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[Answered]: Worksheet 24-1 O.E. is 63 years old and was diagnosed

Worksheet 24-1 O.E. is 63 years old and was diagnosed with osteoporosis last month. She is here to see you about the role of diet in osteoporosis management. During the interview, she tells you that she smokes about 1 pack of cigarettes a day, drinks about five alcoholic beverages a week, and rarely exercises. Listed below is her diet for the past 24 hours, which she states is reflective of her normal food intake. Use the information from Box 24-2 to estimate her dietary calcium intake. Breakfast: 2 cups sugar sweetened cornflakes cereals (250 mg. calcium per 1 cup serving) (1)/(2) cup fat free milk 1 cup orange flavored beverage Lunch: 2 slices wheat bread 2 ounces lunch meat 1 slice each lettuce and tomato 1 small handful corn chips 12 ounces regular soda Dinner:1 cup soup, canned 6 – 8 saltine crackers 12 ounces regular soda 1 – 2 cups ice cream for dessert. Worksheet 24-2 Diet Prescription – Meeting calcium needs Based on O.E.’s 24 hour diet recall and your estimation of her daily dietary calcium intake from Worksheet 24-1, offer suggestions on the form below help her meet her daily need for calcium for her age (1200 mg) Typical Food Intake for O.E. Meal Suggestions from Registered Dietitian Breakfast: 2 cups sugar sweetened cornflakes cereal (250 mg. calcium per 1 cup serving of cereal) (1)/(2) cup fat free milk 1 cup orange flavored beverage Lunch: 2 slices wheat bread 2 ounces lunch meat 1 slice each lettuce and tomato 1 small handful corn chips 12 ounces regular soda Dinner: 1 cup soup, canned 6 – 8 saltine crackers 12 ounces regular soda 1 – 2 cups ice cream for dessert Worksheet 24-3 Charting Exercise Write a SOAP note documenting the education session you had with O.E. advising her on the recommended menu changes and the rationale for the changes, in addition to any recommended lifestyle changes. Be sure to identify the nutrition problem that is the rationale for your recommendations in your chart note, the etiology of the nutrition problem, and the signs and symptoms that support evidence for the nutrition problem in the form of a PES statement as well as your plans for interventions (s), monitoring and evaluation. S: O: A: P

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