Case study ( 2253 views as of December 17, 2018 )
Peggy is a 67-year-old woman who retired from her teaching career two years ago. She spends her free time playing cards with her friends, helping watch her grandson occasionally, and volunteers at her local food bank once a week. Peggy used to go to a water aerobics class at her local recreation centre twice a week, but stopped going 9 months ago when her favourite instructor left to have a baby.
Peggy visits her family doctor for her annual check-up. Her height is 5 feet 6 inches, and her weight is 203 lbs. Her waist circumference is 97 cm and her blood pressure is 132/84 mmHg. Peggy's doctor begins to explain the importance of reducing her waist size to Peggy, and she interrupts him by saying that she knows everything he is about to say and she knows what she has to do. Her doctor reminds her that they have had the same conversation at every visit for the past 5 years, and Peggy really does need to address her weight in order to prevent complications to her health like metabolic syndrome, diabetes and/or heart disease. Her doctor does not start Peggy on a blood pressure medication as her measurement in the office today is borderline, and he wants to give her a chance to tackle the lifestyle changes that are needed to improve her health. Peggy is given a 6-month deadline to put some lifestyle changes in place, or she will be prescribed medication to control her blood pressure.
Peggy would benefit from consulting a registered dietitian and an exercise specialist in order to understand the steps she could take with her diet and activity level to address her waist size. Peggy claims she is ready to change, but has not been successful in making the lifestyle changes as of yet, and she could consult with a wellness coach to support her efforts.Author: Ms. Callie Bland