When assessing Ann, do you counsel and encourage her to lose weight, increase weight, or maintain her current weight? Explain why. What suggestions do you have to help Ann achieve her weight goal? What are your diet recommendations for Ann? What are your nutritional goals for Ann?
Ann is a 66-year-old white female who lives by herself in an apartment complex. She works as a receptionist for a dental office but does not engage in much physical activity. She eats three meals per day and will snack while at work and late at night.
For breakfast, she has a microwaved breakfast sandwich (egg, sausage, and cheese) with 2 cups of coffee with sugar-free creamer. For lunch, she will bring leftovers from the night before, such as 2 ounces of chicken, 1 cup of pasta, 1/2 cup marinara sauce, a salad with 2 tablespoons of light Thousand Island dressing, and a 12-ounce can of Diet Coke.
For an afternoon snack, she will have a small bag of chips or two 100-calorie packs of crackers/cookies. For dinner, she will have 2-3 ounces of meat, 1 cup of a starch product (rice or pasta), 1/2 cup of mixed cooked vegetables (peas, carrots, and corn), and a 12-ounce can of Diet Coke.
At an evening snack, she will have a handful of chips, a grapefruit, a 6-ounce container of fruit-on-the-bottom yogurt, or a large bowl of ice cream. She drinks a little bit of water throughout the day. At least three times per week, she will have carry-out of Chinese food, pizza, or a burger.
She has some issues with chewing, and in about 5 years, she may get dentures. She has no issues with swallowing. Occasionally, she will be constipated, so she will take a laxative. She has arthritis, chronic shoulder pain due to a car accident she had when she was in her 30s, occasional heartburn, and asthma.
She takes a calcium with vitamin D supplement, Prilosec, Abreva, Norco (occasionally when she is in severe pain due to her shoulder), and Advil. Height: 5'7.5", weight: 246 pounds, no change in weight for the past 2 years.
