Exchange Project

EXCHANGE PROJECT

NAME: ______

Exchange Project

BEK is a 54 year old male, working as an accountant, who presents with fatigue, polydipsia, frequent urination, recent weight loss and irritability. PMH significant for MI in 2011 and HTN.

Anthropometric data and calculations:

ABW or current weight on day of admission: 245 lbs (111kg)

UBW 3 months ago: 255lbs(116 kg)

Height: 6' 1" (180.34 cm)

BMI: 32.3 (class 1 obesity)

What is BEK’s % UBW?

What is BEK’s % IBW?

Why do you suspect BEK has recent weight loss?

Provide 1-2 PES statement(s)

Calorie (kcal) Recommendations and Breakdown:

BEK is reluctant to try medications to treat his newly DMII diagnosis (dx) although is willing to try a carb counting diet. Based on his current weight, sedentary lifestyle and desire to lose weight, calculate BEK’s daily caloric recommendation using the Mifflin-St Jeor equation. Show your work and be sure to include an appropriate activity factor based on the information above.

Based on the caloric recommendation above, please write meal plan that uses the exchange system:

Total daily caloric recommendation (from above): ______

Percent (%) of kcals from CHO: ______

Grams of CHO/day: ______

Percent (%) of kcals from PRO: ______

Grams of PRO/day: ______

Percent (%) of kcals from FAT: ______

Grams of FAT/day: ______

Exchanges

DO THIS IN PENCIL- YOU WILL ERASE A LOT

For simplicity assume all recommendations from the dairy and meats are fat-free or very lean

Grams of CHO per serving of the food groups below / Grams of PRO per serving
of the food groups below / Grams of FAT per serving
of the food groups below / Your recommendation for BEK of servings per day / Grams ofCHO provided byyour recommendation / Grams ofPRO
provided
byyour recommendation / Grams ofFAT provided byyour recommendation / Calories fromCHOprovided byyour recommendation / Calories fromPRO provided
by your recommendation / Calories fromFAT provided byyour recommendation
Fat-free or low-fat dairy: / Fat-free or low-fat dairy: / Fat-free or low-fat dairy: / Fat-free or low-fat dairy:
Vegetable: / Vegetable: / Vegetable: / Vegetable:
Fruit: / Fruit: / Fruit: / Fruit:
Starch: / Starch: / Starch: / Starch:
Lean and Very lean Meat: / Lean and Very lean Meat: / Lean and Very lean Meat: / Lean and Very lean Meat:
Fats: / Fats: / Fats: / Fats:

MEAL PLAN

Now you know how many servings of dairy, vegetables, fruit, starch, meat and fats BEK needs every day. Using the exchange booklet write a sample meal plan for BEK.

Breakfast:

Snack:

Lunch:

Snack:

Dinner:

Snack:

Rubric

Completed correctly Excellent work / Completed Correctly
Good work / Completed
Fair work / Poor work/Not attempted
Anthropometric data and calculations / 5 points / 4 points / 3 points / 0 points
PES Statement(s) / 5 points / 4 points / 3 points / 0 points
Calorie Recommendation and breakdowns / 5 points / 4 points / 3 points / 0 points
Exchanges / 10 points / 8 points / 6 points / 0 points
Meal Plan / 5 points / 4 points / 3 points / 0 points