John, 78 years old, is a sometimes homeless veteran. He is missing many teeth from years of no dental care. John receives a monthly retirement check but he has great difficulty meeting his monthly bills, let alone buying enough food, and this has caused many evictions. When he can afford them, John has his prescriptions filled for a diuretic (for high blood pressure) and a statin (for high cholesterol). John isnt sure what his current weight is, but he has had to tighten his belt to the last notch over the past eight months. He has no family with whom he is still in contact, and he eats all of his meals alone. At a neighbors insistence, John is visiting the local senior center to eat lunch for the first time. The day he visits, each person is having a free nutrition screen completed by a program staff member.3.) What parts of the nutrition education handout created by the University of Florida IFAS Extension (access athttp://edis.ifas.ufl.edu/he944) should be used to provide nutrition education to John ?4.) Determine the estimated calorie requirements (for weight maintenance) for John, a 78-year-old male, who weighs 146#, is 511, and is considered sedentary. Use the Mifflin-St. Jeor formula .5.) Does John need to gain or lose weight? How might this change his estimated calorie requirements ?6.) Determine Johns estimated protein requirements. Also, John has difficulty chewing due to missing many teeth, so he avoids eating many types of meats. What suggestions do you have to help him consume an adequate amount of protein ?7.) Determine Johns estimated fluid requirements .8.) Johns usual food intake is as follows: coffee, pastry, tuna salad on white bread, cola, potato chips, canned beans, hot dogs, coffee, and pieWhat suggestions do you have to help him reduce his risk for chronic disease using dietary modifications?

Read the sections of chapters 11 and 12 in your textbook (starting on page 245) dealing with drug-nutrient or herbal/supplement-nutrient interactions and answer the following questions:

Have you ever encountered a situation in which you experienced (or had another person experience) a drug (OTC or prescription), herbal, or supplement-nutrient interaction? If so, explain what it was. If you have not, research a common interaction and explain it. Your explanation should include what drugs, herbs, or supplements and nutrient(s) are involved as well as the possible result of the interaction. Note that you are not to report on the side effects of a drug, herb or supplement, but rather how these might interact with a nutrient (in foods or in supplemental form) and result in a negative effect.
When you looked for information on the interaction where did you look? How were your questions or concerns addressed?
Where, in your experience, does the public turn to for information on drugs, herbs, or supplements? Are these sources usually reputable? How would you determine if a source, whether a person or an article or other, is reputable?
Do you think healthcare professionals have met the challenge of helping people find suitable nutritional supplements? Why or why not? How might socioeconomic status come into play when choosing between or within prescription medications or OTC medications/supplements/herbs? If someone needed to determine if nutrient status was being compromised because of an interaction, what tests could be done?