Reference no: EM133297473
Case Study #1
Logan has just been diagnosed with HIV/AIDS. He had flu-like symptoms for a couple of weeks, but now he feels quite normal. It is hard for him to believe he is infected. He has been referred to a registered dietitian for assessment. He is not sure why this is necessary, because he feels so healthy at the moment.
1. Why is it important for Logan to see a registered dietitian now? What should be included in this initial visit?
2. Logan has been a competitive weightlifter. He is wondering if he should continue his workout program. He is also wondering if some of the high-protein supplements he has seen marketed may be beneficial to him. What would you recommend?
Case Study #2
Kira has been living with HIV/AIDS for 12 years. She has been taking antiretroviral therapy (ART) for the last 12 months and is very distressed about the way her body has changed. She has accumulated fat around her waist and upper back and lost weight around her hips and thighs. Her clothes no longer fit and she feels totally unattractive. She is considering discontinuing the medications, even though she knows the disease will progress more quickly.
1. What would you suggest to Kira?
2. Kira says she has gradually gained weight since she was diagnosed and is now about 20 lb overweight. She knows she eats more when she feels depressed, especially when she thinks about how HIV/AIDS is affecting her life. How would you counsel Kira?
Case Study #3
Letticia was adopted at birth and is now 3 months old. Her birth mother was HIV positive, and testing at 2 months of age confirmed that she is also infected with HIV.
1. What do her adoptive parents need to know about feeding Letticia?
2. Letticia seems healthy, and it is hard for her adoptive parents to believe she has HIV. Why is it important for them to take her for regular testing to monitor the progression of the disease rather than waiting until she develops symptoms?
Chapter - Cancer
Case Study #1:
Tracie has had cancer for 6 years. She had breast cancer and underwent a double mastectomy, followed by radiation. Cancer has now metastasized into her bones, and she is undergoing weekly chemotherapy. She takes antiemetic medication but still struggles with anorexia, nausea, and occasional vomiting 2 or 3 days each week. Also, she is developing sores in her mouth.
1. What would you suggest to Tracie to help her deal with these side effects?
2. Tracie usually sleeps late and does not eat breakfast. She drinks three or four diet sodas throughout the day. She usually eats whatever is left over from dinner the night before for lunch and tries to have a healthy dinner with her family, depending on whether she has the energy to cook. If she is too tired, they eat frozen pizza or fast food. What suggestions would you make to Tracie based on her eating habits?
Case Study #2:
Kenton had aggressive prostate cancer and is in his third week of radiation therapy. He has 3 more weeks to go.
1. What nutrition-related side effects might Kenton experience?
2. Kenton has diarrhea every time he eats, so he has only been eating twice a day to try to minimize this problem. What would you recommend?
Case Study #3:
Three of Gary's grandparents died from cancer, and his father has just been diagnosed with colon cancer. At 33, Gary is already concerned that cancer may be in his future.
1. What can Gary do to reduce his risk of developing cancer?
2. Gary usually eats a bowl of whole-grain cereal for breakfast. He often has lunches out with work clients. Usually, he orders a cheeseburger or other sandwich and fries. Most days, he eats dinner at home with his family. His wife likes to cook, and the meal usually includes a casserole or baked or broiled meat or chicken with vegetables or salad. Which meal would you recommend that Gary change to more closely follow the American Cancer Society's dietary guidelines? What would you suggest?