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SITUATION: Mark is a single 58-year-old African American. He works as a traveling salesman for a large
corporation. He has hypertension (high blood pressure). His resting blood pressure was 158/90 at his
last appointment. His current weight is 250 pounds and he stands 5 feet 9 inches. The doctor recom-
mends attempting to control his high blood pressure with diet changes before adding medications.
As his nurse, you are asked to evaluate his dietary journal and assist in developing a 3-day sample meal
plan he can easily use with his busy lifestyle.
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3. Short answer questions: Does the above diet meet the nutritional guidelines for a patient that
should be on a DASH diet? Discuss your answer using your textbook as a resource. (You may
also use the MyPlate tracker as a second resource.) Cite your references appropriately using
APA format
Answer:-
THE total calorie intake of MARK is about 2600 calories daily which is way above the recom-
mended and calculated 2000 calories. His diet includes Total sodium intake of 4000mg ,
contrary to recommended 2300mg, total saturated fat of 33 grams /day contrary to recom-
mended 24gram. The overall daily fruit intake and protein intake are higher than the rec-
ommended limits with lower intake of vegetables in diet per day.
The diet has to be moderated with increased intake of vegetables and decreased proteins and
moderation in fruit intake in form of juices and whole fruit. Also important would be
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strictly cut down on daily sodium and saturated fat intake to aim to restrict sodium intake
to less than 2300mg and saturated fat intake to less than 33grams/day to meet the daily
calorie recommended intake of 1942 calories/day ( as calculated) and achieve a healthy
BMI of less than 25kg/m2.
The DASH eating plan requires no special foods and instead provides daily and weekly nutri-
tional goals. This plan recommends:
• Eating vegetables, fruits, and whole grains
• Including fat-free or low-fat dairy products, fish, poultry, beans, nuts, and vegetable oils
• Limiting foods that are high in saturated fat, such as fatty meats, full-fat dairy products,
and tropical oils such as coconut, palm kernel, and palm oils
• Limiting sugar-sweetened beverages and sweets.
REFERENCES:-
1. Description of the DASH Eating Plan - NHLBI, NIH. (n.d.). Retrieved October 02, 2016,
from http://www.nhlbi.nih.gov/health/health-topics/topics/dash/
2. Meal, B. (n.d.). SuperTracker: My Foods. My Fitness. My Health. Retrieved October 02,
2016, from https://www.supertracker.usda.gov/foodtracker.aspx
4. Create a 3-day diet plan sample for Mark that meets his caloric intake requirements
and the nutritional guidelines for the DASH diet. The plan should include breakfast,
lunch, dinner, and snacks for each day and be formatted as a table. Remember to
include condiments and beverages.
1 SLICE WHOLE WHEAT 1 CUP WHOLE OAT RINGS CE- 1 GRANOLA BAR, LOW-FAT
BREAD: 1 TSP SOFT (TUB) REAL: 1 MEDIUM BANANA 1 MEDIUM BANANA
MARGARINE 1/2 CUP FRUIT YOGURT,
1 CUP MILK, LOW-FAT FAT-FREE, NO SUGAR
1 CUP FRUIT YOGURT, FAT- ADDED 1 CUP ORANGE JUICE
1 MEDIUM RAISIN BAGEL: 1
BREAKFAST FREE, NO ADDED SUGAR 1 ME- 1 CUP MILK, LOW-FAT
DIUM PEACH TBSP PEANUT BUTTER
HAM AND CHEESE SANDWICH: TUNA SALAD PLATE: TURKEY BREAST SAND-
1/2 CUP TUNA SALAD* WICH:
2 OZ HAM, LOW-FAT, LOW-SO- 1 LARGE LEAF ROMAINE LET- 3 OZ TURKEY BREAST
DIUM TUCE 1 SLICE WHOLE WHEAT 2 SLICES WHOLE WHEAT
BREAD BREAD
1 SLICE (3/4 OZ) CHEDDAR CUCUMBER SALAD: 1 LARGE LEAF ROMAINE
CHEESE, NATURAL, 1 CUP FRESH CUCUMBER LETTUCE
SLICES 1/2 CUP TOMATO 2 SLICES TOMATO
REDUCED FAT WEDGES 2 TSP MAYONNAISE, LOW-
1 TBSP VINAIGRETTE DRESS- FAT
2 SLICES WHOLE WHEAT ING 1 TBSP DIJON MUSTARD
LUNCH BREAD 1/2 CUP COTTAGE CHEESE, 1 CUP STEAMED BROCCOLI,
LOW-FAT: COOKED FROM FROZEN
1 LARGE LEAF ROMAINE LET- 1/2 CUP CANNED PINEAPPLE, 1 MEDIUM ORANGE
TUCE JUICE PACK
1 TBSP ALMONDS
2 SLICES TOMATO
1 CARROT STICKS
1/3 CUP ALMONDS 1 CUP FRUIT YOGURT, FAT- 2 TBSP PEANUTS, UNSALTED
1 CUP APPLE JUICE 1/4 CUP FREE, NO ADDED SUGAR 2 1 CUP MILK, LOW-FAT
APRICOTS TBSP SUNFLOWER SEEDS 1/4 CUP DRIED APRICOTS
SNACKS 1 CUP MILK, LOW-FAT
SATU-
RATED FAT 12 grams 11 GRAMS 12 GRAMS
FIBER 35 GRAMS 30 GRAMS 36 GRAMS
SODIUM 2,312 MG 2,373 MG 1671MG
POTASSIUM 4,575 MG 4,769 MG 4,710 MG
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