Case study 21 Sonja Fern Sonja is 46 years old, is 6 ft 1 in tall,...

Question Case study 21 Sonja Fern Sonja is 46 years old, is 6 ft 1 in tall,… Case study 21 Sonja FernSonja is 46 years old, is 6 ft 1 in tall, and weighs 218 pounds. She hasintentionally lost 25 pounds in the last month after donating one of herkidneys. She was extremely moved by the significance of being healthyenough to help a friend through organ donation and recognizes thatshe must proactively protect her remaining kidney to preserve her ownhealth. She had borderline hypertension before the surgery, is a previ-ous heavy smoker, but has no other medical history. She has adopteda lacto-ovo vegetarian eating pattern and occasionally eats fish. Think of Jacob. Is 2000 calories an appropriate weight loss dietfor a male? What factors should be considered when deciding whether Jacob should be counseled to adhere to a DASH diet or a Mediterranean-style eating pattern? Can either pattern beadjusted to the appropriate calorie level? Jacob says he prefersa Mediterranean-style pattern because it includes wine, which he will drink in placeof beer. What does Jacob need to know about alcohol and his CVD risks? Think of Sonja. What is her body mass index (BMI)? What riskfactors for CKD did she have or currently has? What interventions would you suggest to help her maintain kidney health? Is a lacto-ovo eating pattern adequate and appropriate? Consider Sonja. A diet history revealed she uses soy protein-based entrees, which she recently realized are high in sodium. Her typical pattern also includes one serving of yogurt per day, vegetables, fruit, and occasionally whole wheat bread. She dis-likes milk and gave up sugar-sweetened beverages. She drinkstwo “large” glasses of wine 3 to 4 days/week and admitted a weakness for whitebread and potatoes. When she is stressed, she goes to the vending machine andbuys two candy bars and hides them in her clothes so her coworkers won’t knowshe is eating. How does her intake compare to a DASH-style pattern? What are thepositive features of her current pattern? Is her alcohol intake considered moderate?What options would you suggest in place of high-sodium soy entrees? Recall Sonja. An increase in her stress level has caused her togive up on her lacto-ovo vegetarian eating pattern. Her blood pressure is increasing, and her weight loss has stalled. To make matters worse, she recently went to an ambulatory care center with excruciating back pain and was diagnosed with kidney stones,which she passed hours after receiving IV fluids. She is worried she will have morekidney stones that may eventually damage her only kidney. What would you tell herabout reducing her risk of stone recurrence? What should her nutritional priorities beto maintain kidney health? What other lifestyle interventions would you recommend? Health Science Science Nursing BIO 201 Share QuestionEmailCopy link Comments (0)