Contents
- 1 S3470C Nutrition Care: Type 2 Diabetes & Hypertension
- 1.1 Expert Answers on Above Nutrition Case Study Questions
- 1.2 Check Nursing Assignment Samples Written by Experts
- 1.2.1 Feasibility Study on Elderly Home Care in Singapore
- 1.2.2 Tourniquet-Free Total Knee Arthroplasty Effect on Patient
- 1.2.3 Reducing (CAUTIs) Through a Nurse Driven Protocol
- 1.2.4 Nursing Care Plan for Older People in Singapore
- 1.2.5 Health Promotion Initiative for Addressing the Menace of Obesity in Singapore
S3470C Nutrition Care: Type 2 Diabetes & Hypertension
Case Study
A client was referred to you for a nutrition assessment and diagnosis.
Case Study: Mr Lim Ah Poh
Referred Client:
Name: MrLim Ah Poh
Age: 54years old
Gender: Male
Ethnicity: Chinese
Height: 168cm
Weight: 90kg
Occupation: Administration Executive
Living siutation: Lives with wife and 1 daughter in a 3 room HDB flat
Highest education qualification: Secondary School
Diagnosed condition:
- Type 2 Diabetes Mellitues – Diagnosed2 years ago, on metformin
- Hypertension–Just diagnosed, have not started on medication
Recent Blood Test Results:
- HbA1c: 8.5%
- Fasting Glucose: 14.9 mmol/L
- Total Cholesterol: 4.8 mmol/L
- LDL: 2.9 mmol/L
- HDL: 1.1 mmol/L
- Triglycerides: 2.2 mmol/L
- Blood Pressure: 149/95 mmHg
Social & Lifestyle Factors:
- Financial struggles – Relies on savings, preparing daughter’s university education. Wife is housewife at home.
- Sedentary lifestyle –Apart from commuting to work and back home, Mr Lim don’t do any other exercise.
- Stress eating –Like to consume sweetened beverages
- Social interaction –Interacts mainly with colleagues and spend time with wife and daughter at home.
24 hours Dietary History:
| Meals | Food items | Remarks |
| Breakfast8am | 1 cup Kopi (Ga Dai – add extra sugar)2 slices Toast with peanut butter | Purchased from office canteen |
| Snack10am | 1 bottle Coke (500ml)4 pieces Plain Cracker (Flavour: Salted) | Eat at work |
| Lunch1pm | 10 pieces Fried Chicken Nuggets (180g)5 packets Chilli Sauce1 bowl White Rice1 Fried Egg with Dark Soya Sauce1 bottle Fanta Grape drink (500ml) | Purchased from the office canteen |
| Snack3pm | 1 can Red Bull (330ml)4 pieces Plain Cracker (Flavour: Salt and Pepper) | Eat at work |
| Dinner7pm | ¼ plate Braised Vegetable1 palm size Fried Fish2 Fried Eggs1 bowl of Mixed Brown and White Rice1 small Pear1 can Sprite (330ml) | Wife’s cooking |
| Supper11pm | 1 bottle Fanta Orange drink (500ml)8 pieces Plain Cracker (Flavour: Salt and Pepper) | Felt hungry before sleeping |
Based on the information above, you are required to use the Nutrition Care Process (S.O.A.P) and the Nutrition Assessment Form to discuss the process of disease-nutrition care that your client should receive to manage his medical conditions.
Write a (S.O.A.P.) entry for the Mr Lim Ah Poh.
| Subjective (10%) | |
| Objective (10%) | |
| Assessment (10%) | |
| Plan (10%) | |
| Monitoring (10%) |
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Expert Answers on Above Nutrition Case Study Questions
(S.O.A.P.) entry for the Mr Lim Ah Poh
| Subjective (10%) | Suffering from the issue of type two diabetes and newly diagnosed hypertension. Feeling high stress and regular intake of sweetened beverages. Frequent encounters of late night hunger and stress eating. Food choice selection is highly affected by financial issues. |
| Objective (10%) | The height is 168 cm and the weight is 90 kg which shows as obese person. HbA1c is 8.5% which indicates poor glycaemic control. Fasting glucose is 14.9 mmol/L. BP is 140/95 mmhg. There is high intake of sugary drinks and fried foods and low physical activity. |
| Assessment (10%) | The poor dietary habit is clearly indicated from excessive sugar intake and energy drinks. The knowledge about nutrition is also inadequate. There is high cardiovascular risk because of poor glycaemic control. The main issue leading to diabetes and hypertension is obesity. |
| Plan (10%) | It is important to educate on the meal that is nutritious. The intake of sugary beverages needs to be reduced with water. Healthy meal is quite essential. Needs to make Lifestyle changes and must include physical activity. |
| Monitoring (10%) | Blood pressure along with fasting glucose needs to be monitored regularly. Weight should also be monitored and aim to reduce it. Dietary compliance needs to be reviewed regularly. Lifestyle changes need to be implemented with stress management strategies. |
| This model answer is reviewed by Liling Seow, nursing expert from NUS. Disclaimer: This answer is a model for study and reference purposes only. Please do not submit it as your own work. |
Want a Full Worked Out Answer with References?
Assessments based on nutritional evaluation require good knowledge and understanding about nutritional values which is only possible for a professional nutritionist. The analysis above is briefly done, and if you need detailed answers, consult our Health Care Management experts to get professional guidance and support.
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