Problem: Kevin Malone is a 64-year-old retired male. He is 5 feet 8 inches tall and weighs 240 pounds. He has a personal history of hypertension and hypercholesterolemia since 1993. He has no other known history. He is taking a statin drug and an ACE inhibitor drug for the conditions mentioned above. He loves fast-food. He has reported being very thirsty and using the restroom more than usual. He also says he has not been feeling well lately. He is in the clinic waiting for his lab results.
Lab Value
Total Cholesterol 300 mg/dl
LDL 200 mg/dl
HDL 30 mg/dl
Triglycerides 600 mg/dl
Hgb A1C 8.5%
Q1. Develop 5 specific questions you would want to ask Kevin. Provide rationales to questions. (Think about what information you will want to know to answer the questions below).
Q2. What risk factors do you see Kevin has? (Consider how these risk factors may be related to each other or compounded.)
Q3. What type of nutrition teaching would need to be provided to this patient?
Q4. Kevin says the clerk at check-in asked him about advanced directives, and he wants to learn more about this. He states, "I am afraid of these scary decisions. Will they put a tube in my nose to feed me if my diet is out of control?" How would you respond to the patient? Use the Code of Ethics to help guide your answer.