INTRODUCTION

Good day everyone, we are group 1, and today we will be discussing our group case
presentation. I am julie ann tolentino, alongside my co-presenter, Jermaine Sivillia and Celistine
Anne Abiog here to showcase our meal plan output. So let's start the presentation by analyzing
the case scenario that was assigned to us.

A 28 year old female, 5’4”, with a weight of 84 kg has a history of duodenal ulcer, she
complains that she easily get some stomach cramps if not eating and when she eats, the
cramps easily resolved.

- so for the overview, duodenal ulcer is a sore that forms in th upper part of small intestine.
So this one will be further explained later on the Anaphy and pathophyio part of our
discussion

She has also a history of peanut allergy that makes her go asthmatic. 2 days prior to visit,
she felt difficulty of breathing while taking flight of stairs on the overpass to ride the bus.
The physician run some blood test and revealed that she has high total cholesterol levels and
a borderline high fasting blood sugar, as a nurse, what are your diet plan and the rationale
for choosing the diet

so as you can see on the screen, we highlighted some data on our case scenario. We used
these data to serve as our baseline data in forming our meal plan. So before we go into that
part, let’s discussed first the anaphy and pathophysio of duodenal ulcer that will be presented by
ms. sivlla
DIET COMPUTATION

So for the diet computation, first we have the DBW and the BMI. So our patient has a desirable
weight of 56 kg and a BMI of 31.8 which is classified as obese 1 in the WHO classification and
obese 2 in the Asian classifcation. This BMI of the patient may cause her to develop metabolic
diseases such as diabetes mellitus since it also stated on the case scenario that she has a high
cholesterol and sugar level.

Then the next thing we do is to compute the TER to get the Diet prescription for our patient. So
we have multiplied the 56 kg DBW of the patient to the 30 of physical activity level. So we have
chosen to score 30 or sedentary to the patient since the patient stated that she has difficulty
climbing the stairs of the overpass, by this our group conclude that she must have little or no
activity in her daily life since she gets easily tired. So now we have a diet prescription of 1680
kcal for energy. Then we allotted 60% of carbohydrates, 15% of proteins, and 20% of fats and
multiplied it to 1680 kcal then we divided these nutrients into their corresponding physiological
value. So now we have the total of all diet prescriptions which are 1680 kcal for energy, 250 for
carbohydrates, 60g for protein, and 20 g for fats.
PM SNACK

So for pm snack we have prepared the banana cue. So we only have 3 ingredients for this, we
have the saging saba for the rice A, 2 tbsp of olive oil for the fats and brown sugar. So in
preparation for this meal , we have coated the banana saba on brown sugar and deep fried it in
olive oil. We have chosen this recipe as our pm snack since it is easy to prepare and the
ingredient is widely available to the market. Aside from that we also consider the health benefits
that the patient can from this meal. First we have the,

Banana saba- which is very beneficial in curing stomach ulcer because of the antibacterial
compounds that can be found in bananas that inhibit the growth of H. pylori which is a bacteria
that damage the protective lining of the stomach and small intestine. It also helps clear out the
acidity of gastric juices, decreases inflammation, and strengthens the stomach lining.

Canola oil- So we have chosen canola oil as our fat since it has a lipoLLA which is a lipid fat that
contains a-linolenic acid. This component aids in getting rid of the colonization of H.pylori and
lastly we add a little amount of brown sugar for the taste.
Moving on to our Supper Meal
So we have chosen brown rice as our rice b, apple for the fruit, broccoli for the vegetables,
tamban fish for the low fat meat, yogurt plain skim for the milk and olive oil for the fat.

Our rice choice for the patient is the brown rice since brown rice is rich in fiber that helps to
decrese the gastric acidity, it also supports the supports healthy cholesterol levels and aids in
the control of diabetes.

The Tamban fish was fried in olive and we chose this as our low fat meat since it contains an
OMEGA 3-fats that reduce inflammation and help prevent more ulcers by lessening the
damaging effects of gastritis.

Our chosen vegetable is brocoli because it boosts the production of mucus in gasttointestinal
tract and aside from that it also contains a compenent called sulforaphane which according to
research studies it can cure stomach ulcer and kill the H.pylori bacteria.

On the other hand, we chose apple as our fryit because it is rich in fiber which reduces the
stomach acidity and relieve bloating and pain. It also has a component called polyphenols,
where in it helps to speed up the healinh process on the stomach lining and has anti oxidants
that fights off the H.pylori bacteria

Lastly, instead of whole milk, we chose the plain yogurt skim because whole milk it can actually
worsen the pain of the patient since it produces more acid in the stomach. While on the other
hand, the yogurt contains a good bacteria called probiotics which helps to fight off the h.pylori
bactetia and promoties the restoration in the stomach lining.