New Era University

No. 9 Central Avenue, New Era, Quezon City 1107, Philippines

College of Nursing
NCM105L-18
Summer Term SY: 2020-2021

Laboratory Exercise 04 – Case Analysis 02 for the Course

NCM105L-18 Nutrition and Diet Therapy Laboratory

Submitted to

Dr. LAMBERTO F. VALERA JR.

Prof. ANELITA R. DELA CRUZ

Submitted by: CON 1B

Ferrer, Allain Rivera, Carel Ken M.

Gallito, Russel Romano, Joanne A.
Mago, Nathalia Andrei U. Sagum, Hanna Arlyn M.
Mallo, Elvem Joy N. Salak, Jean Marielle C.
Mendoza, Rocelle M. Santos, Rose Anne Heart C.
Nicolas, Kate Ann H. Tabelin, Jennever M.
Paloma, Chantal E. Tiu, Rica Mae T.
Pangan, Danica Mae M. Velarde, Arlyn D.
Paqueo, Aubrey T. Villan, Hilway
Pedarse, Lissan V. Villasoto, Allyza Trixia Joyce
Ramirez, Pamela B. Wenceslao, Karen Vannessa J.
Ranes, Jon Kenshin A. Ysagun, Mikaela Andrea S.
Ritualo, Iryna Sheene I.

Case Scenario for Group 2 (Adult Obesity):

Mr. Alex Cabral is a 37-year-old, single parent weighing 110 kg and with a height
of 5 feet 10 inches. He started to gain weight two years ago when his wife died due to
post-partum complications. He mentioned about his weight gain and some health
 New Era University
No. 9 Central Avenue, New Era, Quezon City 1107, Philippines
College of Nursing
NCM105L-18
Summer Term SY: 2020-2021

problems during the interview. Mr. Cabral is currently working as a Toll Gate cashier
and his last annual medical examination was done before the start of pandemic in
March 2019. His BP is 140/100 mmHg and the most significant laboratory results are as
follows:
          Total Cholesterol = 340 mg/dl
          HDL = 40 mg/dl
          LDL = 300 mg/dl
          Triglycerides = 290 mg/dl
          Serum Glucose = 112 mg/dl

1. Formulate at least three (3) applicable nursing diagnoses for Mr. Cabral.
a. ssssssssssss
b. ssssssssssss
c. ssssssssssss

2. What is your analysis and interpretation on the given laboratory results of

Alex?
Ssssssssssss

3. Formulate two goals with 3 specific objectives per goal in order to address the
health problems of the client.
a. ND1
 G1
o O1
o O2
o O3
 G2
o O1
o O2
o O3
b. ND2
 G1
o O1
o O2
o O3
 G2
o O1
 New Era University
No. 9 Central Avenue, New Era, Quezon City 1107, Philippines
College of Nursing
NCM105L-18
Summer Term SY: 2020-2021

o O2
o O3
c. ND3
 G1
o O1
o O2
o O3
 G2
o O1
o O2
o O3

4. What could be the possible causes of Mr. Cabral’s weight problem?

Ssssssssssss

5. Based on the gathered data, what complications Alex may experience if early
interventions were not done?
Ssssssssssss

6. Calculate the DBW of Alex using Ador Dionisio’s formula.

Name: A.C. Age: 37 years old Sex: Male
Height: 5’10” Weight: 110 kgs BMI: 34.8

1. Calculate your own DBW, 5 feet tall, medium built, performing moderate activity.
ADOR DIONISIO’S METHOD TANNHAUSER’S METHOD

DBW = DBW =
2. Calculate the daily energy requirement of the same subject.
NUTRITIONAL MEASUREMENTS ANSWER

1. Basal Metabolic Rate

 New Era University
No. 9 Central Avenue, New Era, Quezon City 1107, Philippines
College of Nursing
NCM105L-18
Summer Term SY: 2020-2021

Kilograms MBS (kg) ¾

5 3.3
10 5.6
15 7.6
20 9.5
25 12.1
30 12.8
35 14.4
40 15.9
45 17.4
50 18.8
65 21.6
70 24.2
80 26.7
90 29.2
100 31.6
1. Determine the DBW in kg of the individual.
= 47.16 kg

2. Determine the basal needs.

Male = 1 kcal/kilo of DBW/hr x 24
= 47.16 x 1 x 24
= 1,018.66 kcal

3. Subtract 0.1 calorie/kilo of DBW/hours of

2. Estimation of Daily Energy Requirement sleep.
Activity Increment = 47.16 x 0.1
kcal / day = 4.72 x 8
ACTIVITY
MEN WOMEN
Sedentary or light work 225 225 = 37.76
Moderate work 750 500 = 47.16 – 37.76
Heavy work 1,500 1.000
Very heavy work 2,500 - = 9.4
= 1,018.66 – 9.4
= 1,009.26 kcal

4. Add the activity increment.

= 1,009.26 + 500

5. Sum = Approximate daily calorie

requirement.
= 1,509.26 kcal
FEMALE MALE
OCCUPATIO
kcal/k
N / ACTIVITY kcal/lb kcal/lb kcal/kg
g
3. Estimation of Total Energy Need
Bed patient 12 25 14 30
= 47.16 kg x 35 kcal/kg
Light work 14 30 16 35
= 1,650.60 kcal Moderate
16 35 18 40
work
Heavy work 18 40 20 44
 New Era University
No. 9 Central Avenue, New Era, Quezon City 1107, Philippines
College of Nursing
NCM105L-18
Summer Term SY: 2020-2021

