A Comprehensive Dietary and Nutritional Program for Multiple Sclerosis
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This report presents a dietary project focused on developing a nutritional program for a 25-year-old client with Multiple Sclerosis (MS) who leads a sedentary lifestyle and consumes fast food. The project emphasizes the importance of a balanced, low-fat, high-fiber diet supplemented with omega-3 fatty acids and Vitamin D. It details the process of gathering information, setting program goals, reviewing health services, and designing preventative and recuperative strategies. The report underscores the need for clients with MS to avoid fast food and smoking, highlighting the potential benefits of a tailored nutritional program in improving their health condition and overall quality of life. This student assignment is available on Desklib, offering valuable insights and resources for students studying nutrition and wellness.

Dietary Project
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Table of Contents
INTRODUCTION...........................................................................................................................3
Client Background..................................................................................................................3
Need for health program.........................................................................................................3
Multiple sclerosis (MS)..........................................................................................................4
Use of theoretical learning to deal with real life situation through making nutritional program
................................................................................................................................................4
Diet plan for client..................................................................................................................6
CONCLUSION................................................................................................................................7
REFERENCES................................................................................................................................8
INTRODUCTION...........................................................................................................................3
Client Background..................................................................................................................3
Need for health program.........................................................................................................3
Multiple sclerosis (MS)..........................................................................................................4
Use of theoretical learning to deal with real life situation through making nutritional program
................................................................................................................................................4
Diet plan for client..................................................................................................................6
CONCLUSION................................................................................................................................7
REFERENCES................................................................................................................................8

INTRODUCTION
Healthy diet is effective and allow to provide good health and nutrition that can lead to get
protection through different chronic non communicable diseases like heart disease, diabetes
along with cancer. Every individual should consume healthy diet that can lead to bet better and
effective lifestyle. In this, there is need to ensure about the healthy diet that can allow to get
better and effective diet which can help in getting quality of life. There is various need of client
which should be taken in consideration that can allow to achieve better health. In this report,
there is discussion about the client nutritional program which includes the client main health
condition, current diet, energy expenditure along with dietary needs and appropriate lifestyle to
address the effective health condition (Enjezab & et. al., (2021)). In this dietary report, there is
also discussion about the needs and requirement of client’s health requirement which can be
associated with diet.
Client Background
Client is living normal lifestyle where Multiple sclerosis (MS) is one of the health
condition. Here client is getting affected due to this health condition. Client is 25 years old and
like to consume fast food mostly. Client is not interested in movement and having very less
energy expenditure which create high impact on the body weight and having higher risk of
getting obese (Das & et. al., (2020)). Client is a smoker and having sedentary lifestyle in which
individual face difficulty in body movement and spend most of the time by seating and being
inactive. Due to living the inactive lifestyle client is high risk of getting lower movement of
body. Client need to ensure about getting quality life which can help to improve health. Client is
not having good life and due to less body movement and having fast food can create high
calories within body (Reber & et. al., (2019)). There is no energy consumption which restrict
individual to burn calories that leads to consume fat within client body and create high body
weight.
Need for health program
To being healthy, every individual need to get better and healthy diet plan. To get effective
diet plan there is need to develop the nutritional program which can be effective and influence
individual to get good health and better lifestyle. Through the nutritional program, individual is
able to manage the diet and get appropriate information about the required nutrition according to
Healthy diet is effective and allow to provide good health and nutrition that can lead to get
protection through different chronic non communicable diseases like heart disease, diabetes
along with cancer. Every individual should consume healthy diet that can lead to bet better and
effective lifestyle. In this, there is need to ensure about the healthy diet that can allow to get
better and effective diet which can help in getting quality of life. There is various need of client
which should be taken in consideration that can allow to achieve better health. In this report,
there is discussion about the client nutritional program which includes the client main health
condition, current diet, energy expenditure along with dietary needs and appropriate lifestyle to
address the effective health condition (Enjezab & et. al., (2021)). In this dietary report, there is
also discussion about the needs and requirement of client’s health requirement which can be
associated with diet.
