Running head: CASE STUDIES

Physical Exercises and Dietary Recommendation for Fibromyalgia and CVD: Hypothetical
Case Studies
Name
Institution
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Case 1
Mary is a woman aged 40 years and is suffering from Fibromyalgia disorder. In most cases,
she started by complaining much about general fatigue every morning she wakes up. She also
complains that she has frequent urination and normally has headaches that affect her life
negatively. In most cases when she wakes up, her neck is always stiff and pains a lot. This
pain spreads across the whole body where she experiences discomforts in walking and
performing other tasks. After being taken to a hospital by her husband, the doctor elaborated
that the treatment of the disease would be achieved through a physical exercise prescription.
Based on the nature of her condition, Mary commented that she was afraid that she would not
adhere consistently to the set prescription. However, the nurse encouraged her that if she
followed the recommendations effectively, her health state would go back to normality. She
therefore accepted and remains hopeful that she will overcome the disorder. The following is
the prescription given to the patient by the nurse.
Health Recommendations:
Mary started a macular physical exercise that goes for tree times per week (American
College of Sports Medicine, 2013). This consistency changed from when she was starting the
prescription. During the first days of the therapy, she was doing it at the rate of 2 times per
week. This exercise aims at reducing the musculoskeletal pain as well as fatigue. Of late,
Mary has reached an intensity of 40% HRR since she started the exercises. According to the
prescription, she is expected to attain at least 60% and above HRR by the end of the first two
weeks (American College of Sports Medicine, 2013). The exercises which are mainly
targeted on the resistant muscles should be done for a minimum of 10 minutes per day since
the first day of diagnosis. Currently, Mary is at 30 minutes per day. This factor illustrates that
she is almost hitting the expected duration for the exercises that are set at a standard level of
60 minutes daily. There are many recommendations for patients like Mary. For example,
cycling, water exercising, and walking. However, Mary prefers cycling for around her
homestead to ease the pain in her joints. She hopes that the disease will come to an end with
the exercise that is supposed to be carried out for a minimum of two months.

Case study 2
Ken is a young man aged 56 years and is suffering from cardiovascular disease. His height
is 150 cm. Currently, his weight stands at 70.6 kg. The Body mass index stands at 21.5
kg/m2. The recent assessment of the rate of heartbeat was 60 beats per minute. He also
experiences a low blood pressure rate of assessment of 122/78 mm Hg. On the other hand,
the cholesterol amount in the blood stands at 186 mg/dl. The HDL stands at 186 mg/dl.
Finally his FBG is at 4.84 mm/dl.
An analysis of his family background illustrated that his mother died of a cardiac failure
when she was 70 years. His father died of a kidney failure at the age of 78 year. The patient
regularly suffers from Angina in some instances which develop to critical conditions and thus
he has been admitted to various health facilities. When this condition attacks him, he
complains of challenges in breathing. He also exhibits symptoms of fatigue and dizziness in
most times. In the health facility, the doctor advised him to change his diet and do some
physical workout regularly to reduce the challenges of the disorder. Despite the fact that he
values his life dearly, and is trying to curb the disorder by reducing the challenges, ken
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complained that the environment he lives in and the responsibilities he has are challenging for
him to adhere fully to the prescribed practices.
Ken is a manager at am Information technology firm in town. He works from his home daily
using his computer from 8:00 to 9:00 pm. Therefore, he is always tied up by numerous tasks
that limit him from walking out of his house. He also lives with his wife and daughter who
love eating Chips and fried beef. Therefore, he eats the food constantly (thrice a week)
despite the fact that his doctor had warned him. On the other hand, he does not concentrate
on physical exercises many times when he is busy at his work desk. Therefore, for the last
eight months, he has been having challenges in coping with the set health prescription.
However, he articulates that he tries to jog at 5: 00 am-7: 00 am for the last 8 months with
hope that his condition will regain and he will achieve his dreams. He noted that his family
was the main challenge since they influence him to go against the dietary and physical
exercise requirements
Nutrition Recommendations:
Primarily, the cardiovascular disorder is one of the diseases that are caused by bad dietary
habits as well as bad living styles. The disease affects the heart and blocks the arteries. This
condition leads to inadequate flow of blood and oxygen in the body. In most cases, patients
suffering from the disease may have severe symptoms like chest pain, low blood pressure,
and even death. Thus, the disease should be well managed and the patient changed in term of
his or her behavioural modes of living. It is important to note that changing a habit is one of
toughest battles that a patient can tackle unless given the right procedures and interventions
by the family and the nurses. As a result, it is important for Ken to adapt to the following
recommendations.
One of the recommendations is the physical exercises (Hoeger & Hoeger, 2015).
Exercising the body helps to burn excess cholesterol in the body. In this case, Ken exhibited a
high rate of blood fats. These fats are the ones responsible for the blocking of the arteries
around the heart. Thus, conducting a physical exercise plays an important role in the body.
Notably, the exercise is supposed to be regular and consistent. Ken should therefore make a
routine and ensure that every day; he at least exercises through running, jogging, or even
push ups.
On the other hand, it is important for Ken to change his diet. Specifically, the uptake of
beef which has high levels of protein (Above the concentration of 3.5 gram per pound) should
be stopped. The meat also consists of high levels of cholesterol which mainly contributes to
the blockage of the heart arteries. Instead, Ken should eat fruits and other natural foods to
prevent the build-up of fats in the body. Finally, ken should adhere to the given medication
to unblock the heart arteries. In most cases, cardiovascular diseases are mainly subjected to
ACE inhibitors drugs like Lotensin. He should therefore follow the prescription to keep his
body fit.
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References
American College of Sports Medicine. (2013). ACSM's guidelines for exercise testing and
prescription. Lippincott Williams & Wilkins.
Hoeger, W. W., & Hoeger, S. A. (2015). Principles and labs for fitness and wellness.
Cengage Learning.