CASE CHALLENGE Mrs. Valencia, a widow, is 76 years old. She is 53 tall and weighs 150 lbs. She has arthritis in her knees and hands which limit her mobility. She does not drive and there is no grocery store within walking distance of her home. She takes aspirin or over-the-counter anti-inflammatory agents. She lives on a small pension and Social Security. Last month, her granddaughter Sarah (age 35, 12-weeks pregnant) moved in with children Charles (age 15) and Chelsea (age 4) while Sarahs husband is on overseas military duty. The family will be coming to your office for nutrition counseling to support Mrs. Valencias nutrient needs. CASE ANALYSIS 1.Sarah comes to your office for nutrition counseling. She admits she was not very aware of her diet during her other pregnancies and wants to be more informed during this pregnancy. What basic information should you review with her? What are some key nutrition education and counseling strategies you may want to incorporate in your first session?2.What socioeconomic, physiologic, and lifestyle factors influence Mrs. Valencias food intake? What are two key nutrition issues you might discuss with Mrs. Valencia during your first session?3.Which education and counseling strategies would you consider using when working with Chelsea and her family?4.What questions would you ask Charles during your initial assessment? What specific education and counseling strategies would you consider using when working with him? 5.Make a list of potential challenges and opportunities in providing nutrition counseling to Mrs. Valencia and her extended family.
[Answered]: CASE CHALLENGE Mrs
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