BALATAY, Mark Francis S.G.

BSN 2C
AFZOL: GETTING CHOLESTEROL UNDER CONTROL
ASSESSMENT
1. What data do you have about Afzol?
- He has a family history of high cholesterol
- Had a cholesterol level of 450 mg/dl, an LDL of 250 mg/dl, and an HDL of 30 mg/dl.
- He seldom eats rights and is smoking more than ever
2. What conclusion can you draw from Afzol’s lab results?
- Afzol laboratory results about cholesterol levels are too high and may increase the risk
of heart attack and stroke.
3. What do you need to know about his current eating habits? Could foods with invisible fat
have a bearing on his current diet? How could a 24-hour food diary help?
- If he is eating invisible fats food because it can be a significant factor about eating
habits.
- Yes, a 24-hour food diary helps because the physician can check it and correct it if his
eating lifestyle is unhealthy.
4. What about his health habits like smoking and alcohol use?
- Alcohol has a high contribution to cholesterol because heavy alcohol use is associated
with elevated LDL cholesterol levels; maybe he doesn’t know what it has seven since it
is an invisible fat.
5. What is Afzol doing that healthy for his heart?
- He attends cardiac education classes for diet education and fitness assessment.
DIAGNOSIS
6. What is the cause of Afzol’s imbalanced nutrition, more than body requirements?
- He is dining at the best restaurants, not paying attention to his diet, and seldom eats
right.
7. Complete this statement: Afzol’s change of lifestyle is related to
- Lowers the low-density lipoprotein that will also lower the risk of having cardiovascular
disease.
- This can be related to reducing the risk of having a stroke by having plaque, so he must
change his lifestyle by eating healthy foods, avoiding saturated fats, and being
physically active.
PLAN/GOAL
8. What two goals do you have for Afzol?
- Within 1-2 months the cholesterol level of afzol will be in normal limits for adults.
- After 1-week Afzol will abstain from using cigarette and alcohol.
IMPLEMENTATION
9. What topics do you need to cover related to dietary fats?
- What kids of foods are invisible fats in that way Afzol can avoid those foods.
- Foods low in fat
10. Name three things Afzol can do to help him recognize hidden fats in fast-food restaurants
- Study what types of food has invisible fats so it will help him recognize food high in
fats
- He must know the difference between saturated and unsaturated fats in able to choose
foods that belong to unsaturated fats
- He may also research ingredients of oils that are used in a particular restaurant so he can
avoid eating too many foods cooked with palm oil
11. Who else should be in class with Afzol?
- People have an episode of heart attack and stroke
- Hypertensive People
12. What agencies or resources could you provide to support Afzol at home?
- American Heart Association (AHA)
- Physicians like endocrinologist because they can be a good source of how to treat high
cholesterol or cardiologist.
13. How could the information on the American Heart Association Web site, at
www.americanheart.org. be helpful to Afzol?
- Afzol could have information about the prevention and treatment of high cholesterol.
He will also know the types of foods that he must abstain.
EVALUATION/OUTCOME CRITERIA
14. What can the physician measure to determine the effectiveness of the plan?
- The physician can measure Afzol’s cholesterol level, LDL, and HDL before
and after the plan to determine the effectiveness of the plan. The physician
can also measure Afzol’s weight, waist circumference, and blood pressure to
evaluate the plan’s effectiveness.
- The plan is to increase Afzol’s cholesterol-lowering medication, but the physician
would like to wait until his assessment is completed. The physician can measure
Afzol’s cholesterol level, LDL, and HDL to determine the plan’s effectiveness. The
physician can also measure Afzol’s weight, waist circumference, and blood pressure.
- The physician can measure Afzol’s cholesterol level, LDL, and HDL to determine
the plan’s effectiveness. If the plan is adequate, Afzol’s cholesterol level, LDL, and
HDL should all decrease.
- The physician can also measure Afzol’s weight and waist circumference. If the plan is
adequate, Afzol should lose weight and his waist circumference should decrease.
- The physician can also ask Afzol how he is feeling. If the plan is eadequate Afzol
should feel better and have more energy.
 - The physician can also ask Anyra how she is feeling. Anyra should feel better and
have more energy if the plan is effective.

