NUT06 Nutrition
Assignment v1.4 (2018/01/29)
NUT06 Nutrition
Name
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Assessment
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Assignment
Assignments may include short answer questions or longer answer questions and are designed to
test how you apply your knowledge in a real-world situation. All assignments are completed as a
Microsoft Word document and are submitted to an assessor through My eCampus. Your assessor
is looking for how you apply your knowledge and how you think critically about the topic area.
This assessment item will involve the analysis of case studies. Concerning the fitness and nutrition
industry, case studies provide a record of clinical interactions and help frame important questions
so that critical information about the client’s current state of health and their future goals can be
obtained.
In this assessment task, there are five current case studies for which you will need to complete a
range of clinical and safety questions relevant to specific mock case studies. These include:
•
Identify daily eating patterns in the format of the Australian Dietary Guidelines.
•
Compare eating patterns with the recommendations in the Eat For Health educator guide.
•
Provide suggestions for achieving healthy dietary patterns using the Eat For Health educator
guide
•
Refer clients to either an Accredited Practicing Dietitian, an Accredited Sports Dietitian, or a
medical practitioner if necessary.
Where relevant, you will need to support you answers with current literature and research
articles, which are available via the My Academic Library in My eCampus. You can also refer to
the additional course resources within the NUT06 unit cluster area to further support your
answers.
The minimum word limit for each case study will be 150 words.
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Case Study 1
Alex is 33 years old and has been obese since he was a teenager. During this period, he has also
developed type 2 diabetes. Alex struggles to find sustainable employment and suffers from
depression.
Alex's attitude towards food is driven by his mental state: he is someone who eats for comfort. He
currently takes medication for diabetes and depression and regularly meets with his GP to discuss
and evaluate these two conditions.
Alex has been advised by his GP to seek advice regarding changing his diet because not only will this
have positive effects on his mental state, but losing weight will also lessen the impact of his
diabetes.
Alex's daily meals usually include a breakfast from McDonald's, including a McMuffin and a
milkshake. He snacks throughout the day on chips, biscuits, and doughnuts before having a lunch of
fish and chips with a Coke. For dinner, he usually has either pizza or pasta and either a beer or
Coke.
Please answer the following questions relevant to this case study.
1.
Using the format of the Australian Dietary Guidelines, identify whether Alex’s daily eating
patterns are meeting the guidelines relevant to him.
Alex daily eating patterns are not meeting the Australian Dietary Guidelines, he has little variety
in his food choices, it is lacking in fresh fruit and vegetables;
1. It does not meet the 5 serves of vegetables needed per day
2. It does not meet the 2 serves of fruit needed per day
3. Alex is over consuming in the areas that need to be limited
2.
Using the Eat For Health Educator Guide (found in the additional resources), suggest how
Alex could change his habits to achieve healthy dietary patterns.
Alex needs to increase his intake of leafy greens, vegetables and fruits. Alex would benefit from
cutting out takeaway or at least limiting it to once a week. Alex needs to increase the
nutritional value of the food he is eating. By making substitutes to the unhealthy foods and
takeaway he is currently eating and incorporating the recommended 5 servings of vegetables
and the 2 servings of fruit, increasing his daily intake of wholegrains and cereals and lean
protein and ensuring he is limiting high fat/ high sugar processed food and drinks, he will be
able to dramatically increase his health and wellness.
I would recommend Alex learn about the 5 food groups and try to introduce healthy snacks
between meals to help curb hunger and the need for processed foods. I would also recommend
that Alex learn how to read food labels and monitor his cal/kj intake as well as nutrient intake. I
would also recommend that Alex introduce some physical activity into his routine at least 3 – 4
times per week.
As Alex has been struggling with these habits and lifestyle for many years, I would recommend
that he find healthy substitutes/versions of some of the foods he likes to eat to make the
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transition easier. I would also recommend that Alex tries to prepare his meals in advance to
avoid being tempted by unhealthy options.
3.
Should you refer Alex to an allied health professional? If so, to whom and why?
Alex should be referred to a Dietitian to assist him with the changes to his diet and managing
his diabetes in conjunction with this and also for him to maintain contact with his GP to
continue to assist him with his depression and medication he is taking for that in line with the
changes he is making to his lifestyle.
Case Study 2
Amber is 28 years old and currently 12 weeks pregnant with her first child. She has suffered from
severe morning sickness during this, her first trimester, and has changed her diet significantly
because of this.
Amber's obstetrician anticipates that her morning sickness will subside for the remainder of her
pregnancy, but Amber is keen to try improving her eating habits during the second and third
trimesters, as she is adamant that she would like to breastfeed and understands that a good diet
will aid this.
For the past 12 weeks, she has eaten sporadically throughout the day depending on when she feels
nauseated. She typically skips breakfast or will have a slice of toast with butter and jam on her way
to work. She does not tend to snack during the day but will occasionally eat a muesli bar. Her
workplace has an on-site café, and she usually orders a cheese and tomato toasted sandwich for
lunch. In the evening, both she and her husband arrive home relatively late, so they have been
eating for convenience in the form of microwave meals and ordering Thai food or pizzas twice per
week.
