Upload
blaze-wilkinson
View
215
Download
1
Embed Size (px)
Citation preview
Facts based on initial meeting
• In transition from contemplation to preparation phase
• Type B/3 personality
• Sedentary job (only 25% active)
• BMI 34- Type 1 obesity
Issues to be addressed
• Smoking
• Current injuries (rotator cuff, mechanical dysfunction syndrome, leg length discrepancy)
• Weight Control (Nutrition and Exercise)
• LDL levels/ Blood pressure
• Increased risk of coronary heart disease
• Family Intervention
Smoking (Cessation???)• Theory of Reasoned Action• Beliefs about smoking (add on
Monday)• Habitual stage of smoking (where he
wants to be)
Prescription • Education re second hand smoke and
its adverse effects on asthma• Assist in adherence to exercise• Overall improvement of health (pg
139)
Current Issues
• Rotator Cuff injury (baseball)
• Mechanical Dysfunction Syndrome
• Leg Length Discrepancy
Weight Control
• Ideal weight- 150lbs • Initial weight loss goal- 20lbs (10% of body
weight)Nutrition• Education on portion control and healthy
food choices (cooking)• Alcohol in moderation• Special focus on increased alkaline foods
to aid in smoking cessation
Weight Control cont’d
Exercise
• History indicates readiness for compliance
• Increase activity levels at work (walk more)
• Golf more frequently (use of cart)
Portion Size
• Grain Products 1 serving looks like:• One slice of whole grain bread, ½ cup of rice or
pasta, ½ bagle or bun• Fruits and Vegetables 1 serving looks like:• 1 medium sized fruit or vegetable, ½ cup of real
fruit juice or 1 cup of salad • Dairy Products 1 serving looks like:• 1 cup of milk, 50g of cheese, ¾ cup of yogourt• Protein Products:• 50-100g of meat, poultry or fish, 2tbsp of peanut
butter or 2 small eggs
Healthier Choices
• Trim all visible fat from beef and poultry, and remove the skin from poultry before eating.
• Bake, broil, or roast meat dishes instead of deep-fat frying them. To prevent drying and add flavor, baste with wine, lemon juice, or a low-fat broth.
• Minimize use of butter.• Buy or with predominantly unsaturated oils. Olive oil is
make salad dressings an especially good choice. • Substitute rice and pasta for egg noodles.• Use yogurt instead of sour cream in dips and toppings.
Nutritional Requirements
• Drink at least 8 glasses of water a day• Try and substitute healthier options (as
discussed) when cooking.• Focus on portion sizes • Eat slowly and STOP when you are full• Eat a healthy breakfast that will fuel you for the
entire morning.• Eat high alkaline foods such as…..see table
Cholesterol
• Unhealthy blood cholesterol levels lead to• Heart attack• Stroke• Clogging of the arteries • High blood pressure• Fruits, vegetables, legumes and whole grains
tend to be high in fiber and low in cholesterol.• HDL-Hauls excess cholesterol from the body so High is ok!
• LDL-Leaves plaque deposits on the artery walls so keep this cholesterol as Low as possible.