NUTRITION MANAGEMENT
Identified Nutrition Problems:
1. Undesirable Food Choices
2. Undesirable Weight Status
Management:
> The patient was provided nutrition counseling on low fat, low cholesterol diet
LOW FAT, LOW CHOLESTEROL DIET
>> Avoid deep-fried foods or limit fried foods to less than once a week.
>> Avoid organ meats and skin of animals.
>> Fruits and vegetables are allowed.
>> Modify ways of cooking to boiling and steaming.
>> Fish and lean meat are allowed.
>> Limit saturated fats intake to less than 5% a day.
>> Avoid creams, butter, margarine, lard, pastries and bakery products.
> Diet and meal plan
Total Caloric Requirement: 1800 Calories/day
Total Protein Requirement: 24.8 grams/day
Meal Plan:
Rice and cereals – 8 servings daily
Lean Meat/Fish/Poultry/Egg – 7 servings daily
Milk (non fat) – 1 serving daily
Fruits – 3 servings daily
Vegetables – 4 servings daily
> Avoid sugary foods, including candies and chocolates
> Encourage active lifestyle from active play or patient’s favorite sport or play equivalent to 150 minutes of exercise per week.
> Encourage portion control of food items especially of carbohydrates and proteins.
> Encourage moderation and variety of fish, lean meat, fruits, and vegetables in the diet.
> Encourage consumption of Omega-3 fatty acids
Sources:
1. Tuna
2. Herring
3. Sardines
4. Trout
5. Chia seeds
6. Soybeans
7. Walnuts
8. Salmon
9. Mackerel
10. Flax seeds
MONITORING
The patient was monitored every week and encouraged to write a food diary. Patient was met after 30 days. The patient was monitored after 2 months.
EVALUATION
Ever since following the diet and meal plan, the patient has switched to a healthy diet with the help and support of her family. Her SGPT result came back to normal. She has lost 2 kilos and her fatty liver was already gone.