nd stress was a key factor in the increase of blood pressure. His assessment was strictly instructed due to her lack of nutritional practices. Thus, he placed her on a low triglyceride diet. Her past and present history of being classified as obese was also assessed with instructions to exercise. He also was concerned about her past history of bone density problems and that she was surgically post menopausal after her hysterectomy at an early age; thus, he wanted her to take estrogen supplements to reduce risks of osteoporosis and prevent recurring pain due to previously recorded osteoarthritis. Due to her ankle swelling and high blood pressure, she was kept on the diuretic, Diovan HCT. To decrease her cholesterol and triglyceride level, she was prescribed Lopid. Her social history had no significance with her assessment. Therefore, GKMs nutritional, medical, and pharmacologic history was quite important for the medical practitioner in diagnosing his patient.GKMs medical nutritional therapy was assessed with several measures. Her nutritional status is poor, with an unbalanced, non-nutritional diet and lack of exercise that has caused her obesity. Due to the obesity and no change in diet, GKMs progress in getting better is a slow process, even though the intervention of drug therapy has been given for the past 3 months prior to her visit. She should undergo a planned low-fat, low-saturated fat diet. Moderate exercise should be a must. She must also take calcium supplements 2x a day to prevent the risk of osteoporosis and prevent some the pain she suffers when participating in her daily routine. She needs to try a monitor her blood pressure either by self-check with a home-measuring BP machine or checking at the clinic. The medical practitioner suggested the same measures, but added that she should consume minimum amounts of salt and sugars. He also suggested that she reduces her caloric intake gradually by reducing carb...
