Case Note: Student Dietary Needs

Date 9/19/15

Age: 21 yrs
Ht: 52
Wt: 145

recent wt loss of 7 lbs

currently does not have medical insurance, no blood tests to show
complaints of potential IBS
immune system has been down for months, constantly sick
o lots of stress with multiple jobs and personal life
frequent headaches and fatigue
has been getting more rest these days (6-8 hrs)
Activity level: Very good
o Cardio and Weights about 4x a wk
o walks almost 7 miles on days she does not work out
o stretches with foam roller, some pilates exercises

BM:
irregular
not formed, often watery (water absorption problems)
cramps with BM
doesn't want to eat because it is painful

24 hour recall:

Breakfast: plain greek yogurt with blueberries

Lunch: 1 cups mango chunks
Dinner: Stir Fry: sesame oil, chicken, mushrooms, squash, zucchini, lettuce

Options and Suggestions:

food journal - write down what you ate and how you felt after
o dont forget to put down fluid intake
almond milk (try with smoothies)
 try nut butters
pumpkin
eat more oatmeal - old fashion oats
try iron supplement

Difficulties with food Dislikes Preferences

Dairy Radishes Fresh produce

(rather than
Onions Carrots
cooked)
High sugar Celery
Salmon
content
Tuna
Greasy
Eggs
Red meat (makes
her throw up)
Chicken
Shrimp (Allergy)
Garlic (only have a
little)

Day 1
Breakfast
Banana Nut Oatmeal 405.15 g 624 kcal

Lunch
Tuna Kale and Egg Salad 500 g 243 kcal

Cucumber, Sliced 0.5 c. 8 kcal

Hummus 0.25 c. 109 kcal

Dinner
Spinach Salad 1 494.6 g 567 kcal

Teriyaki Stir Fry Salmon 900 g 171 kcal

Rice, Brown, Long Grain, Cooked 0.5 c. 108 kcal

 Snacks
Raspberries 0.25 c. 16 kcal

Strawberries 0.25 c. 12 kcal

Cashew Butter, without Salt Added 2 T. 188 kcal

BLUE DIAMOND NUT-THINS Crackers, Pecan 16 item 130 kcal

Cookie, Oatmeal, with Raisins, Prepared 2 item 131 kcal

WALLABY Yogurt, Greek, Organic, Plain, Low Fat 1 item 130 kcal

Day 2
Breakfast
Blueberry and Pecan Oatmeal 222.97 g 543 kcal

Omelette (No dairy or onions) 228.88 g 160 kcal

Lunch
Bean and Rice Medley 1 100 g 197 kcal

WALLABY Yogurt, Organic, Plain, Low Fat 1 c. 140 kcal

Dinner
Easy Vegan Pumpkin soup 1,200 g 199 kcal

Spinach Salad 1 250 g 287 kcal

Orange 0.5 item 31 kcal

Peach 0.5 item 29 kcal

Bread, Whole Wheat, Toasted 1 sl. 77 kcal

Snacks
Will Wheatnone Smoothie 2,057.24 g 478 kcal

PACE Salsa, Pico De Gallo 3 T. 15 kcal

ARCHWAY Home Style Cookies, Shortbread, Sugar Free 1 svg. 107 kcal

Chips, Tortilla, Low Fat, Unsalted 1.5 oz. 177 kcal

Day 3

Breakfast
Vegan Pancakes 450 g 171 kcal

Mango 0.5 item 62 kcal

WALLABY Yogurt, Organic, Plain, Non Fat 0.5 c. 60 kcal

Lunch
Protein Smoothie 2,344.41 g 307 kcal

Egg Salad (no onions) 230.75 g 51 kcal

NATURE'S OWN Bagels, 100% Whole Wheat, HFCS Free 0.5 item 125 kcal

Dinner
Avocado Sweet Potatoe Burrito 299.27 g 380 kcal

FRESH EXPRESS Lettuce, Premium Romaine 2 c. 15 kcal

Oil, Olive 1 T. 119 kcal

Vinegar, Balsamic 1 t. 5 kcal

Tomatoes, Red 0.25 item 6 kcal

Lentil Soup 1 150 g 189 kcal

Snacks
ATHENOS Hummus, Original 0.33 c. 132 kcal

Almond Butter, without Salt Added 2 T. 196 kcal

Carrots 1 c. 50 kcal

ENJOY LIFE Cookies, Snickerdoodle, Soft Baked, Nut & Gluten Free 3 item 195 kcal

Chips, Tortilla, Low Fat, Unsalted 1.5 oz. 177 kcal

Muffin, Corn, Prepared with Low Fat 2% Milk 1 item 180 kcal