Case study ( 2490 views as of February 20, 2019 )
Jeanine is a 45-year-old construction worker who has been smoking since she was 17 years old. She usually works 8 hours per day in varying weather conditions. Recently, on a very hot day, she fainted at her work site and was taken to an urgent care clinic. When she had regained consciousness and was discussing with the urgent care doctor, Jeanine said she doesn't feel like eating much during the day even though her work is very physically demanding. When she does eat during her breaks, she prefers to snack on foods that are easy to bring with her and don't take any preparation such as chips, cookies, or granola bars. She says she would like to quit smoking because her father, a heavy smoker, died of a heart attack after struggling for many years with heart disease worsened by his smoking.
Jeanine would benefit from seeing her physician or a cardiologist to assess her risk of heart disease and learn more about nicotine replacement therapy or medications that will help her quite smoking. Meeting with a Registered Dietitian would also be beneficial to discuss strategies for replacing her current snacks with more nutrient-dense ones, and addressing nutritional deficiencies she may be experiencing as a result of her poor appetite. Jeanine could also visit an endocrinologist to ensure her appetite hormones are adequately balanced. Additionally, a wellness coach may be able to help Jeanine develop some attainable habits that will support her health goals.Author: Ms. Sarah Ware