1. List and explain five evidence-based risk factors for coronary heart disease are present in this case.
2. Is there a specific evidence-based dietary plan/pattern you would suggest assisting her with lowering her cholesterol levels and reducing her risk for CHD? Provide a detailed rationale.
3. List and explain three types of health promotion approaches you would use to educate Florence.
Florence, 58 years old, has been healthy all of her adult life until recently. Two months ago, she had her gallbladder removed for an acute gallstone attack; this was her first surgery. She was told this week by her physician that she has high cholesterol and needs to pursue dietary treatment for six weeks. At the end of six weeks, her cholesterol will be re-tested, and her physician will decide regarding the possible prescription of lipid-lowering medications. Florence is extremely disappointed by this second health concern in such a short amount of time. She is 30 pounds lighter than she was last year when her cholesterol was normal. Both of her parents passed away from vascular diseases. For exercise, Florence attends resistance training classes three times a week and she is starting to do cardio exercise (walking). Currently, Florence is 5'5.25" and weighs 198 lbs. Her waist circumference is 42". Her most recent labs were total cholesterol - 252 mg/dL, LDL cholesterol = 166 mg/dL, HDL cholesterol - 40 mg/dL, triglycerides - 133 mg/dL, FBS - 111 mg/dL, Blood Pressure - 140 mm Hg/86 mm Hg. She expresses the need to get better as she is the primary caregiver for an adult son with schizophrenia and her husband, who is ill with complications from diabetes. Her Food Record shows a limited intake of fruits and vegetables, approximately 15 grams of fiber daily, limited dairy intake, and frequent consumption of foods high in saturated fat. *Must Show All Work and Cite Sources to Receive Credit*
