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?