at the age of 55 years following an MI, Grandfather died at 45 years old following an MI. Two cousins have been diagnosed with angina.
O/E small tendon xanthomas on knuckles of his hands
SH: Divorced, lives alone; works as a foreman at a builder’s yard; nonsmoker; ETOH intake 4-5 pints most Fridays and Saturdays.
Medications: Recently commenced on simvastatin 40mg od by his GP
Fasting blood results: Total Cholesterol 10.5mmol/L, LDL: 8.7mmol/L,
TG: 1.0mmol/L, HDL: 1.3mmol/L
Normal renal, liver and thyroid function
|24 hour recall:
Two slices of white toast, butter & jam, cup of tea with full fat milk and 1 teaspoon of sugar.
Bacon roll & a cup of tea (as above) Lunch:
Bought rolls x 2 from shop close to work, (fillings include: ham and coleslaw; cheese and pickle; tuna, sweet corn and mayonnaise), bag of crisps and can of fizzy juice. Occasionally an apple.
A cup of tea (as above) and mars bar Evening:
Most evenings ready-made meal eg lasagne, spaghetti bolognaise, pizza, beef stroganoff and rice. Once or twice a week (normally at weekends) has a carry out eg Chinese, Indian.
Glass of squash or a beer
With reference to the BDA Nutrition Care Process, discuss and clinically reason your approach to the dietetic management of this patient. (100%)
ANSWER TWO QUESTIONS FROM THE FOLLOWING:
management of dysphagia (40%)
to induce remission along with the reintroduction of foods after bowel
END OF PAPER
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