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 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?

  1. 👍
  2. 👎
  3. 👁

Respond to this Question

First Name

Your Response

Similar Questions

  1. Health

    Which eating disorder might be discovered by a dentist anorexia bulimia*** starvation diet obesity

  2. Health.. NEED HELP ASAP

    1. True or False The number of calories consumed must equal the numbers of calories burned A.True B.False 2.Which of the following factors that contribute to your weight do you have the least amount of control over? A. Activity

  3. Health

    _____ is an eating disorder that is characterized by an irrational obsession about gaining weight in which the person severely limits the food he or she eats.?

  4. Health

    One of your friends plays video games for at least six hours each day and gets upset when he has to eat dinner with his family. This is a sign of? a. An anxiety disorder. b. A phobia c. Bipolar disorder d. An impulse-control

  1. Probability

    A survey of 1,200 men and women asked, "Do you earn over $75,000 per year?" The table below shows the responses for males and females. Male Female Total Income over $75,000 585 485 1,070 Income below $75,000 65 65 130 Total 650

  2. Health

    to help feel herself feel better kara visits the local fast food restaurants after having a fight with her mother she orders 3 burgers a large order of fries 2 apple pies a chocolate shake abs a large coke which eating disorder

  3. PSYCHOLOGY

    Sara, a life-long ballet student, reports she feels like she does not want to participate in ballet anymore. She also states she is tired and cannot seem to get enough sleep. Bipolar disorder Generalized anxiety disorder

  4. Algebra

    Josephine solved a quadratic equation: (x+6)^2=49. Her work is shown below. Step 1: √(x+6)^2 = √49 Step 2: x+6 = 7 Step 3: x = 7−6 Step 4: x = 1 In which step did Josephine make an error? A- step 4 B- step 1 C- step 2 D-

  1. statistics

    The average height of 18-year-old American women is 64.2 inches. You wonder whether the mean height of this year’s female graduates from your local high school is different from the national average. You measure an SRS of 78

  2. Health

    Which of the following people is most likely to have the highest self-esteem? A 15-year-old male A 15-year-old female A 50-year-old female A 50-year-old male (MY ANSWER)

  3. PE

    1. True or False The number of calories consumed must equal the numbers of calories burned A.True B.False 2.Which of the following factors that contribute to your weight do you have the least amount of control over? A. Activity

  4. math

    In a recent year, 23.3 % of all registered doctors were female. If there were 46,800 female registered doctors that year, what was the total number of registered doctors?

You can view more similar questions or ask a new question.