Cardiovascular Case StudyMr. Bob and his wife live with their daughter and her teenage children. Mr. and Mrs.
Bob. usually go grocery shopping for the family, and his wife and daughter prepare
meals. A diet history reveals that the family eat fried fish or chicken about four times
a week, pig’s feet or ham hocks for the remainder of the week for supper. Common
side dishes are corn, okra, grits, cornbread, sweet potatoes, black-eyed peas, and
fried greens. For cooking, they use lard, salt pork, or bacon drippings. Their usual
beverage is juice or sweetened lemonade. The family typically have cereal and toast
for breakfast with a generous quantity of bacon and eggs. Last year, Mr Bob. joined
an exercise program at the senior center but participates once a week. He eats lunch
at the senior center once a week whenever he goes for physical activity. Mr. Bob’s
BMI is still in the obesity range and he has gradually gained a few pounds. He gets
little or no additional exercise at home and continues to complain of “getting
winded” when he walks across the parking lot.
1. What nutritional modifications would you discuss with Mr. Bob to help
minimize worsening of his cardiovascular disease?
2. To minimize the worsening cardiovascular disease, create an ideal meal plan
for Mr. Bob and his family.
3. What lifestyle modifications would you discuss with Mr. Bob to help promote
his heart health and minimize worsening of his cardiovascular disease state?
4. What health education and resources would you provide to help Mr. Bob and
family ?maintain a healthier lifestyle?