Samuel is a 63-year-old single man who works full time in a food processing plan

Question

Samuel is a 63-year-old single man who works full time in a food processing plant. He has a history of esophageal cancer which was treated successfully with anti-cancer drugs and surgery four years ago. His weight has been stable at 135 pounds until the past 6 months, in which he has experienced an involuntary weight loss of 10 pounds. He is 67 inches tall and his current BMI is 19.5. He complains of a poor appetite and being overly weak and tired. His usual diet is fairly consistent. He states he rarely eats breakfast because he starts work at 6 a.m. He eats two deli meat sandwiches, “usually pastrami or salami,” and a soda at 10 a.m. and may eat a candy bar in the afternoon when he gets off work. He often prepares frozen dinners or pizza at home in the evening and routinely drinks “about 2 or 3 beers” before going to bed. Occasionally he will cook a roast and mashed potatoes. He occasionally will have milk with cereal but rarely eats vegetables or fruit. He would like to know which vitamin supplement will give him energy. 1. How would you explain the function of vitamins in response to Samuel’s request? 3. Using information from Figure 10-4, list one or two good sources of thiamin from each of the foods groups that Samuel could add to his diet. 5.Based on his medical and diet history, explain why Samuel may be at risk for folate deficiency. 6.Based on his medical history and information in this chapter, how would you advise Samuel regarding his complaints of fatigue and weight loss? 7. Would you recommend a daily multivitamin supplement for Samuel based on the history he has provided? Why or why not?

Explanation / Answer

1.Vitamin D has promised as an anticancer agent due to its diverse biological effects on tumor differentiation.There is protective role of vitamin D in esophageal cancer.So therefore Vitamins have very vital role.

3.Nuts,fish, lean pork,green peas,dry roasted soya beans,seeds are all good sources of thiamin

5.Folate is a water soluble vitamin B.There is an association of folate levels with esophageal cancer.Low levels of folate increases the risk of Cancer.So therefore increase in the intake in esophageal cancer is important.

6.Getting proper nutrition while easing the difficulty of swallowing is a must to keep up the strength when you are treated for esophageal cancer.You should find food with enough nutrients and calories to keep up the weight and energy level manageable to swallow.

7.I will recommend Beta Carotene since it has antioxidants in the carrot form.The nutrients and essential minerals of the carrot is one of the powerful natural product on Earth.

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