Comprehensive Nutritional Case Study: Analyzing John's Health and Diet

This case study presents an analysis of John, a 45-year-old man facing various health issues including GERD, liver and gallbladder disorders, fatigue, and stress. The report examines John's current diet, identifying areas for improvement such as increasing fiber intake and reducing yellow food consumption. It explores the need for dietary adjustments and potential nutrient supplement prescriptions, including medications for GERD, sleep difficulties, and anxiety. The study emphasizes the importance of lifestyle changes and a balanced diet to manage John's health concerns, improve sleep quality, and reduce stress. Recommendations include specific food choices and the potential use of medications to address his health challenges, aiming for overall well-being.

Case study- report

Table of Contents
INTRODUCTION...........................................................................................................................3
MAIN BODY...................................................................................................................................3
Revised treatment aim............................................................................................................3
Dietary analysis and discussion..............................................................................................5
Nutrient supplement prescription...........................................................................................6
CONCLUSION................................................................................................................................7
REFERENCES................................................................................................................................8

INTRODUCTION
Nutrition refers to the biochemical along with physiological process which are effective and
can lead to create high impact on dealing with food which can help in living effectively and
support in the lifestyle process. This may include ingestion, absorption, assimilation,
biosynthesis, excretion followed by catabolism. This includes the physiological process of
nutrition. There is discussion about the health of John who is 45 years old and need to get better
nutritional analysis and plan that can help in getting better care. There is discussion about the
revised treatment aim, dietary analysis along with discussion. There is also discussion about
nutritional prescription that can allow to improve John health and fulfil the nutritional need and
leads to improve health (Sakkas et. al., (2020)).
MAIN BODY
Revised treatment aim
What Where How Outcome action Modalities
Liver and
gallbladder
disorder
In intestine Here,
cirrhosis of
liver and
hepatitis leads
to reduce the
bile salts
which help to
digest food
and absorb
nutrients.
Here,
Gallstones in
gallbladder
reduce the
bile amount
within
intestine.
Leads to turn
stool yellow
There is need
to avoid the
yellow food
like carrots,
potatoes along
with turmeric
(Gozalbo et.
al., (2020)).
Need to
improve in
nutritional
diet.

Gastro
oesophageal
reflux disease
(GERD)
In food pipe This is
chronic
disease which
occur in
stomach
where
stomach acid
or bile flows
in to the food
pipe.
This lead to
create irritation
and when left
untreated then
leads to
Barrett’s
esophagus
along with
esophagitis.
There is need
to get
treatment
which may
include
medication
like antacids,
H2 blockers,
proton pump
inhibitors,
prokinetics.
Change in
lifestyle and
need to
ingest
fibrous food
which can
help.
Sleep
difficulties
Nervous
system
During sleep,
pathway
between the
nerve cells in
brain can help
to remember
things which
should be
taken in
consideration
which
includes brain
exhausted and
face difficulty
in
performance.
Difficult in
managing
stress and lead
to create
irritation
(Akande et. al.,
(2018)).
There is need
to intake
healthy food
with full
nutrients.
Increase the
sleep and
reduce the
stress work.
There is
need for GP
management
and get help
through
talking
therapy.
Management
of depression
Sympathetic
nervous
system
Not able to
focus on
work and
continuous
This lead to
create irritation
and reduce the
number of
There is need
for proper
diagnosis and
better
Medication
and talking
therapy and
lifestyle

facing fatigue
after work.
physical
exercise
treatment. changes.
Holistic Understanding
John is 45 years old man which present with the clinical problem like GORD which can
lead to create difficulty to deal with the irritation which are associated with taking care of food
track. There are other symptoms which includes difficulty in acid impact on the food tract. John
is also facing the problem of liver and gall bladder disorder. John’s poop is getting yellow which
seems that there is need to take care of the nutritional food and should avoid any of fat rich food.
There is also need to have fibre rich food that can allow to get better and effective response
towards the delivery of effective care. John is also facing fatigue due to work schedule where it
is difficult to deal with the work load stress and anxiety. Depression is also assisting to impact
the good lifestyle and fatigue causes to restrict John from getting physical exercise. John is
getting enough sleep but due to not having proper diet and affecting lifestyle leads to create
difficulty in feeling well and fresh after the sleep (Long et. al., (2018)).
Dietary analysis and discussion
Diet is overall good which should be provided to any individual but there is need to make
some improvement which should be considered to deliver better and effective response towards
delivery of effective nutrition to any individual. Here, John should take care of effective response
that can allow to provide better and effective nutrition to John. There is need to increase the
intake of fibre which should be replace with potatoes and other fatty foods. There is need to
reduce the impact of yellow food which include potatoes and others (Ahmed et. al., (2021)).
Through reducing the intake of yellow food, it can lead to create a high impact on reducing the
case of liver and gall bladder disorder. There is need to ensure about uptake of effective
nutritional diet that should have rich in fibre. There are some of the fibre rich food like broccoli,
lentils, sweet potato, wholemeal biscuit, almond, dried apricot, banana, popcorn, apple and
others. There is need to make some improvement in the diet which can help to take care of the
John health. In this, it is necessary to include better and fibrous rich food that can help to
improve better and effective response towards dealing with better care and help in maintaining
better health. This can also help in getting better care of management of sleep where healthy
nutritional food can help to feel refreshed after getting off from sleep (Arshi et. al., (2021)).

