Tom is a 55-year-old single man with hypertension (blood pressure 145/92), high low-density lipoprotein cholesterol (241), and low highdensity lipoprotein cholesterol (38) and a CRP of 4mg/L. He has a...

Tom is a 55-year-old single man with hypertension (blood pressure 145/92), high low-density lipoprotein cholesterol (241), and low highdensity lipoprotein cholesterol (38) and a CRP of 4mg/L. He has a strong family history of heart disease. He reports that he often eats in his car, so he frequents fast-food restaurants. He works long hours and, other than gardening on the weekends, he does not exercise. He is 5’10’’ and 220 lb. His breakfast is usually a cheese-egg biscuit, bacon, and coffee without milk or cream. Lunch is often a bean and cheese burrito and ice cream. His favorite dinner is fried chicken, mashed potatoes with gravy, collards sautéed with bacon fat, and pie. Using the following list, what are Tom’s nutritional diagnoses? Which should be the top priority?

Nutrition Diagnostic Term

Excessive energy intake Excessive intake of fats Excessive alcohol intake Inadequate fiber intake Inadequate calcium intake Inadequate magnesium intake Inadequate potassium intake Excessive sodium intake Overweight or obesity Food- and nutrition-related knowledge deficit Undesirable food choices Physical inactivity

Nutrition Care Questions

1. Which interventions would be most beneficial for Tom?

2. What signs and symptoms would you want to monitor and evaluate?