Laura is a 50-year-old white woman who had a hysterectomy last year. She drinks milk and eats dairy foods in sufficient quantity each day; however, she recently had a DEXA scan, which revealed osteopenia in her femur and lumbar spine. She is experiencing signs and symptoms of menopause. Laura is 5 ft. 0 in. tall and weighs 110 lb. She has the following questions for you, her nutrition counselor:
1. Will diet make any difference for Laura? Should she start taking supplements of vitamin D and calcium? If so, how much?
2. She walks 3 miles a week. Should she increase her activity level?
3. What else do you need to know before you make any recommendations?
In addition to answering the questions above, please be sure to include all criteria covered in the rubric:
-Chief concern (identify the problem)
-History of present concern (What is the history of the problem? What might be happening physiologically or psychologically?)
-Evaluations and observations (What is your assessment of the situation? What additional questions might you ask? -What physical observations might you see in a client like this?)
-Support plan (What is your plan for the client?)
-Outcomes (How will you know your plan is working? What will be your follow-up with the client?)
Please see attached documents for further clarification and grading rubric.
Marian, M. J. & Mullin, G. (2021). Integrating nutrition into practice. CRC Press, Boca Raton, FL. ISBN: 9781032242729
(CHAPTER 7)
Stephenson, T. & Schiff, W. (2022). Human nutrition: Science for healthy living (3rd ed). McGraw Hill.
(CHAPTER 18)