15. What can afzol provide to demonstrate his compliance with the plan?

- Afzol can provide a record of his dietary intake to demonstrate his compliance with
the plan. He can keep a food diary detailing what he eats and when and his portion
sizes. He can also take photos of his meals to show his physician. In addition, Afzol
can provide a record of his physical activity. He can keep a log of his workouts,
detailing the type, duration, and intensity of his activity. He can also wear a fitness
tracker to log his steps and heart rate.
- Toto complies with the plan, Afzol will need to change his diet and lifestyle. He will
need to eat less fatty foods and more fruits, vegetables, and whole grains. He will also
need to increase his physical activity. He should aim to get at least 30 minutes of
moderate to vigorous exercise most days of the week.
- Afzol’s physician will likely want to see evidence that he is making these changes
before increasing his cholesterol-lowering medication. Afzol can show his physician
that he is trying to comply with the plan by keeping a record of his dietary intake and
physical activity.
- To demonstrate compliance with the plan, Afzol can provide a record of his dietary
intake and his physical activity. Diet records can help to show what changes Afzol has
made in his eating habits and can be used to assess his progress. Physical activity
records can help to show how Afzol is incorporating exercise into his daily routine
and can also be used to determine his progress.
- Diet records can be kept in several ways, including food diaries, food journals, or
food logs. Afzol can use a diary or journal to record what he eats daily and the
portion sizes and nutritional content of the foods he consumes. He can also use a
food log to track his intakes of specific nutrients, such as fat, cholesterol, and
calories.
- Physical activity records can also be kept in some ways, including activity logs,
exercise diaries, or fitness journals. Afzol can use an activity log to record the types
and duration of the physical activities he participates in daily. He can also use an
exercise diary to record the types and times of the exercises he performs each week. A
fitness journal can track his progress in meeting his fitness goals.
- Afzol can use these records to demonstrate his compliance with the plan by showing
his physician how he has changed his dietary intake and physical activity. These
records can also be used to assess his progress in lowering his cholesterol and
improving his overall health.
THINKING FURTHER

16. What is the worst consequence if Afzol does not reduce his cholesterol?
- If Afzol does not reduce his cholesterol, he is at risk for a heart attack. A heart attack
 can occur when the blood supply to the heart is blocked. This can happen if there is a
buildup of plaque in the arteries.
- Plaque is made up of cholesterol, fat, and other substances in the blood. When plaque
builds up, it can harden and narrow the arteries. This makes it difficult for blood to
flow through them. If the blood supply to the heart is blocked, the heart muscle can
be damaged. This can lead to a heart attack

- Afzol is at risk for a heart attack because he has a family history of high cholesterol.
His father and brother both died of heart attacks. Afzol is also overweight, and he
smokes. These are all risk factors for a heart attack.

- If Afzol has a heart attack, he could die. A heart attack is a medical emergency. If it is
not treated quickly, it can be fatal.

- If Afzol does not reduce his cholesterol, he is at risk for a heart attack. A heart attack
can occur when the arteries that supply blood to the heart muscle become blocked.

- This can happen if there is a buildup of cholesterol and other fats in the arteries. This
buildup is called plaque. Plaque can narrow the arteries and make it hard for blood to
flow through. A blood clot can block the street if the plaque breaks open. This can
cause a heart attack.
17. What does family history have to do with Afzol’s results?
- There are several reasons why family history is a risk factor for high cholesterol. First,
family members tend to share similar lifestyles and environmental factors. This means
that if one person in a family has high cholesterol, it’s likely that others will as well.
Second, family members tend to have similar genetic makeup. This means that if one
person in a family is predisposed to high cholesterol, others are also likely to be.
Finally, family history is a strong predictor of future health. This means that if
someone in a family has high cholesterol, it’s likely that the condition will continue to
get worse over time.
- Afzol’s high cholesterol levels are likely due, at least in part, to his family history.
This means that his father and brother both had high cholesterol, and Afzol is at
increased risk for the same. His lifestyle and genetic makeup are likely contributing
factors as well.
- In some cases, lifestyle changes are not enough to lower cholesterol levels. In these
cases, medication may be necessary. Afzol’s doctor may recommend cholesterol-
lowering medication if his cholesterol levels remain high after making lifestyle
changes.
- Afzol’s family history puts him at increased risk for high cholesterol. His high
cholesterol levels are likely due, at least in part, to his family history. He should talk to
his doctor about ways to improve his lifestyle and reduce his risk for high cholesterol.
In some cases, lifestyle changes are not enough to lower cholesterol levels. In these
 cases, medication may be necessary.
18. What are the challenges of maintaining a diet and exercise plan for the rest of your life?
- One of the biggest challenges of maintaining a diet and exercise plan for the rest of
your life is finding the time to fit it into your schedule. Finding the time to cook
healthy meals and fit in a workout can be challenging if you work full-time and have
a family. You may need to get creative with your schedule, such as cooking meals
on the weekends and doing workouts at home.

- Another challenge is making healthy choices when you’re eating out. Ordering
unhealthy foods when you’re out with friends or family can be tempting. However,
if you’re trying to stick to a healthy diet, you must make wise choices when eating
out. Look for healthy restaurants like salads, grilled chicken, and whole grain pasta.
- Finally, staying motivated is one of the most difficult challenges of maintaining a
healthy lifestyle. It can be easy to fall off the wagon and revert to old habits.
However, it’s essential to find ways to stay motivated. This may include setting
goals, tracking progress, and finding a workout buddy.
- One of the biggest challenges of maintaining a diet and exercise plan for the rest of
your life is finding the time to fit it into your schedule. If you work long hours or have
a busy home life, finding time to cook healthy meals or go to the gym can be difficult.
- Another challenge is making healthy choices when you’re eating out. It’s easy to
indulge in unhealthy foods when you’re out with friends or family, but it’s essential to
be mindful of your choices and make an effort to eat healthy when you’re away from
home.
- Finally, another challenge is staying motivated to stick with it. It can be easy to fall
off the wagon and go back to old habits, but staying focused on your goals and
working towards a healthy lifestyle is important