to clarify question number 13 ( you must name three changesthat she should make, that 24-hour recall is showing that she isnot doing to help with her cancer prevention )
and for number 14 ( you must give her advice about plant-baseddiets ( vegetarian) and how it is useful or not useful for cancerprevention, and if she should be taking any supplements when on avegetarian diet.
answer based on case study
Transcribed Image Text from this Question
‘Case Study Report: Breast Cancer Survivor Mrs. S is a 61 years old patient who presented to the clinic for a check-up. She had Stage II Breast cancer and was on chemotherapy and radiotherapy. She is now in remission and needs advice on how to continue to live a healthy life. Disease Onset: Stage IIB invasive ductal carcinoma T2NlmiMo PMH: T2DM PSH: s/p hysterectomy, s/p R mastectomy, s/p deep inferior epigastric perforator flap reconstructive surgery 6 weeks ago Medication: Metformin Tobacco use: none Family Hx: mother and sister had breast cancer Labs: Glucose 137; CRP 1.1; Chol 210; TG 155; HbA1c 6.8; Hgb 11.9; Hct 36; transferrin 385; Anthropometrics: Height: 165 cm, Weight: 79.5 kg, UBW: 88 kg Diet Hx: lost weight 9 kg due to chemotherapy and radiotherapy; appetite is returning to normal; wants to continue to lose weight; interested in changing diet to prevent cancer reoccurrence. Diet: 24-hr recall: 1 c coffee; 1 c Cheerios w/ 1/2 cup strawberries, 1 c almond milk; 2 c coffee, granola bar; 3/4 c tuna salad (with egg and mayo) in tomato, 20 wheat thins, 1 can diet cola; 250 gram grilled steak, 1 large baked potato (w/butter, salt, pepper), salad (lettuce, spinach, croutons, sliced cucumber) w/ 3 tbsp ranch dressing, 1.5 cups wine; 90 gram cheese w/10 wheat thins (-2926 kcal, 117 g pro, 18 g fiber, 45% fat) Physical Activity: walks dogs for 1 km twice a day Alcohol: 1-2/week (wine) V. Nutrition Intervention 13. Identify three major changes in Mrs. S’s dietary intake that would be consistent with cancer prevention guidelines, allow for continued weight loss and support the care of her Type 2 Diabetes. 14. Mrs. Smith has asked about becoming a vegetarian. Describe your response to this question and provide an evidence-based rationale for your recommendation.
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