Mini Case Study #1: Betsy’s Bones Instructions: Please read the following scenario and submit a report with a response to each of the associated questions (4 points each). You are not to collaborate with anyone when completing this assignment. Refer to the grading rubric for evaluation criteria. Consult course readings and lectures, as well as outside materials as needed, and cite sources in APA style. Betsy is a 72-year-old retired teacher who lives alone. She used to love gardening, but since moving to a condo, doesn’t get much time outside, and spends most of her days reading or talking on the phone. She presents to her doctor complaining of right leg pain and muscle weakness. Her laboratory results showed deficient vitamin D and reduced bone density, and a diet recall included: · Breakfast: two hard-boiled eggs, 1 whole grapefruit with 1 tsp sugar, 12 oz. black coffee · Lunch: cucumber sandwich (made with a ½ cup of sliced cucumber, 2 slices white bread, and 1 T mayonnaise), 1 oz. potato chips, 16 oz. unsweetened iced tea · Dinner: pasta (1 c.) with meatless marinara sauce (1/2 c.), small white roll, 1 glass red wine, fun-size milky way Betsy is 5’4” and weighs 126# (57kg). She says she loves to cook, but since it’s just her, she usually just prepares something quick and easy. Every Sunday she goes to church and to the grocery store, but otherwise, she doesn’t leave the house much. 1.1- Estimate how much protein Betsy is getting. How much does she need? Is her intake adequate? What recommendations do you have regarding Betsy’s protein intake? 2.2- What about Betsy’ fluid intake? Is she getting enough water? What are potential consequences of not taking in enough fluid? 3. 3- Her doctor recommended a vitamin D supplement. What other ways can Betsy improve her vitamin D status? List some foods that are good sources of vitamin D. 4.4- Betsy’s mom had osteoporosis and she’s concerned about developing it too. What steps can Betsy take to maintain her bone health? Are there specific nutrients other than vitamin D and calcium that are important to bone health? 5. 5- Why is vitamin D deficiency more common in the elderly?