Dangerous Dan

• Anna Blando• Kim Boardman• Jillian Cordeiro• Kristin Pile• Cornelius Williams

Facts based on initial meeting

• In transition from contemplation to preparation phase

• Type B/3 personality

• Sedentary job (only 25% active)

• BMI 34- Type 1 obesity

Issues to be addressed

• Smoking

• Current injuries (rotator cuff, mechanical dysfunction syndrome, leg length discrepancy)

• Weight Control (Nutrition and Exercise)

• LDL levels/ Blood pressure

• Increased risk of coronary heart disease

• Family Intervention

Smoking (Cessation???)• Theory of Reasoned Action• Beliefs about smoking (add on

Monday)• Habitual stage of smoking (where he

wants to be)

Prescription • Education re second hand smoke and

its adverse effects on asthma• Assist in adherence to exercise• Overall improvement of health (pg

139)

Current Issues

• Rotator Cuff injury (baseball)

• Mechanical Dysfunction Syndrome

• Leg Length Discrepancy

Weight Control

• Ideal weight- 150lbs • Initial weight loss goal- 20lbs (10% of body

weight)Nutrition• Education on portion control and healthy

food choices (cooking)• Alcohol in moderation• Special focus on increased alkaline foods

to aid in smoking cessation

Weight Control cont’d

Exercise

• History indicates readiness for compliance

• Increase activity levels at work (walk more)

• Golf more frequently (use of cart)

Portion Size

• Grain Products 1 serving looks like:• One slice of whole grain bread, ½ cup of rice or

pasta, ½ bagle or bun• Fruits and Vegetables 1 serving looks like:• 1 medium sized fruit or vegetable, ½ cup of real

fruit juice or 1 cup of salad • Dairy Products 1 serving looks like:• 1 cup of milk, 50g of cheese, ¾ cup of yogourt• Protein Products:• 50-100g of meat, poultry or fish, 2tbsp of peanut

butter or 2 small eggs

Healthier Choices

• Trim all visible fat from beef and poultry, and remove the skin from poultry before eating.

• Bake, broil, or roast meat dishes instead of deep-fat frying them. To prevent drying and add flavor, baste with wine, lemon juice, or a low-fat broth.

• Minimize use of butter.• Buy or with predominantly unsaturated oils. Olive oil is

make salad dressings an especially good choice. • Substitute rice and pasta for egg noodles.• Use yogurt instead of sour cream in dips and toppings.

Nutritional Requirements

• Drink at least 8 glasses of water a day• Try and substitute healthier options (as

discussed) when cooking.• Focus on portion sizes • Eat slowly and STOP when you are full• Eat a healthy breakfast that will fuel you for the

entire morning.• Eat high alkaline foods such as…..see table

Cholesterol

• Unhealthy blood cholesterol levels lead to• Heart attack• Stroke• Clogging of the arteries • High blood pressure• Fruits, vegetables, legumes and whole grains

tend to be high in fiber and low in cholesterol.• HDL-Hauls excess cholesterol from the body so High is ok!

• LDL-Leaves plaque deposits on the artery walls so keep this cholesterol as Low as possible.

Next Time

• Next week bring in the family, so that they too will become educated, and improve as a whole.

• Have a great week @ work Dan. I have complete faith in you!!!!