Client Background
Client is living normal lifestyle where Multiple sclerosis (MS) is one of the health
condition. Here client is getting affected due to this health condition. Client is 25 years old and
like to consume fast food mostly. Client is not interested in movement and having very less
energy expenditure which create high impact on the body weight and having higher risk of
getting obese (Das & et. al., (2020)). Client is a smoker and having sedentary lifestyle in which
individual face difficulty in body movement and spend most of the time by seating and being
inactive. Due to living the inactive lifestyle client is high risk of getting lower movement of
body. Client need to ensure about getting quality life which can help to improve health. Client is
not having good life and due to less body movement and having fast food can create high
calories within body (Reber & et. al., (2019)). There is no energy consumption which restrict
individual to burn calories that leads to consume fat within client body and create high body
weight.
Need for health program
To being healthy, every individual need to get better and healthy diet plan. To get effective
diet plan there is need to develop the nutritional program which can be effective and influence
individual to get good health and better lifestyle. Through the nutritional program, individual is
able to manage the diet and get appropriate information about the required nutrition according to
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their lifestyle and health condition. This can help to achieve better growth and development
which includes the optimal feedings. Through getting the nutritional program individual is able
to receive the information about the nutritional education, checking for healthy food, community
services and referrals to healthcare (Diddana & et. al., (2018)). This can be effective for client to
attain good health which can allow to improve the quality of life through getting better physical
and mental health.
Multiple sclerosis (MS)
Multiple sclerosis (MS) refers to the potentially disabling disease of brain along with
spinal cord. In this, health condition, there is attack of immune system of individual protective
sheath (myelin) which is effective and covers the nerve fibres along with causing communication
problems in between brain and rest of the body. This is lifelong condition which have some of
the symptoms like pain, fatigue, bowel problems and bladder problems, coordination and
movement difficulties, sexual dysfunction, cognitive changes, vision along with mental health
problems. There is different sign of multiple sclerosis which may include the vision problems,
paint and spasms, tingling along with numbness, balance problems or dizziness, sexual
dysfunction, cognitive problems, bladder issues and others. This is the health condition in which
individual is not able to communicate with others effectively where individual should get to the
nutritional program and should get better and effective care. There are many other issue which
can be arise during living normal life (Maltais & et. al., (2018)). Client may also face the issues
of performing different daily life activities which should be done normally due to this health
condition client may difficulty to perform the activity. Client is suffering from this health
condition where there is need to ensure about getting better and effective care and services to
achieve better health.
Use of theoretical learning to deal with real life situation through making nutritional program
Simulation of real life can allow to learn many things and help to use the theoretical
learning within the real life. This is the one in which there is need to ensure about using different
form of accurate view that can help in getting operation during emergency department along with
focusing on the real life situation where Client can get better health support. In this, there is need
to use the theoretical learning that can be effective and help to provide better healthcare services
for improving effective life (Egbi & et. al., (2020)). This is the health condition which can be
which includes the optimal feedings. Through getting the nutritional program individual is able
to receive the information about the nutritional education, checking for healthy food, community
services and referrals to healthcare (Diddana & et. al., (2018)). This can be effective for client to
attain good health which can allow to improve the quality of life through getting better physical
and mental health.
Multiple sclerosis (MS)
Multiple sclerosis (MS) refers to the potentially disabling disease of brain along with
spinal cord. In this, health condition, there is attack of immune system of individual protective
sheath (myelin) which is effective and covers the nerve fibres along with causing communication
problems in between brain and rest of the body. This is lifelong condition which have some of
the symptoms like pain, fatigue, bowel problems and bladder problems, coordination and
movement difficulties, sexual dysfunction, cognitive changes, vision along with mental health
problems. There is different sign of multiple sclerosis which may include the vision problems,
paint and spasms, tingling along with numbness, balance problems or dizziness, sexual
dysfunction, cognitive problems, bladder issues and others. This is the health condition in which
individual is not able to communicate with others effectively where individual should get to the
nutritional program and should get better and effective care. There are many other issue which
can be arise during living normal life (Maltais & et. al., (2018)). Client may also face the issues
of performing different daily life activities which should be done normally due to this health
condition client may difficulty to perform the activity. Client is suffering from this health
condition where there is need to ensure about getting better and effective care and services to
achieve better health.