There is recommendation that John should take care of nutritional intake which include the
Avocados, bananas, Broccoli, pumpkin seeds, spinach, Dark chocolate which can be effective in
reducing the stress and enable John to feel refreshed after the sleep. To dealt with the GORD,
John should intake of ginger, oatmeal, egg whites, healthy fats, lean meats and seafood. John
should also avoid the intake of fat and sugar rich food which can have negative health impact on
health.
Nutrient supplement prescription
There is need to get to the healthcare professional which should include effective diagnosis
and getting medication accordingly. This can lead to create high impact on delivery of better and
effective response towards taking care of effective response. Here, Nexium 20 mg provided
better and effective response towards the gastro-resistant tablet which allow to improve the
gastro problem and help to get over through the irritation due to stomach juice. This also helps to
certain stomach along with esophagus problems like acid reflux, ulcers which are effective and
provide better health which are associated with taking care of bad health (Huang et. al., (2020)).
There are some of the medication which should be prescribed by healthcare professional
which may include Tiazolam, Zaleplon, Zolpidem and others. These are the medication which
can be helpful in getting better sleep. Here, John should take those medications which can help to
get better care about the better sleep which should be effective. There is also some medication
like Zoloft, Lexapro, Prozac, Paxi and Celexa which are effective and can be used to treat
generalised anxiety disorder (GAD), panic disorder, social anxiety disorder along with other like
post-traumatic stress disorder. This can be helpful in releasing the stress and irritation which can
allow John to get better quality of sleep and live life effectively (Zubieta et. al., (2021)).
There is need to get medication which can include better and effective response which are
associated with taking care of effective response. This medication may include esomeprazole,
omerprazole, rabeprazole, iansoprazole, rabeprazole along with dexlansoprazole. Here, PPIs can
be most effective medical therapy which are effective for the GERD. This can work through
blocking the mechanism which produces stomach acid. Through this, it lowers the acidity and
have better digestive fluids which involves reflux and reduce related symptoms.
There is need to get some medication which can lead to create high impact on delivery of better
and effective response. This medication includes SSRIs like paroxetine, fluoxetine, citalopram.

There can also be some of the side effect which should be taken in consideration that may
include agitation (Saeed et. al., (2019)).
CONCLUSION
Form above discussion, it can be concluding that there is need to take care of intake of
nutrition which can be effective to deal with better and effective response towards health. There
is need to improve the lifestyle which can also help in improving better and effective response
against the health issues. Through changing in the diet behaviour and lifestyle changes can allow
to improve better and effective response which are associated with taking care of health and help
individual to deal with sleeping problem and managing stress and anxiety. Proper nutritional diet
can allow to improve the stress management and help in reduce different health related issues
like liver and gallbladder disorder, GERD, sleep difficulties and stress management. Through
changing in the diet plan can allow individual to better deal with the anxiety, stress and fatigue
and other common health issues which causes due to decreased amount of proper nutrition.

REFERENCES
Books and Journals
Ahmed, M., Mansoor, N., & Mansoor, T. (2021). Review of eosinophilic oesophagitis in
children and young people. European Journal of Pediatrics, 180(12), 3471-3475.
Akande, K. O., Fadupin, G. T., & Akinola, M. A. (2018). The prevalence of gastro-oesophageal
reflux disease and its relationship with diet and obesity among public school teachers in
Abeokuta, south-west Nigeria. Tanzania Journal of Health Research, 20(4).
Arshi, J., Layfield, L. J., & Esebua, M. (2021). Mast cell infiltration and activation in the
gallbladder wall: Implications for the pathogenesis of functional gallbladder disorder in
adult patients. Annals of Diagnostic Pathology, 54, 151798.
Gozalbo, M., Guillen, M., Taroncher-Ferrer, S., Cifre, S., Carmena, D., Soriano, J. M., & Trelis,
M. (2020). Assessment of the Nutritional Status, Diet and Intestinal Parasites in Hosted
Saharawi Children. Children, 7(12), 264.
Huang, Z. P., Qiu, H., Wang, K., Chao, W. B., Zhu, H. B., Chen, H., ... & Yu, B. P. (2020). The
impact of acute stress disorder on gallbladder interstitial cells of Cajal. Journal of
Cellular Physiology, 235(11), 8424-8431.
Long, R., Stracy, C., & Oliver, M. C. (2018). Nutritional care in chronic obstructive pulmonary
disease. British Journal of Community Nursing, 23(Sup7), S18-S26.
Saeed, M., Abbas, G., Alagawany, M., Kamboh, A. A., Abd El-Hack, M. E., Khafaga, A. F., &
Chao, S. (2019). Heat stress management in poultry farms: A comprehensive
overview. Journal of thermal biology, 84, 414-425.
Sakkas, H., Bozidis, P., Touzios, C., Kolios, D., Athanasiou, G., Athanasopoulou, E., ... &
Gartzonika, C. (2020). Nutritional status and the influence of the vegan diet on the gut
microbiota and human health. Medicina, 56(2), 88.
Zubieta, A. S., Marín, A., Savian, J. V., Bolzan, A. M. S., Rossetto, J., Barreto, M. T., ... &
Carvalho, P. C. D. F. (2021). Low-intensity, high-frequency grazing positively affects
defoliating behavior, nutrient intake and blood indicators of nutrition and stress in
sheep. Frontiers in Veterinary Science, 8.