Please answer the following questions relevant to this case study.
1.
Using the format of the Australian Dietary Guidelines, identify whether Amber’s daily eating
patterns are meeting the guidelines relevant to her.
Amber’s diet does not meet the guidelines relevant to her needs.
-She should be supported in her goal of breastfeeding as outlined in guideline 4.
- As she is pregnant Amber requires 3.5 servings of lean protein per day, which is currently not
being met as extra iron, protein and zinc are required for a healthy pregnancy.
- She needs to ensure she is eating a variety of foods from all 5 of the food groups as outlined in
guideline 2 as well as ensuring she is eating her 5 serves of veg and 2 serves of fruit per day,
which is not currently being met.
2.
Using the Eat For Health Educator Guide (found in the additional resources), suggest how
Amber could change her habits to achieve healthy dietary patterns.
Amber would benefit from preparing nutritionally balanced meals in advance either on the
weekends (dinners) or the evening before (meals and snacks) to avoid making unhealthy
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choices or opting for takeaway for convenience and also to ensure she is getting the balance of
nutrients she needs for herself and her pregnancy. I would refer Amber to table 10, which
offers the recommended intake of the 5 food groups for pregnant women as well as for women
who are breastfeeding. It is important that Amber commence her day with a nutritious
breakfast. There is a sample daily meal plan in table 20 which also might be useful for Amber to
use.
3.
Should you refer Amber to an allied health professional? If so, to whom and why?
I would refer Amber to a dietitian or nutritionist to assist her with maintaining a nutritionally
balanced diet appropriate for pregnancy that fits in with her lifestyle in conjunction with her
Obstetrician
Case Study 3
James is 55 years old and suffers from cardiovascular disease. He suffered a heart attack three
years ago and has been encouraged by his GP to start a light exercise program as well as making
modifications to his diet.
James is also gluten intolerant. Currently, he follows a diet based around gluten-free principles.
A sample day of his includes two eggs and half an avocado for breakfast, a chicken salad for lunch,
and grilled steak with green vegetables for dinner. James prepares all his own meals from scratch
and cooks using utensils that he keeps in a clean condition. He stores all his perishable items in the
fridge and uses sealed Tupperware containers to store remaining food once it has been
unpackaged.
Please answer the following questions relevant to this case study.
1.
Using the format of the Australian Dietary Guidelines, identify whether James’s daily eating
patterns are meeting the guidelines relevant to him.
James seems to eat a good range of fresh vegetables and lean meat in his diet. He appears to
have a very low intake of carbohydrates from gluten free grains, cereals, and fruits, which
means he is missing out some essential nutrients, vitamins and minerals. The low intake of
carbohydrates may also result in James feeling lethargic and or lacking in energy.
1. His diet appears to meet the recommended intake of 5 serves vegies
2. James doesn’t include the recommended 2 serves of fruit
3. It meets the recommended amount of lean protein
4. His diet doesn’t include the recommended intake of grains and cereals which can just
as easily be met with his gluten free requirements
2.
Using the Eat For Health Educator Guide (found in the additional resources), suggest how
James could change his habits to achieve healthy dietary patterns.
James diet is relatively healthy. I would suggest, in line with the Australian dietary guidelines
that he add 2 servings of fruit into his daily intake. I would also suggest he add some gluten free
grains and cereals, such as brown rice and pasta, quinoa and gluten free oats to increase to the
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recommendation of 5 servings, this would help him to feel fuller and give him more energy
throughout the day.
I might also recommend that James not opt for the two eggs and avocado for breakfast every
day, maybe just have one egg and add some carbohydrates and alternate it with another
option some days and include carbohydrates to offer some variety and slow release energy and
also lower his cholesterol and fat intake. I would might also recommend he include some
legumes and pulses to his diet as an alternative protein and fibre source
3.
Should you refer James to an allied health professional? If so, to whom and why?
I would encourage James to keep in contact with his GP to ensure his diet and exercise
modifications are safe for his heart condition
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Case Study 4
Linda is a 21-year-old student in her final year at university. She is also a very talented distance
runner and is hoping to qualify for the next Olympic Games in the marathon.
Linda's goal is to meet the qualifying standard in the next 12 months, so she has increased her
training load and intensity to help achieve this. Between her increased training volume and her
studies for university, her diet has not been a priority, and she is seeking guidance on how to modify
her diet to support her training and lifestyle goals.
An example of her daily diet includes having Nutri Grain cereal for breakfast with semi-skimmed
milk, followed by cheese and ham sandwiches for lunch, and pasta for dinner. She tries to drink 1.5
litres of water each day, but also has three or four black coffees each day.
Linda prepares her own food, but at times, she forgets to put the milk back in the fridge after using
it in the morning. She regularly arrives home in the afternoon and only then puts the milk back in
the fridge.
Please answer the following questions relevant to this case study.
1.