Use of theoretical learning to deal with real life situation through making nutritional program
Simulation of real life can allow to learn many things and help to use the theoretical
learning within the real life. This is the one in which there is need to ensure about using different
form of accurate view that can help in getting operation during emergency department along with
focusing on the real life situation where Client can get better health support. In this, there is need
to use the theoretical learning that can be effective and help to provide better healthcare services
for improving effective life (Egbi & et. al., (2020)). This is the health condition which can be
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effective that create difficulty to deal with the normal communication and performing daily
activities.
To deal with such type of situation, there is need to make a nutritional program which can
be effective and allow to deal with client health condition, diet plan, and others. This is the one
in which there is need to ensure about the effective health and better communication with client
is also necessary to achieve good health for effective lifestyle. Nutritional program can be
effective and allow to provide better and effective option to deal with the Client to achieve better
health and to deal with client’s needs. In this, there are many processes which should take in
consideration that can help to get better and effectively achieving improvement in client health
condition and quality of life. To make an effective nutritional program, there is need to follow
some of the steps which can be effective and provide high benefits to patient health. These steps
are going to be discussed further (Munarni, (2021)).
Step 1- Gathering and synthesizing information on the nutritional situation
This is the first step in which care provider should gather all the information related with
the Client which may include all the relevant information with the patient health condition,
dietary need, current diet and energy expenditure and others. These are the effective information
which can allow individual to make the effective nutritional program for the Client that can have
positive impact on health improvement.
Step 2- Determining initial program goal and objectives
This is the second step in which there is need to ensure about the initial program which
can have high impact on the initial stage. This can also help to identify the objective of the
nutritional program for the Client. This can help to understand the need of the nutritional
program for the client benefits condition (Geremew & et. al., (2020)).
Step 3- Review health and nutritional services
This is the step in which there is need to ensure about the review of client health on the
regular basis. This can allow to identify the need of the goal and can ensure about the
effectiveness of the nutritional services and its benefits.
Step 4- Preliminary program design: Prevention
This is the step in which it can be identify that client is suffering from the Multiple
Sclerosis (MS). Through using the nutritional program there is need to ensure about the
effectiveness of the program. It can allow to learn about understanding about the nutritional need
activities.
To deal with such type of situation, there is need to make a nutritional program which can
be effective and allow to deal with client health condition, diet plan, and others. This is the one
in which there is need to ensure about the effective health and better communication with client
is also necessary to achieve good health for effective lifestyle. Nutritional program can be
effective and allow to provide better and effective option to deal with the Client to achieve better
health and to deal with client’s needs. In this, there are many processes which should take in
consideration that can help to get better and effectively achieving improvement in client health
condition and quality of life. To make an effective nutritional program, there is need to follow
some of the steps which can be effective and provide high benefits to patient health. These steps
are going to be discussed further (Munarni, (2021)).
Step 1- Gathering and synthesizing information on the nutritional situation
This is the first step in which care provider should gather all the information related with
the Client which may include all the relevant information with the patient health condition,
dietary need, current diet and energy expenditure and others. These are the effective information
which can allow individual to make the effective nutritional program for the Client that can have
positive impact on health improvement.
Step 2- Determining initial program goal and objectives
This is the second step in which there is need to ensure about the initial program which
can have high impact on the initial stage. This can also help to identify the objective of the
nutritional program for the Client. This can help to understand the need of the nutritional
program for the client benefits condition (Geremew & et. al., (2020)).
