Patient
MA

Height: 5 ft 4 in

Weight: 176 lbs

BMI: 30.2

Registered Dietitian

Nikki Vaspra, RD

Insurances: Aetna,Anthem,Blue Cross Blue Shield,Cigna,United Healthcare

Diagnosis and Treatment Plan

Just studying last weekend. Had a date Friday night. Wednesday saw niece and nephew Wednesday and had Costco cake. How do you plan when you go out to eat? Because she usually does not do that often, does not plan ahead of time. Had butter nut squash ravioli, hummus, potatoes and glass of wine. Areas of opportunity discussed around My Plate. Does not cook meat at home, afraid of right temp. She did go to Costco to go shopping. Bought 4 pounds of carrots, broccoli, seasoning for veggies, balsamic vinegar, cherries, cheese omelets for breakfast, Greek yogurt, Kiefer, and nectarines. Regular grocery store got shredded lettuce, grapefruit, apples, Caesar salad kit, deli turkey, cheese chips. Trying to “use bad foods that currently has in house first” before investing in healthier choices Struggle, protein lunch and dinner. Uses crockpot confidently. Currently make crockpot salsa chicken. Water: 86, 82, 93, 114, 77, 99 oz; tracking other drinks too. Reattempting goal. Pictures uploaded, My Plate not properly represented and does not know if hit 25 grams of protein because not measuring only label reading and not doing research. Meal plan discussed. Areas of opportunity discussed and agreeable. Goals made.

Health Buckets Addressed: Physical Activity, Nutrition, Sleep, Stress

Education provided: (5/31) Healthy eating pattern across a life cycle; healthful plate “My Plate.” (6/7) Eating out at restaurant tips and meal prep tips.

Major discussion today: Ways to Meal prep and how to plan when eating out

Last week’s Goals & were they achieved:

1. More time in grocery store for next shopping trip- Yes

2. Download water llama and track water 5 days -yes

3. Breakfast with 25 grams of protein 5 days- Maybe, was not measuring

4. Pictures:  3 different breakfast, lunches, and dinners utilizing “My Plate” and 25 grams protein per meal- Partially, disjointed and unsure of protein amount

What worked? Reading labels, shopping, prepping, planning, using tracking app with reminders.

What didn’t work? Not measuring, trying to “use bad foods that currently has in house first” before investing in healthier choices.

How can we use what worked, or didn’t moving forward? Need to measure and be aware of what is putting in body

What is important to work on this week? What is the smallest improvement we can make here that moves the needle? What are the goals for the week?

1. Meal prep crockpot plain chicken for week

2. Acquire Meat thermometer

3. Track water 5 days

4. Pictures:  3 different breakfast, lunches, and dinners utilizing “My Plate” and 25 grams protein per meal

5. 1 dedicated gym day

Confidence: 8/10

What will lead to success? Using tracking app, alerts/reminders, shopping, planning, prepping, research

What will hinder success? Not planning

Road Map/planning/projecting: Micro and macronutrient basic nutrition education; muscle protein synthesis; frozen vs raw fruits and veggies; importance of physical activity; supplements: fish oil, collagen, and creatine; cranberry orange muffin, popcorn, breakfast sandwich prep.

Topics Discussed

Weight Loss

Appointment History

Number of Sessions: 2

Last Updated: Jun 07, 2024