Nutrition

posted by .

Josephine is a 20 year old female who is present for an eating disorder not otherwise specified. She currently teaches salsa lessons at the community college and is in her last semester of college. She reports she is living at home and the food her mom prepares is not the healthiest because her mom is from Honduras and her father is from Guatemala, so the food is prepared differently. She indicates she has been thin all her life, but as soon as puberty hit, she has struggled to maintain her weight and since she is a salsa instructor, she has to remain fit. She reports she feels very guilty if she has consumed fried foods during the day, but since that is the way her mom primarily cooks, she feels awful to tell her mom to stop cooking that way. She reports if she does consume too much fried foods or junk food, she will run at least 2-3 miles that day or else force herself to vomit, but all the food does not come out. She reports sometimes if she has a later class, she will not eat dinner or only eat 1 meal per day. She has tried counting calories, but then she gets so mad at herself for having more than 1200 calories it causes her to exercise more, which then leads her to feeling exhausted. She indicates she is on no medication, but does take a multivitamin when she remembers. She indicates she has gone from 110 pounds to 125 pounds over 5 years and wants to be back down to 110 or even less. She also had gone to the doctor and he was quite concerned with her lab values. She has provided you a 24 hour meal record:
Breakfast:
1-6” corn tortilla
½ cup fried beans cooked with peppers, onions and oil
½ cup rice
1 cup no sugar added orange juice
Lunch:
1 slice of whole wheat bread
2 slices turkey
1 small apple
Dinner:
2- 6” tortillas
Beef with onions, peppers cooked in oil
Tomato, onion, pepper salad (made with oil and lime juice)
2 cups of rice
Height: 5’2” Weight: 117 pounds (based on your scale in the office)
Labs:
Test Result Reference Units
Albumin (visceral protein stores) 3.3 g/dL 3.5-4.8 g/dL
Sodium 133 mEq/L 136-145 mEq/L
Potassium 3.8 mEq/L 3.5-5.2 mEq/L
Iron 0.4 mg/dL 0.6-1.1 mg/dL
Vitamin B12 185 pg/mL 200-835 pg/mL

Based on her above food record, what are some areas you can see that needs to be improved?
What lab values are elevated or decreased and what are some reasons for these high or low values?

Respond to this Question

First Name
School Subject
Your Answer

Similar Questions

  1. Scholarships for College

    Fall Semester will begin on the 15 of August. I recently got my GED and its been a long time coming. I am 30yrs old. Are there any scholarships that can help me with college?
  2. psychology

    Marla is a 42-year-old Hispanic female who comes to the mental health clinic complaining of trouble sleeping, feeling “jumpy all of the time,” and an inability to concentrate. These symptoms are causing problems for her at work, …
  3. psychology

    Marla is a 42-year-old Hispanic female who comes to the mental health clinic complaining of trouble sleeping, feeling “jumpy all of the time,” and an inability to concentrate. These symptoms are causing problems for her at work, …
  4. college

    A thirteen-year-old girl, who is underdeveloped and thin, has a blood disorder. She frequently experiences chest and abdominal pain, fever, and coughing, and has trouble breathing. Her teachers often spend additional time with her, …
  5. statistics - math

    Sixty percent of the students at a particular community college are female. If 13 students at that community college are selected at random, find the probability that 5 or 6 students will be female. Use Appendix Table or Excel function …
  6. Nutrition

    Josephine is a 20 year old female who is present for an eating disorder not otherwise specified. She currently teaches salsa lessons at the community college and is in her last semester of college. She reports she is living at home …
  7. English

    Usually Janice __________ part time at the local community college, but this summer she __________ away to grad school. A. teach; is going B. teaches; goes C. teaches; be going D. teaches; is going D
  8. Health

    Which of the following people is most likely to have the highest self-esteem?
  9. Math

    Solve the following linear programming problems by the graphical method Dr. Lum teaches part-time at two different community colleges, Hilltop College and Serra College. Dr. Lum can teach up to 5 classes per semester. For every class …
  10. Health

    Which of the following people is most likely to have the highest self-esteem?

More Similar Questions