What patient-centered suggestions would you make for better food choices for Bill when eating out or cooking something quick at home with reference to the case study.
Case Study: Sodium Intake Bill is a 45-year-old bachelor who eats a grab-and-go breakfast, all of his lunches out, and has take-out or something easy for dinner. Bill’s doctor is concerned that his blood pressure is progressively rising with every office visit and has advised him to “cut out the salt” to lower his sodium intake. Bill rarely uses a saltshaker for salt and is unsure what else he can do to lower his sodium intake. A typical day’s intake is as follows:Breakfast: Black coffee, 2 jelly doughnutsMidmorning snack: Black coffee, cookiesLunch: 2 fast-food tacos with tortilla chips and salsa or a 6-inch cold cut submarine sandwich with potato chips and a colaMidafternoon snack: candy barDinner: if take-out, then Chinese food or pizza, if “something easy” then boxed macaroni and cheese with a couple of hot dogs, canned soup with a cold cut sandwich or frozen TV dinnerDessert: Instant pudding or ice cream or candy barEvening snack: Cereal with milk or potato chips and dipAfter reviewing Bill’s meals from yesterday answer the following questions:a. What foods may be contributing to high sodium levels in his diet?b. What patient-centered suggestions would you make for better food choices for him when eating out or cooking something quick at home?c. Knowing that potassium may help blunt the effect of high sodium intake on blood pressure, what foods would you recommend he add to his diet that would increase his potassium intake?
