A 75-year-old female client reports that she has lost 20 pounds in the last 3 months and now weighs 100 pounds; she is 5?3?. She complains that food has lost its taste, and when she does eat, she develops severe heartburn. She is now in your office for assessment. Her daily intake is 1000 calories with 35 grams of protein. A sampling of her typical daily menu is as follows:
$$\begin{array} { l l }
1 \text { cup nonfat milk } & 1 / 3 \text { cup cooked rice } \
1 \text { medium apple } & 1 / 2 \text { cup cooked zucchini } \
1 \text { slice bread } + 3 \text { Tbsp butter } & 2 \text { oz ground beef } \
1 \text { cup black coffee } + 3 \text { Tbsp sugar } & 1 \text { cup orange juice } \
& 1 \text { oz cheddar cheese } \
& \text { Black coffee } \
& 2 \text { martinis before dinner }
\end{array}$$
Which diet-related activity would likely help with the client's heartburn?

Question

A 75-year-old female client reports that she has lost 20 pounds in the last 3 months and now weighs 100 pounds; she is 5?3?. She complains that food has lost its taste, and when she does eat, she develops severe heartburn. She is now in your office for assessment. Her daily intake is 1000 calories with 35 grams of protein. A sampling of her typical daily menu is as follows:
$$\begin{array} { l l } 
1 \text { cup nonfat milk } & 1 / 3 \text { cup cooked rice } \
1 \text { medium apple } & 1 / 2 \text { cup cooked zucchini } \
1 \text { slice bread } + 3 \text { Tbsp butter } & 2 \text { oz ground beef } \
1 \text { cup black coffee } + 3 \text { Tbsp sugar } & 1 \text { cup orange juice } \
& 1 \text { oz cheddar cheese } \
& \text { Black coffee } \
& 2 \text { martinis before dinner }
\end{array}$$
Which diet-related activity would likely help with the client's heartburn?

Quizplus · Accepted Answer

The client's complaints of heartburn and loss of taste are consistent with GERD or acid reflux disease, which can be exacerbated by high-fat meals. Restricting herself to a low-fat diet would be the most effective way to address her symptoms. The other options may have other benefits but are unlikely to directly address her heartburn.

A 75-Year-Old Female Client Reports That She Has Lost 20