What steps might you use to assess Mr. Kim's readiness for ...

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What steps might you use to assess Mr. Kim's readiness for dietary and behavior change?
 
  What will be an ideal response?

Question 2

Determine Mrs. Smith's energy and protein requirements. Explain the rationale for the method you used to calculate these requirements.
 
  What will be an ideal response?

[meow1234]

Answer to Question 1

 Motivational interviewing
- Probe for interests and allow for self-evaluation
 Transtheoretical Model (Stages of Change)
- Identify stage of change and you appropriate counseling techniques to move to the next stage
 Health Belief Model
- Examine perceived benefits/barriers to lifestyle/behavioral changes

Answer to Question 2

Energy requirements:
30-35 kcal/kg x 56.8 kg = 1705-1989 or 1700-2000 kcal/kg
The 30-35 kcal/kg nomogram was chosen since she is fairly active and her IBW was used to estimate her needs. To continue weight loss, she should aim for 1300-1500 kcal/day (500 kcal/day deficit with 1300 kcal/day being the minimum).

Protein requirements:
1.0-1.2 g/kg x 56.8 kg = 57-68 g/day
This range was chosen as she is a non-stressed cancer patient.

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TYSM

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Excellent