Reference no: EM133501768

Case: Mrs. C is a 62 year old women recently diagnosed with high blood pressure. Her blood pressure was 164/95 on her most recent Dr. visit. Mrs. C is overweight and inactive. She typically eats a lot of fast food and processed food and spends her free time watching tv and caring for her granddaughter. She does like to cook but has gotten out of the habit of cooking most nights. She does consume alcohol and generally has 3 glasses of wine a night. Her doctor told her to decrease her sodium intake and to follow the DASH diet, but she is unsure how to do this.

A typical meal:

Breakfast: Tim Hortons Bacon breakfast Sandwich (420 calories, 1210 mg Sodium), water (0 calories, 0 mg sodium

Lunch: Ham Sandwich (400 calories, 800mg sodium) with 1 ounce pretzels (140 calories, 360mg sodium) and apple (140 calories), 20 ounce Coke (240 calories, 75mg sodium)

Dinner: 2 slices Pepperoni Pizza (600 calories, 1100mg sodium) and French Fries (350 kcals, 250mg sodium) 20 ounce Coke (240 calories, 75mg sodium)

Snack: 1 ounce Potato chips (149 calories, 150mg sodium)

How many milligrams of sodium did she consume? Is this a low or high amount of sodium? What specific diet changes can she make to decrease her sodium intake? (list 3 specific diet changes)

2. What are the current recommendations for daily sodium intake for an individual with hypertension?

3. During a recent road trip, this woman stopped at Chick-Fil-A. List a lunch meal that is low in sodium from Chick-Fil-A. Include the meal (Meal must contain 2 food items and 1 beverage). List the item and the sodium in each item and the total sodium in the meal.

4. She has stopped taking her blood pressure medications. She states she feels fine, even though her blood pressure is still high. What are the long-term risks of high blood pressure? (list 3)

5. Diets rich in Potassium and Calcium can help lower blood pressure. List 4 foods that would be a good source of potassium and 4 foods that are a good source of calcium.

6. She is preparing a casserole for her family and looks up the sodium content in milligrams(mg) for the main ingredients: 2 cups roasted chicken (240 mg sodium), 1 can cream of chicken soup (2000 mg sodium), 1 cup grated cheese (720 mg sodium), 2 cups canned corn (1144mg Sodium), egg noodles (300 mg sodium), 1 teaspoon salt (1920 mg sodium), 1.4 teaspoon curry powder (0 mg sodium), ¼ teaspoon pepper (0mg sodium), 3 slices bacon (360 mg sodium)

6a. Assuming this recipe serves four, calculate the milligrams(mg) of sodium in one serving of her casserole.

6b. How could she alter this favorite family recipe to significantly decrease the sodium content (list 4 things she could change)

The diet principles of the DASH diet are:
Eating fresh fruits and vegetables and whole grains
Including fat-free or low-fat dairy products, fish, poultry, and beans
Limiting foods that are high in saturated fat
Limiting sugar-sweetened beverages

7. Develop a one-day meal plan that follows the principles of the DASH diet. Include breakfast, lunch, dinner, a snack, and beverages below:

8. List two of the challenges of following the DASH diet. Explain in some detail.

9.What are some of Mrs. C's risk factors for hypertension? (list 4 risk factors listed in the first paragraph)

10. What are some changes she can make to decrease blood pressure? (list 4 changes)