Patient
BG

Height: 5 ft 11 in

Weight: 220 lbs

BMI: 30.7

Registered Dietitian

Derrick Dawson, RD

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

Diagnosis and Treatment Plan

Client stated energy has been doing well since she has been getting sleep.  Client has been getting to the gym.  Client was advised to increase water intake.  Client was advised to do more cardio as well to help with fitness goals.  Client has been dealing with post gastric surgery syndromes with food. Client had abdominal pain and had to be checked out at the hospital.  Client suspects sharp pain can be attributed to GERD, in which she is using Tums.  Client has been eating higher fat foods. Advised client to limit the number of foods and try to eat leaner protein sources to meet her needs.  Client was also advised to continue to work on drinking water and incorporating more fresh fruit in diet.  Client was also advised to reduce processed foods as well. Client craves the savory fat portion of the pork as  I reason for recent consumption.  Client was advised to eat more veggies in her meals.  Client was given ways to add veggies to her meals.  Client was advised to lower fat content in her meals.  Client was recommended to eat more fresh fruits as well. Client was advised ways to incorporate food choices for fish.  Client was advised ways to manage carbs.  Client has been eating oreo thins.  Client was advised ways to minimize dessert intake. Client has been making decisions in regard to food choices.  Client has had a frustrating day but is trying to do better. Client is an indecisive and spontaneous eater.  Client stated she will do better in regard to making choices when she is eating.  Client appears to still be well motivated to reach health goals.

Nutritional Diagnosis

Client has excessive fat intake, caused by excessive fatty food intake, evident by self-reported dietary recall

Client has excessive sodium, caused by excessive sodium intake, evident by self-reported diet recall

Client has inadequate fiber intake, caused by excessive fiber intake, evident by self-reported diet recall.

Intervention

Client will reduce fat

Client will reduce sodium intake

Client will increase fiber intake

Monitoring

Client will reduce fat in 4 weeks.

Client will reduce sodium intake in 4 weeks.

Client will increase fiber intake in 4 weeks.

Topics Discussed

Eating Disorders & Disordered Eating,Bariatric

Appointment History

Number of Sessions: 5

Last Updated: May 31, 2024