Using the format of the Australian Dietary Guidelines, identify whether Linda’s daily eating
patterns are meeting the guidelines relevant to her.
Linda diet is not meeting the Australian dietary guidelines and it would not be providing her
with the energy and nutrients to meet her training needs.
Linda needs to ensure she has enough energy from her diet to be able to perform her physical
activity and increased training load.
Linda needs to eat more throughout the day and involve foods from all food groups to ensure
she can supply herself with the energy to cope with the increasing intensity of her training. Her
daily food intake does not meet the recommended 5 serves of vegetables and does not meet
the recommended 2 serves of fruit.
1.5 litres of water each day is a good amount for someone who does not train as much, but
with Linda’s level of activity, more would be required to meet her needs.
Linda diet is appears to be high in processed foods and sugars and salts, especially breakfast
and lunch and would benefit from adding more variety in to her diet in order to meet the
To avoid bacteria building up and causing harm to Linda, she would also need to ensure all
foods are packaged and stored safely eg. The milk left out should be put away immediately
after use.
2.
Using the Eat For Health Educator Guide (found in the additional resources), suggest how
Linda could change her habits to achieve healthy dietary patterns.
Linda needs to increase her nutrient intake and calorie intake in order to have the energy and
nourishment required to train effectively to meet her goals;
An example of a basic meal plan to transition into could be:
Breakfast – Wholegrain toast with avocado OR a wholegrain cereal or oats with fruit and semi
skimmed milk or reduced fat yogurt
Morning tea – piece of fruit and a coffee OR protein shake OR carrots and celery w/hummus
Lunch – Chicken/Lean protien and salad sandwich on wholemeal with reduced fat cheese with
a variety of vegetables
Afternoon tea – Unsalted nuts and coffee OR Tuna on crackers
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Dinner – Wholegrain pasta with lean protein and vegetables
Evening snack - Fruit salad with reduced fat yogurt.
Then could add more variety as training load increases and needs change
3.
Should you refer Linda to an allied health professional? If so, to whom and why?
I would refer Linda to a dietician who ideally specialises in athletes and those who are training.
Case Study 5
Olly is 40 years old and has lost a significant amount of weight recently. He has introduced regular
exercise into his life over the last 12 months and has lost weight due to his efforts to ensure that he
follows the Australian Dietary Guidelines.
Despite his best efforts, Olly is still 10kg overweight and is struggling to lose the remaining weight.
He currently exercises at moderate intensity for 30 minutes three times per week. A typical day in
Olly’s diet includes two pieces of wholegrain toast with butter and vegemite in addition to two hard
boiled eggs for breakfast; for lunch, he usually eats grilled chicken or fish with white rice or potatoes
and a small amount of vegetables such as broccoli or green beans; and for dinner, he will generally
eat either grilled steak with potatoes and vegetables or he will cook a chicken stir fry with noodles
or rice.
Olly also snacks on at least two pieces of fruit per day and drinks two litres of water.
Olly prepares all his food for each day the night prior and stores all perishable items in airtight
containers in the fridge.
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Please answer the following questions relevant to this case study.
1.
Using the format of the Australian Dietary Guidelines, identify whether Olly’s daily eating
patterns are meeting the guidelines relevant to him.
Ollys daily diet appears to be mainly meeting the dietary guidelines as he is consuming a wide
variety of foods and nutrients. He is not meeting the requirements for dairy and I would
suggest including low fat yogurt or wholegrain cereal with reduced fat milk in his diet or as a
breakfast alternative, to alternate with the toast and 2 eggs from breakfast as although a good
option eggs can be high in fat also so probably not best for him to eat 2 daily when he has a
goal of weight loss.
I would suggest in order to fully meet the requirements for cereals and grains to use
wholegrain rice or pasta instead and eat a wider variety of vegetables and salad and include
some nuts as snacks where possible.
If he is feeling able I would also encourage him to increase his activity level from 3 x 30mins per
week to either the occasional longer session or an additional session in order to meet his
weight loss goals.
2.
Using the Eat For Health Educator Guide (found in the additional resources), suggest how
Olly could change his habits to achieve healthy dietary patterns.
I would suggest Olly change from white rice, pasta and noodles to wholegrain and to
occasionally eat sweet potatoes and pumpkin (or other vegetables) as an alternative to white
potatoes to get some variety in nutrients.
I would also suggest instead of eating toast and 2 eggs for breakfast every day to perhaps
alternate days with reduced fat yogurt and fruit or wholegrain cereal and reduced fat milk to
add variety and ensure he is meeting the daily guidelines for dairy.
I would also suggest that he adds some nuts as a snack or incorporate some low fat dairy or
dairy alternative to ensure he is meeting the 2 serve guidelines.
His daily diet is good, I would just he ensures he is getting variety in the vegetables and fruit he
is easting to ensure he is getting enough nutrients.
3.
Should you refer Olly to an allied health professional? If so, to whom and why?
I don’t think Olly would need to be referred to a AHP, perhaps a dietician or nutritionist to help
him lose the last 10kg he is struggling with.
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