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MNT Capstone Presentation

MNT

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24 views17 pages

MNT Capstone Presentation

MNT

Uploaded by

bvjenkins01
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
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Respiratory

Disease of
presented by Baleigh Victoria

the Young Jenkins

MNT: capstone presentation


•
Agenda
Introduction to the young adult stage
• Introduction to respiratory diseases
• Introduction to client
• Personal and family history, medications, and lab work
• Dietary history
• Before diagnoses
• Improve disease through diet + PES statement
• Current lifestyle
• Conclusion
Introducti • 18 to 22/25 years of age
• Women mature around age 20, men

on to the age 25
• Main goal is to avoid weight gian
• 2,000 kcal diet recommended, 20-

Young 35% of fats, 45-65% of carbs, 10-35%


of protien
• Women in reproductive stage may

Adult life- need additional requirements


• Adequate nutrition plays role in
keeping healthy immune system as
Background of
Asthma
• Chronic inflammation disorder of the airway
• Inflammation is the primary problem
• Reoccurring episodes of wheezing, breathlessness,
tight chest, and coughing
• Human cells have high amounts of omega-6 FA
that increase inflammation, so asthma patients
need diet low in Omega 6 FA and high in Omega 3
FA
• Mediterranean diet is typically recommended
along with drug-nutrient interactions, and weight
loss
Background of
Dysautonomia
• a disorder of the ANS (controls breathing),
sympathetic, general failure that causes a fall in
blood pressure while standing, hypertension, rapid
pulse rate
• Treat underlying causes such as asthma that
disrupts ANS
• Not much research on dietary habits; small
frequent meals, avoid alcohol & caffeine, gluten-
free diet, keep diet diary to track triggers
Margaret, the
• 21 years old, • 130 pounds

patient
• Caucasin • 5'2
• Non-Hispanic • BMI: 23; normal
• Female; single • IBW: 110 pounds
• Senior in College at SELU • Usual weight: 130 pounds

• Non- smoker • Substitute Teacher


• Non- alcoholic beverage consumer • Meals are consumed at the table
• Caffeinated coffee drinker; 1 cup per day • Eats roughly twice a day
• exercises 3x weekly for about 1 hour at a • Cooks, eating one meal out per week
time • MSJ: needs 1,961.78kcal/day
• Lives with mother and three dogs
Before
• Dancer for 16 yeas

Diagnosis
• averaged 8-12 hours of dance each week
between dance team, studio dance, and
competition team
• started experiencing symptoms such as
trouble breathing, light headedness,
coughing, tight chest, and passing out
• Then began seeking medical help
Diagnosis
• Diagnosed with Asthma September 2020
⚬ symptoms: coughing, and tight chest
⚬ treatment: none
• Diagnoses with Dysautonomia November
2020
⚬ symptoms: rapid heart rate, high
blood pressure, passing out
⚬ treatment: medications, loop
recorded
Person Personal History:
Family History:

Maternal:

al
• poor respiratory
and cardiovascular • overweight/
health (inherited) obesity
• disorder eating • cancers

&
• ADD (attention- Paternal:
Deficit Disorder)
• Heart disease
• Smoking
Medications &
Medications: Recent Lab Work
Asthma:
• none Lab Work
Dysautonomia:
Normal:
• WBC: 4.8/microL
• NA: 141 mEq/L
Abnormal:
• Cholesterol: 205
mg/dL
• Betaxolol • K: 4.3 mEq/L
• Clonazepam • LDL: 125 mg/dL
• Fe: 69
• Midodrine • HbA1C: 5.1
micromol/L
• Magnesium Oxide ⚬ 'pre-pre
• Ferritin: 30
• Fludroxortisone diabetic'
• Loop recorder ng/mL
24- Hour
Breakfast Lunc Dinner

Dietary Recall
Biscuit: butter,
cheese bacon
h
Sandwich with ham,
cheese, mayonnaise
Chicken Alfredo pasta
with spinach

8 oz coffee with 8 oz sweet iced tea


Chips
creamer and sugar

typically, no
8 oz water with 8 oz sweet iced tea snacks or dessert;
medication roughly 32 oz of
water/day

MSJ: 1,961.78kcal/day with AF of


Nutrient Analysis
Margaret consumes :
100% of breakfast, 25% of lunch, and 75% of
dinner
From Cronometer:
993 kcal consumed from 24-hour recall
968.78 kcal less than recommended from MSJ
Improving
• Margaret wanted to know how to improve asthma

Diet
symptoms, as this would help improce
dysautonomia symptoms
• Focus on Mediterranean diet: high in omega 3's to
reduce symptoms, fresh fruits and veggies, whole
grains, healthy fat seafood, olive oil, nuts, and
legumes
• Less poultry, eggs, cheese, and dairy as they
contain high omega 6's which overproduce
PES Statement
Food and nutrition related knowledge deficit (NB-
1.1) related to lack of or limited prior nutrition-
related education (EY-1.3) as evidenced by a 24-
hour dietary recall, symptoms of the patients, and
verbalizations of the patient of incomplete
knowledge.
Closing
• Margaret has been living with asthma for roughly 6
years, and 3 undiagnosed
• She has learned to adapt to symptoms and listen to
her body
• After graduation, will be working as a Kindergarten
teacher and continuing to teach studio dance and help
with her alumni school dance team
• She is thankful she is able to seek medical care and to
learn from her body
References
Edelstein, S. (2015). Chapter 9 Definition of Adulthood. In Life Cycle Nutrition; An Evidence-
Based Approach (second, pp. 354–378). essay, Jones & Bartlett Learning.

Nelms, M. (2019). Chapter 21 Disease of the Respiratory System. In K. P. Sucher (Ed.), Nutrition
Therapy and Pathophysiology (4th ed., pp. 647–648). essay, Cengage Learning US.

Koroshetz, W. (1950). Dysautonomia. National Institute of Neurological Disorders and Stroke.


Retrieved April 28, 2023, from
https://www.ninds.nih.gov/health-information/disorders/dysautonomia#:~:text=What%20is
%20dysautonomia%3F,parasympathetic%20parts%20of%20the%20ANS.

Phillips, B. M., A, F., S, G. D., A, P. H., S, S. R., & Mcluaghlin, Z. K. (2023). Diet & Nutrition.
Dysautonomia Support Network. Retrieved April 28, 2023, from
https://www.dysautonomiasupport.org/diet-nutrition/#:~:text=Alcohol%20and
%20Caffeine&text=Consumption%20of%20either%20of%20these,can%20increase%20their
%20heart%20rate.
Thank you
for
your time!

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