Step 3- Review health and nutritional services
This is the step in which there is need to ensure about the review of client health on the
regular basis. This can allow to identify the need of the goal and can ensure about the
effectiveness of the nutritional services and its benefits.
Step 4- Preliminary program design: Prevention
This is the step in which it can be identify that client is suffering from the Multiple
Sclerosis (MS). Through using the nutritional program there is need to ensure about the
effectiveness of the program. It can allow to learn about understanding about the nutritional need

and dietary need of client in this health condition and help to prevent such of health condition to
exceed further or to worsening of condition. Here, prevention can help to reduce the risk of
worsening of (Padureanu & et. al., (2019)). This can help to improve the health condition of
client through consuming nutritional diet.
Step 5- Preliminary Program Design: Recuperation
This is the step where client can get improvement in the health condition through using
better nutritional program and which specially includes diet. There are also high benefits through
consumption of nutritional diet that can allow to improve the health and condition and improve
the quality of life. Through this, client can get improvement the health condition and improve the
quality of food along with quality of life.
Step 6- Putting it all together
This is the last step in which there is need to ensure about the effectiveness of the all step
that are included in the nutritional program (Agnello & et. al., (2018)). This can help to review
and ensure about the implementation of program in effective way. Here, all the steps are put
together to comply for better result. This can be helpful for the Client for improvement in their
health condition.
Diet plan for client
There is need for diet plan for the patient which can be effective and help in achieving the
better health and providing improvement in the health condition. There is need for the diet plan
for the client with MS which includes the balanced and should have low-fat along with high-
fibre diet. They should also need ensure about balancing the diet along with consumption of
alcohol. There is need to includes or suggest the diet with low in saturated fats along with
supplemented with omega-3 fatty acids that can provide health benefits to Client with MS. This
can be effective and doesn’t have high level of evidence towards the benefits of use of omega-3
fatty acids diet. Client should ensure limiting the consumption of animal-based fats. Instead of
this, it is suggested to consume fish and nut-based fat sources like olive oil, almond butter,
avocado that are rich in omega-3s. through research it has also been identifies vitamin D along
with biotin can also be helpful in getting improvement in health of client with MS. Biotin can in
form of vitamin B or vitamin H. In this, there is need to keep vitamin D level upper than the
normal level (Miyake, (2019)).
exceed further or to worsening of condition. Here, prevention can help to reduce the risk of
worsening of (Padureanu & et. al., (2019)). This can help to improve the health condition of
client through consuming nutritional diet.
Step 5- Preliminary Program Design: Recuperation
This is the step where client can get improvement in the health condition through using
better nutritional program and which specially includes diet. There are also high benefits through
consumption of nutritional diet that can allow to improve the health and condition and improve
the quality of life. Through this, client can get improvement the health condition and improve the
quality of food along with quality of life.
Step 6- Putting it all together
This is the last step in which there is need to ensure about the effectiveness of the all step
that are included in the nutritional program (Agnello & et. al., (2018)). This can help to review
and ensure about the implementation of program in effective way. Here, all the steps are put
together to comply for better result. This can be helpful for the Client for improvement in their
health condition.
Diet plan for client
There is need for diet plan for the patient which can be effective and help in achieving the
better health and providing improvement in the health condition. There is need for the diet plan
for the client with MS which includes the balanced and should have low-fat along with high-
fibre diet. They should also need ensure about balancing the diet along with consumption of
alcohol. There is need to includes or suggest the diet with low in saturated fats along with
supplemented with omega-3 fatty acids that can provide health benefits to Client with MS. This
can be effective and doesn’t have high level of evidence towards the benefits of use of omega-3
fatty acids diet. Client should ensure limiting the consumption of animal-based fats. Instead of
this, it is suggested to consume fish and nut-based fat sources like olive oil, almond butter,
avocado that are rich in omega-3s. through research it has also been identifies vitamin D along
with biotin can also be helpful in getting improvement in health of client with MS. Biotin can in
form of vitamin B or vitamin H. In this, there is need to keep vitamin D level upper than the
normal level (Miyake, (2019)).
