Lenora is a 57-year-old Caucasian female who works in a hospital as a desk clerk

Question

Lenora is a 57-year-old Caucasian female who works in a hospital as a desk clerk. She lives alone in a two-bedroom apartment and says that she is often "tight for money." She is in the process of going through a divorce and is dealing with the emotional and economic problems of the process. She has three children: a son and daughter who are married, and another daughter who attends college across the country. Both of her parents are deceased. Lenora h a in the family," and that two siblings have hypertension. Lenora is taking atenolol (Tenormin) and as been diagnosed with hypertension nd clinical depression. She says that hypertension "runs citalopram (Celexa) She is 5' 5" tall and weighs 181 pounds with a large frame size and a BMI of 30.1 (obese). Prior to treatment her blood pressure was 150/105, but currently is controlled. At her most recent check-up, her blood pressure was 112/84. Lenora states that because she lives alone, she infrequently shops or cooks for herself. For breakfast she drinks a cup of coffee with a large garden salad with shredded Swiss cheese, olives, and about 6 oz of ranch dressing. She eats dinner out at least three times a week with friends and usually selects pizza, pasta, chicken, and seafood. For snacks, she enjoys chocolate candy, popcorn, and colas. When eating out she usually has alcoho typically drinking a couple of glasses (16 oz.) of Amaretto Sours. Lenora states that when she selects foods to eat, she does not consider their nutritional value. She sees eating and drinking socially with her friends as one of her primary means of relieving stress or tension When Lenora gets home from work, she is often too tired to go the gym, even though it is readily accessible in her apartment complex. She walks with a friend twice a week for about 30 minutes. However, she said that this activity is more for social contact than for exercise. She states that she feels guilty about not going to the gym, bu t has not caused her to change her behavior granola bar or a bag of microwave For lunch she usually eats a 1. 2. 3. What are some of the complications of uncontrolled hypertension? What risk factors does Lenora have that are associated with the development of hypertension? Aside from dietary changes, what other lifestyle changes can Lenora make that may improve her 4. 5. 6. 7. blood pressure? What general dietary recommendations would be helpful to Lenora? What recommendations might you make to Lenora about weight reduction and exercise? What potential diet-drug interactions are important to share with Lenora? How might Lenora's depression affect her nutritional status?

Explanation / Answer

1.

Complications of uncontrolled hypertension include;

Heart attack or stroke due to thickening of the arteries (atherosclerosis).

Weakened and narrowed blood vessels in the kidneys.

Loss of vision due to thickened, narrowed or torn blood vessels in the eyes.

A cluster of disorders of our body's metabolism, such as increased waist circumference; high triglycerides; low high-density lipoprotein (HDL) cholesterol, the "good" cholesterol; high blood pressure; and high insulin levels.

Ability to think, remember and learn i.e. memory is affected.

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