CASE 1
Steve Daniels is a 53-year-old black male who works as a human resource manager. He is 5'11" tall & weighs 222 pounds. He has a history of hypertension, and has smoked a pack of cigarettes a day for the past 32 years. He recently had an episode in which he experienced the following symptoms: weakness on one side, double vision, and speech for approximately 20 minutes. His wife called 911 and he was taken to the emergency room. Examination by emergency room personnel determined his blood pressure to be 172/105. A serum lipid profile was performed and the results were as follows: Triglycerides 250mg/dL, Total cholesterol 265mg/dL, LDL 217mg/dL, HDL 29mg/dL. The physician diagnosed Mr. Daniels as having had a stroke. A diet evaluation indicates that prior to admission to the hospital he consumed about 2900 calories daily and has gained about 5 pounds a year for the past eight years. He likes most types of food but is allergic to fish. He walks for an hour 4 times a week and gardens on weekends. The patient is being discharged from the hospital and he asks you for a sample menu as he would like to improve his eating habits.