Prenatal Case Study

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Prenatal Case Study
Camille Agbuya, Rebecca Alexander, Lauryn Bachmeier, Ania Bedrosia, Jade Nicole Belle The University of Nevada, Las Vegas

Teresa’s 24-hour Diet Intake
Nutrients| Nutrient Vitamin/ Mineral Consumed by Jamie| Requirement of Nutrient/ Vitamin/ mineral| Excess or Deficit Found in Analysis(not by + or -)| Energy (kcal)| 733| 2100| -1367|
Protein (g)| 45| 66| -1|
Vitamin A (µg)| 114| 700| -588|
Vitamin D (µg)| 1| 15| -14|
Vitamin E (mg)| 1| 15| -14|
Vitamin C (mg)| 0| 75| -75|
Thiamine (mg)| 0.6| 1.1| -0.5|
Riboflavin (mg)| 1.3| 1.1| +0.2|
Niacin (mg)| 11| 14| -3|
Vitamin B6 (mg)| 0.6| 1.3| -1.8|
Folate (µg)| 193| 400| -207|
Vitamin B12 (µg)| 1.3| 2.4| -1.1|
Calcium (mg)| 280| 1300| -720|
Phosphorus (mg)| 677| 700| -23|
Iron (mg)| 6| 18| -12|
Zinc (mg)| 4| 8| -4|
Potassium (mg)| 935| 4700| -3765|
Selenium (µg)| 66| 55| +11|
Note: The values are obtained through the Supertracker website (USDA, 2013). Although Teresa is eating three meals a day she is not getting the recommended daily amount of nutrients from her diet. During her 24-hour diet recall she only had 4 1/2 oz of grains and 4 oz of protein. She did not have any dairy, fruits, or vegetables. Teresa's total caloric intake was almost 1400 kilocalories short of the recommended intake value of 2100 kilocalories. The only nutrients she consumed enough of were protein with 45g, riboflavin with 1.3mg, and selenium with 66 µg. Teresa was deficient in calcium with only 280mg, potassium with only 935mg, iron with only 6mg, phosphorus with only 677mh, zinc with only 4 mg, Vitamin A with only 114 µg, vitamin B6 with only 0.6 mg, vitamin B12 with only 1.3 µg, vitamin D with only 1 µg, vitamin E with only 1 mg, folate with only 193 µg, thiamin with only 0.6 mg, and niacin with only 11mg. Vitamin C was not even consumed. Teresa should start drinking at least 5 glasses water and at least two glasses of milk a day. She should start eating green leafy vegetables, fruits, eggs, yogurt, and fishes to gain more consumption of vitamins (Lucke, 2011). To increase consumption of minerals like calcium, potassium, iron, zinc, and phosphorus Teresa should start consuming some dairy’s leafy green vegetables, whole-grain foods, fishes, raisins, red meats, and bananas (Ahders, 2011). Teresa can also talk supplements to gain vitamin and mineral consumption. A good multivitamin is One A Day Women’s, it is a complete multivitamin design specifically for leading health concerns of women (Bayer Healthclub LLC. , 2012). Overall, Teresa needs to consume more nutrients during the day to fulfill her daily requirements.

Age Related Changes That Can Affect Ms. Jenkin’s Diet
As a 78 year old woman, Theresa may experience many changes that affect her nutritional diet. According to Culross, changes may include loss of lean muscle mass (sacropenia) and decrease in bone density, which increases the risk of osteoporosis (Culross, 2008). Weaker dental structure and reduced effectiveness of the digestive system such as low gastric acid secretion may complicate the absorption of vitamin B12 and other nutrients (Culross, 2008). Also, reduced taste and smell senses can lower the appeal of foods and reduce appetite. In Theresa’s case, emotional factors such as social isolation and depression due to the passing of her husband Theodore, has led to a loss of appetite and can ultimately result in malnourishment. Based on her 24 hour diet recall, Theresa is certainly not getting enough daily kilocalories. For individuals over 50 years old, total caloric intake decreases but the intake of nutrients increases (Drake, 2009). For example, Vitamin B12 may be at higher demand because of the decreased absorption rate in the digestive system. Deficiency in Vitamin B12 may result in depression and neurological disorders (Culross, 2008). According to Theresa’s case, depression and lack of...
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