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Ucf Preventive Health Care Case Study

766 words - 4 pages

Section 1. Outline her risk factors that the doctor was concerned about. Is any one risk factor more prominent or problematic than the others? (34 pts)

Risk factors outlined in order of highest health risk as follows (1 being the highest risk):

1. Mrs. X exhibits a high-risk waist circumference of 37”. This is certainly the highest concern in regards to Mrs. X’s current symptoms and health. The high-risk waist circumference for women is noted to be any size in excess of 35 inches. A high waist circumference is associated with an increased risk for type 2 diabetes, dyslipidemia, hypertension, and CVD in patients with a BMI between 25 and 29.9 kg/m2. Being that Mrs. X’s BMI is calculated ...view middle of the document...

4 kg/m2. This BMI would place Mrs. X within the overweight range, at her current state and she would only need to gain 10 more pounds to be considered obese. With her current sedentary lifestyle and BMI traits, it is highly likely that Mrs. X participates in a high caloric diet. Her large waist circumference is also congruent with a high fat, high carbohydrate, and low protein diet, all of which could be contributing to her low levels of energy that result in decreased overall energy expenditure. To combat the onset of coronary artery disease, diabetes, obesity, and metabolic syndrome it is crucial that Mrs. X begins a new diet regimen such as the DASH diet as well as an exercise routine. Her exercise program should start off slow with increases in resistance as well as intensity over time as to prevent injury and promote healthy progression. For many obese people with a BMI > 30 or > 27 if the patient expresses other risk factors, pharmacotherapy can be used as adjunctive therapy to diet, exercise, and behavior therapy. Because Mrs. X’s blood tests are normal and her blood pressure of 135/85 mmHg is only considered to be prehypertensive, a pharmacological approach should be postponed for now. The modifications listed...

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