Tannhauser’s Method

Height in cm = 152.40 cm
(factor) = 100 a
= 52.40

4. Estimation of Energy Balance

(10% of answer obtained to adjust weight to
suit Filipino standard)
= 52.40 x .10
= 5.24
= 52.40 – 5.24
= 47.16 or 47 kg

7. What type of diet will you recommend for Mr. Cabral, why?
Ssssssssssss

8. Calculate the diet of Alex, taking into considerations his health profile.
1. Following the steps in estimating desirable body weight (DBW), calculate your total
energy allowance (TEA).
2. Determine your height = 152.40 cm Actual body weight = 49 kgs
3. Calculate your basal needs = 0.9 x 47.16 kg (DBW) x 24 = 1,018.66 kcal
4. Estimate physical activities = 1,018.66 kcal x 0.70 = 713.06 kcal
Physical needs = approximate percentage increase above basal needs
(use lower factor for women)
Bed rest 10-20%
Sedentary 30%
Light activity 50-60%
Moderately active 60-70%
Severely active 90-110%
5. Add values from 3 and 4 to get TEA = 1,018.66 kcal + 713.06 = 1,731.72 kcal
6. Distribute the total energy allowance among carbohydrates, proteins and fats as follows:

7. For a normal diet, allow 65% of the total energy allowance for carbohydrates,
15% proteins and 20% fats. Thus the corresponding energy contributors of the
three nutrients are as follows:
Carbohydrates = 1,731.72 kcal x 0.65 = 1,125.62 kcal
 New Era University
No. 9 Central Avenue, New Era, Quezon City 1107, Philippines
College of Nursing
NCM105L-18
Summer Term SY: 2020-2021

Proteins = 1,731.72 kcal x 0.15 = 259.76 kcal

Fats = 1,731.72 kcal x 0.20 = 346.34 kcal
Total = 1,731.72 kcal TEA = 1,731.72 kcal
8. Calculate the number of grams of carbohydrates, proteins and fats by dividing
the calories for each nutrient by corresponding physiologic fuel values (CHO and
CHON = 4 kcal/g and Fat = 9 kcal/ g).
Carbohydrates = 1,125.62 kcal/ 4 = 281.41 g
Proteins = 259.76 kcal/ 4 = 64.94 g
Fats = 346.34 kcal/ 9 = 38.48 g
9. For simplicity and practicality of the diet prescription (Rx), round off calories to
the nearest 50, and carbohydrates, proteins and fats to the nearest 5 g. Thus,
your diet prescription is:
Diet Rx: 1,732 kcal/day
281 g Carbohydrates
65 g Proteins
38 Fats

9. Prepare a one-day menu plan, emphasizing the type of diet you have
recommended in problem number.
 New Era University
No. 9 Central Avenue, New Era, Quezon City 1107, Philippines
College of Nursing
NCM105L-18
Summer Term SY: 2020-2021

A. Meal Plan for Normal Diet (kcal: carbo; protei; fat)

CHO CHON Fat Energy Meal Distributions
Food Exchanges No. of Exchanges
g g g kcal B L D Snacks
12 + 4.80 + 2.70
aaaaa aaaaa aaaaa aaaaa
= 19.50 kcal
1. Vegetables 44 + 14.80 + 5.40
aaaaa aaaaa aaaaa aaaaa
= 64.20 kcal
100 + 2 + 2.70
aaaaa aaaaa aaaaa aaaaa
= 104.70 kcal
108 + 5.20 + 3.60
3. Fruits aaaaa aaaaa aaaaa aaaaa
= 116.80 kcal
44 + 1.60 + 0.90
aaaaa aaaaa aaaaa aaaaa
= 46.50 kcal
64 + 17.20 + 37.80
aaaaa aaaaa aaaaa aaaaa
= 119 kcal
6. Milk
104 + 6.80 + 4.50
aaaaa aaaaa aaaaa aaaaa
= 115.30 kcal
96 + 17.60 + 15.30
aaaaa aaaaa aaaaa aaaaa
= 128.90 kcal
180 + 17.20 + 3.60
8. Rice aaaaa aaaaa aaaaa aaaaa
= 200.80 kcal
192 + 88 + 126
aaaaa aaaaa aaaaa aaaaa
= 406 kcal
16.40 + 44 + 90
aaaaa aaaaa aaaaa aaaaa
= 150.40 kcal
11. Meat
1.60 + 31.20 + 72
aaaaa aaaaa aaaaa aaaaa
= 104.80 kcal
95.60 + 0 + 0
13. Sugar aaaaa aaaaa aaaaa aaaaa
= 95.60 kcal
56.40 + 2 + 0.90
14. Fat & Oil aaaaa 14.10 0.50 0.10
= 59.30 kcal
 New Era University
No. 9 Central Avenue, New Era, Quezon City 1107, Philippines
College of Nursing
NCM105L-18
Summer Term SY: 2020-2021

TOTAL 279 g 63 g 41 g 1,732 kcal

B. Sample Menu for a Normal Diet

Breakfast Lunch Dinner

Snacks
AM Snack PM Snack Midnight Snack

10. Develop a health teaching plan for Alex, include the necessary visual aids.
 New Era University
No. 9 Central Avenue, New Era, Quezon City 1107, Philippines
College of Nursing
NCM105L-18
Summer Term SY: 2020-2021