Wednesday, July 17, 2019

Patient X Essay

tolerant Xs doctor has been trying to convince him to practice break up lifestyle habits to for several years to attend contend his hypertension (on antihypertensive medication for 3 years), diabetes (6 years) and evolution waistline. A recent routine check-up revealed a alloy of his lipid profile (TC 260, TG 310, HDL 29, LDL 170) and continence glucose of 172. Patient X is 55 years old, weighs 245 lbs and he is 510 .1) Hypertension Weight break to lower the jeopardys associated with hypertension include a nutriment low in sodium and high in potassium. The risk of hypertension is lower when salt ingestion is lower and potassium wait ons reduce blood bosom by increasing the amount of sodium excreted in the urine. The DASH eating plan is the best picking for maintaining hypertension. Physical activity is excessively a major lifestyle modification that should be adopted. Engaging in regular aerobic sensible activity much(prenominal) as a brisk walk will lower the risk of hypertension.Diabetes A diet to help control diabetes in any case focuses on weight management. emit glycemic index diets have been shown to reduce complications associated with diabetes. Exercise is in like manner a key factor to controlling diabetes. A 3-5 days of the week exercise, which focuses on caloric using up and duration rather than intensity, has been proven to increase insulin esthesia and glucose tolerance. *Exercise can reduce other risk factors such as weight control, lipid profile, and hypertension. lipoid Profile Elevated triglycerides are best inured with increased physical activity and weight reduction. aerobiotic exercise, weight reduction, skunk cessation, and moderate alcohol utilisation will favorably affect HDL-C and lower LDL-C. aft(prenominal) comparing these three aspects, it is easy to describe that a diet focused on weight management, smoking cessation, and physical activity involving aerobic exercise will greatly lower Patient Xs risk fac tors for hypertension and diabetes.2) Suggesting that Patient X amaze the DASH diet would be the first orchestrate to start. The DASH diet includes an easy-to-use chart which helps plan menus. It as well as includes items that people generally like to eat, just in less moderation and with more fruit and vegetables. To help Patient X quit smoking, there are prescriptions or over the counter patches that will endure cessation. There are also therapy groups that Patient X could try if addiction proved to be too great. Exercising with someone, a friend or satisfying other is always easier than exercising alone. I would pop the question that Patient X find an exercise pal and possibly start a gym membership. If they liveliness this isnt the right choice for them, then even out walking around their block for 30 minutes allows some form of aerobic exercise in their life.After 6 months I would expect to see a lower blood pressure if Patient X had indeed been participating in physi cal activity. Improvement in blood pressure among hypertensive, takes subject within the first few weeks. I would also expect to see major improvement in total cholesterol, LDL-C, and triglycerides if the proper diet was maintained. I would also expect to see an increased insulin sensitivity and glucose tolerance. A drop in BMI will also be indicated.

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