Instructions
Imagine yourself in the role of a Nutrition Counselor and Josephine in your client. Josephine is a 20-year-old female who is present for an eating disorder not otherwise specified. She currently teaches salsa lessons at the community college and is in her last semester of college. She reports she is living at home and the food her mom prepares is not the healthiest because her mom is from Honduras and her father is from Guatemala, so the food is prepared differently. She indicates she has been thin all her life, although she has struggled to maintain her weight since puberty. Since she is a dance instructor, she has to remain fit. She reports she feels very guilty if she has consumed fried foods during the day, but since that is the way her mom primarily cooks, she feels awful to tell her mom to stop cooking that way. She reports if she does consume too much fried foods or junk food, she will run at least 2-3 miles that day or else force herself to vomit, but all the food does not come out. She reports sometimes if she has a later class, she will not eat dinner or only eat 1 meal per day. She has tried counting calories, but then she gets so mad at herself for having more than 1200 calories it causes her to exercise more, which then leads her to feeling exhausted. She indicates she is on no medication, but does take a multivitamin when she remembers. She indicates she has gone from 110 pounds to 125 pounds over 5 years and wants to be back down to 110 or even less. She also had gone to the doctor and he was quite concerned with her lab values. She has provided you a 24 hour meal record:
Breakfast:
1-6 corn tortilla
0.5 cup fried beans cooked with peppers, onions and oil
0.5 cup rice
1 cup no sugar added orange juice
Lunch:
1 slice of whole wheat bread
2 slices turkey
1 small apple
Dinner:
2- 6 tortillas
Beef with onions, peppers cooked in oil
Tomato, onion, pepper salad (made with oil and lime juice)
2 cups of rice
Height: 52 Weight: 117 pounds (based on your scale in the office)
Labs:
Test Result Reference Units
Albumin (visceral protein stores) 3.3 g/dL 3.5-4.8 g/dL
Sodium 133 mEq/L 136-145 mEq/L
Potassium 3.8 mEq/L 3.5-5.2 mEq/L
Iron 0.4 mg/dL 0.6-1.1 mg/dL
Vitamin B12 185 pg/mL 200-835 pg/mL
Questions for Unit 9:
Documentation needs to be completed at each nutrition counseling session. What information needs to be documented and kept in Josephines medical record?
Can we provide Josephines health and nutrition information to another health professional? Why or Why not?
In order for Josephine to continue to follow up, how do we address payment and reimbursement?
What motivational techniques would you use to motivate Josephine to continue making progress?
It is important to ensure Josephine is progressing through each counseling session. Answer the following questions regarding Josephines progress:
How often would you schedule follow-up sessions with Josephine?
What type of information would you like to collect at the follow-up appointments?
How would you assess her previously set goals?
Identify any obstacles which could impede her success at achieving these goals. How would you help her get beyond these obstacles?
Last Completed Projects
| topic title | academic level | Writer | delivered |
|---|
Are you looking for a similar paper or any other quality academic essay? Then look no further. Our research paper writing service is what you require. Our team of experienced writers is on standby to deliver to you an original paper as per your specified instructions with zero plagiarism guaranteed. This is the perfect way you can prepare your own unique academic paper and score the grades you deserve.
Use the order calculator below and get started! Contact our live support team for any assistance or inquiry.
[order_calculator]