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Client should also ensure about the consumption of healthy food choices which includes
sufficient consumption of vitamin and minerals can be helpful in avoiding the risk of MS. There
is also need to ensure about not skipping meals which may low the contribution of energy level.
Client have the risk of getting high weight due to use of steroids during treatment of MS and
depression. Client need to avoid the consumption of fast food which is high in calories and client
is not able to potentially use the energy which can lead to fat accumulation within Client. This
can enhance the body weight of Client and create more health concern like cardiac, joint stress
along with respiratory problems. Client should also reduce the consumption of smoking which
can create negative health and impact and have the higher risk of getting CVD (Naghibzadeh &
et. al., (2018)).
CONCLUSION
From the above discussion, it can conclude that patient with Multiple Sclerosis need proper
care with proper diet plan which can be effective to deliver health improvement in the client
health condition. There is also need to ensure about the diet plan that can allow to possess good
health and should avoid the consumption of those diet which are not good for health to patient
with MS. To attain and regain good health, there is need to ensure about effective nutritional
program which can have high benefits to client to attain good health. In this report, there is
discussion about the applying the theoretical learning which can be effective to deal with real-life
problems. There is also discussion about the nutritional program that can improve client health
condition. It also includes the information and step to make the effective nutritional program.
sufficient consumption of vitamin and minerals can be helpful in avoiding the risk of MS. There
is also need to ensure about not skipping meals which may low the contribution of energy level.
Client have the risk of getting high weight due to use of steroids during treatment of MS and
depression. Client need to avoid the consumption of fast food which is high in calories and client
is not able to potentially use the energy which can lead to fat accumulation within Client. This
can enhance the body weight of Client and create more health concern like cardiac, joint stress
along with respiratory problems. Client should also reduce the consumption of smoking which
can create negative health and impact and have the higher risk of getting CVD (Naghibzadeh &
et. al., (2018)).
CONCLUSION
From the above discussion, it can conclude that patient with Multiple Sclerosis need proper
care with proper diet plan which can be effective to deliver health improvement in the client
health condition. There is also need to ensure about the diet plan that can allow to possess good
health and should avoid the consumption of those diet which are not good for health to patient
with MS. To attain and regain good health, there is need to ensure about effective nutritional
program which can have high benefits to client to attain good health. In this report, there is
discussion about the applying the theoretical learning which can be effective to deal with real-life
problems. There is also discussion about the nutritional program that can improve client health
condition. It also includes the information and step to make the effective nutritional program.
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REFERENCES
Books and Journals
Agnello & et. al., (2018). CYP27A1, CYP24A1, and RXR-α Polymorphisms, Vitamin D, and
multiple sclerosis: a pilot study. Journal of Molecular Neuroscience, 66(1), 77-84.
Das & et. al., (2020). Nutritional status of Hill Korwa preschool children of Jashpur: A
particularly vulnerable tribal group of Chhattisgarh. BLDE University Journal of Health
Sciences, 5(1), 20.
Diddana & et. al., (2018). Effect of nutrition education based on health belief model on
nutritional knowledge and dietary practice of pregnant women in Dessie Town, Northeast
Ethiopia: A cluster randomized control trial. Journal of Nutrition and Metabolism, 2018.
Egbi & et. al., (2020). Contribution of Amaranthus cruentus and Solanum macrocarpon Leaves
Flour to Nutrient Intake and Effect on Nutritional Status of Rural School Children in
Volta Region, Ghana. Journal of nutrition and metabolism, 2020.
Enjezab & et. al., (2021). Effect of Telephone Counseling on the Nutritional Status and Physical
Activity in Iranian Middle-Aged Women. Journal of Research Development in Nursing
and Midwifery, 18(1), 30-34.
