Laurel's Needs
Supplement Selection
All about Owen
Using the Food Guide
Misc.
100

The RDA of Calcium for Laurel, a 63-year-old female patient.

What is 1200mg?

100

A common adverse event of calcium carbonate supplementation which is much less likely with calcium citrate supplementation

What is GI upset?

(specifically constipation)

100

Patients like Owen who avoid eating meat, poultry and fish are at increased risk of which macronutrient deficiency?

What is protein?

100

Canada's food guide suggests setting goals that achieve these 5 things, captured by the acronym SMART.

What are specific, measurable, achievable, relevant and time?

100

Two foods high in protein that are not animal-based.

What are legumes (beans, peas, lentils, soybeans, chickpeas, peanuts), tofu, quinoa, buckwheat, hemp seeds, chia seeds and spirulina 

200

The RDA of Vitamin D for Laurel, a 63-year-old female patient.

What is 600IU?

200

Patients who smoke have an increased requirement of this many mgs of this vitamin.

What is 35mg of vitamin C?

200

Patients like Owen who avoid eating red meat are at increased risk of which micronutrient deficiency?

What is iron?

200

An example of education to provide Art in response to "I don't have enough time to prepare healthy meals"

What is...

  • Plan ahead. Plan your meals and make a shopping list. This will make sure you have all the ingredients you need in your kitchen to pull together meals quickly.
  • Get everyone involved. Ask family members to help prepare and cook meals.
  • Look for healthier food items that can also save you time. For example, try frozen vegetables, bagged salad greens or low sodium canned beans.
  • Cook ahead. Prepare some foods in advance and keep them in the freezer. Try it with soups, stews, cooked lean meat, poultry or fish.
200

The amount of elemental calcium a patient would receive from a 500mg calcium carbonate supplement such as Tums (regular strength)

What is 200mg

300

The dose of a vitamin D supplement recommended by Health Canada for Laurel, a 63-year-old female patient to take daily

What is 400IU?

300

This calcium salt is commonly sourced from shellfish and should be avoided in those with a known shellfish allergy

What is calcium carbonate?

300

A correctly stated goal of therapy for Owen

What is...

Prevent nutritional deficiencies including iron and protein deficiencies at all times 

Maintain normal growth and development at all times 

Prevent adverse effects, such as upset stomach, at all times

300

An example of education to provide Art in response to "I doubt I will ever be able to change my eating habits"

What is...

  • Don’t be afraid to ask for help. Ask family and friends about ways they save time and fit healthy eating into their lives.
  • Take time to define what you want to change. Have a goal and make sure it is realistic. Don’t set yourself up for failure.
  • Take it one step at a time. You do not need to make too many changes at once. Start with one new healthy eating habit at a time.
  • Once you have identified your goal, find small actions you can take to help you reach your goal. Try setting SMART objectives.
  • Take small steps and build confidence. Small changes over time will make it easier to track your success and feel good about meeting your goals. You’ll be motivated by your success to:
    • make even more changes
    • take on more difficult changes
  • Short term goals can lead to great successes. Don’t forget it is important to celebrate the achievement of all your goals.
  • Expect that you may have setbacks. Some goals will be harder to achieve than others. The key is to get back to it and try again. You may have to adjust your timeline, but it will still be worth it.
300

An appropriate explanation for why meal replacement drinks cannot be used as a substitute for all meals.

They do not contain all nutrients the body requires (ex. Enzymes, antioxidants) or adequate calories or fiber

400

The RDA of Protein for Laurel, a 63-year-old 150lb female patient

What is 55g?

400

Gummy formulation "multivitamins" have less of this type of micronutrient compared to tablet formulations.

What are minerals?

400

In the case of an extremely picky eater where the patient is at risk of malnutrition, a pharmacist must take this action.

What is refer to a dietician?

400

An example of patient education to provide to Anne to help Owen develop healthy eating habits.

What is you can help overcome picky eating by...

• making routines 

• offering foods more than once 

• planning your meals and snacks 

• involving your kids in meal preparation 

400

When creating a safety monitoring plan for a patient taking calcium supplements, the "how" for THIS parameter would likely include the patient assessing themselves for pain upon urination

What is kidney stones?

500

The amount of calcium supplementation Laurel requires to meet the Health Canada RDA

What is 200mg?

(range of 100-400mg could be reasonable)

500

Synthesis of vitamin D in the skin due to sun exposure is affected by the amount of skin exposed, the time of day the skin is exposed and this factor.

What is skin pigmentation?

500

These 2 parameters are key to monitoring for the development of malnutrition in a child like Owen.

What are height and weight?

500

This strategy may help increase a picky eaters intake of vegetables in the short term, but can lead to eroded trust and increased food anxiety while not ultimately improving the child relationship with food and eating.

What is hiding food or tricking them into eating something they aren't aware is being given to them?

500

An efficacy monitoring parameter for patients with a DTP of "Patient is at risk of Vitamin D deficiency due to limited sun exposure and dietary intake and requires additional drug therapy" started on vitamin D supplementation

What are...

- Fractures (sign of osteoporosis)

- muscle aches, weakness, bone pain (sign of osteomalacia)

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