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Home INDIVIDUAL CASE STUDY Client Assessment: Age: Teeth: Height Level of Consciousness: Weight Who prepares meals: Gender Ability to swallow: Activity Level: (Less than 30min.) (Between 30 - 60min,) (Over 60 min) Not in bed or chair BMI

INDIVIDUAL CASE STUDY Client Assessment: Age: Teeth: Height Level of Consciousness: Weight Who prepares meals: Gender Ability to swallow: Activity Level: (Less than 30min.) (Between 30 - 60min,) (Over 60 min) Not in bed or chair BMI

INDIVIDUAL CASE STUDY Client Assessment: Age: Teeth: Height Level of Consciousness: Weight Who prepares meals: Gender Ability to swallow: Activity Level: (Less than 30min.) (Between 30 - 60min,) (Over 60 min) Not in bed or chair BMI #_______ Status: Diagnosis: DAILY CALORIE Goal to Maintain Current Weight:____________ BREAKFAST CALORIES LUNCH CALORIES DINNER CALORIES SNACKS CALORIES Conclusion TOTAL CALORIE INTAKE What were your reasons for choosing the foods you did for the client? Did you have to consider the texture of the food for this client? What considerations were given to the client’s ability to afford to buy food? Did you consider who was preparing the food when you chose the menu? PLEASE GO TO MYPLATE PLAN TO CALCULATE HOW MANY CALORIES YOUR CLIENT NEEDS A DAY. Once you get the calorie count scroll down and click on your client’s calorie count amount and the site will lead you to ideas for a menu. https://www.myplate.gov/myplate-plan For BMI, Please go to CDC: https://www.cdc.gov/healthyweight/assessing/bmi/adult_bmi/english_bmi_calculator/bmi_calculator.html

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