Geremew & et. al., (2020). Overview on the impacts of nutrition-sensitive intervention on
dietary diversity and nutritional status of women and children in developing
countries. Ethiopian Journal of public health and nutrition, 4(1).
Maltais & et. al., (2018). The Effect of Exercise and Social Activity Interventions on Nutritional
Status in Older Adults with Dementia Living in Nursing Homes: A Randomised
Controlled Trial. The journal of nutrition, health & aging, 22(7), 824-828.
Miyake, (2019). Gut environmental factors and multiple sclerosis. Journal of
neuroimmunology, 329, 20-23.
Munarni, (2021). The Effect Of Family Characteristics And Parenting Patterns On The
Nutritional Status Of Toddlers In Sigumpar Village, Sigumpar District, Toba Regency In
2020. International Journal of Basic and Applied Science, 10(3), 108-114.
Naghibzadeh & et. al., (2018). Effects of two training programs on transcriptional levels of
neurotrophins and glial cells population in hippocampus of experimental multiple
sclerosis. International journal of sports medicine, 39(08), 604-612.
Padureanu & et. al., (2019). Oxidative stress and inflammation interdependence in multiple
sclerosis. Journal of clinical medicine, 8(11), 1815.
Reber & et. al., (2019). Economic challenges in nutritional management. Journal of clinical
medicine, 8(7), 1005.
Books and Journals
Agnello & et. al., (2018). CYP27A1, CYP24A1, and RXR-α Polymorphisms, Vitamin D, and
multiple sclerosis: a pilot study. Journal of Molecular Neuroscience, 66(1), 77-84.
Das & et. al., (2020). Nutritional status of Hill Korwa preschool children of Jashpur: A
particularly vulnerable tribal group of Chhattisgarh. BLDE University Journal of Health
Sciences, 5(1), 20.
Diddana & et. al., (2018). Effect of nutrition education based on health belief model on
nutritional knowledge and dietary practice of pregnant women in Dessie Town, Northeast
Ethiopia: A cluster randomized control trial. Journal of Nutrition and Metabolism, 2018.
Egbi & et. al., (2020). Contribution of Amaranthus cruentus and Solanum macrocarpon Leaves
Flour to Nutrient Intake and Effect on Nutritional Status of Rural School Children in
Volta Region, Ghana. Journal of nutrition and metabolism, 2020.
Enjezab & et. al., (2021). Effect of Telephone Counseling on the Nutritional Status and Physical
Activity in Iranian Middle-Aged Women. Journal of Research Development in Nursing
and Midwifery, 18(1), 30-34.
Geremew & et. al., (2020). Overview on the impacts of nutrition-sensitive intervention on
dietary diversity and nutritional status of women and children in developing
countries. Ethiopian Journal of public health and nutrition, 4(1).
Maltais & et. al., (2018). The Effect of Exercise and Social Activity Interventions on Nutritional
Status in Older Adults with Dementia Living in Nursing Homes: A Randomised
Controlled Trial. The journal of nutrition, health & aging, 22(7), 824-828.
Miyake, (2019). Gut environmental factors and multiple sclerosis. Journal of
neuroimmunology, 329, 20-23.
Munarni, (2021). The Effect Of Family Characteristics And Parenting Patterns On The
Nutritional Status Of Toddlers In Sigumpar Village, Sigumpar District, Toba Regency In
2020. International Journal of Basic and Applied Science, 10(3), 108-114.
Naghibzadeh & et. al., (2018). Effects of two training programs on transcriptional levels of
neurotrophins and glial cells population in hippocampus of experimental multiple
sclerosis. International journal of sports medicine, 39(08), 604-612.
Padureanu & et. al., (2019). Oxidative stress and inflammation interdependence in multiple
sclerosis. Journal of clinical medicine, 8(11), 1815.
Reber & et. al., (2019). Economic challenges in nutritional management. Journal of clinical
medicine, 8(7), 1005.
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