1. Dangerous Dan Anna Blando Kim Boardman Jillian Cordeiro Kristin Pile Cornelius Williams

2. Facts based on initial meeting In transition from contemplation to preparation phase Type B/3 personality Sedentary job (only 25% active) BMI 34- Type 1 obesity

3. Issues to be addressed Smoking Current injuries (rotator cuff, mechanical dysfunction syndrome, leg length discrepancy) Weight Control (Nutrition and Exercise) LDL levels/ Blood pressure Increased risk of coronary heart disease Family Intervention

4. Smoking (Cessation???) Theory of Reasoned Action Beliefs about smoking (add on Monday) Habitual stage of smoking (where he wants to be) Prescription Education re second hand smoke and its adverse effects on asthma Assist in adherence to exercise Overall improvement of health (pg 139)

5. Current Issues Rotator Cuff injury (baseball) Mechanical Dysfunction Syndrome Leg Length Discrepancy

6. Weight Control Ideal weight- 150lbs Initial weight loss goal- 20lbs (10% of body weight) Nutrition Education on portion control and healthy food choices (cooking) Alcohol in moderation Special focus on increased alkaline foods to aid in smoking cessation

8. Weight Control cont’d Exercise History indicates readiness for compliance Increase activity levels at work (walk more) Golf more frequently (use of cart)

9. Portion Size Grain Products 1 serving looks like: One slice of whole grain bread, ½ cup of rice or pasta, ½ bagle or bun Fruits and Vegetables 1 serving looks like: 1 medium sized fruit or vegetable, ½ cup of real fruit juice or 1 cup of salad Dairy Products 1 serving looks like: 1 cup of milk, 50g of cheese, ¾ cup of yogourt Protein Products: 50-100g of meat, poultry or fish, 2tbsp of peanut butter or 2 small eggs

10. Healthier Choices Trim all visible fat from beef and poultry, and remove the skin from poultry before eating. Bake, broil, or roast meat dishes instead of deep-fat frying them. To prevent drying and add flavor, baste with wine, lemon juice, or a low-fat broth. Minimize use of butter. Buy or with predominantly unsaturated oils. Olive oil is make salad dressings an especially good choice. Substitute rice and pasta for egg noodles. Use yogurt instead of sour cream in dips and toppings.

11. Nutritional Requirements Drink at least 8 glasses of water a day Try and substitute healthier options (as discussed) when cooking. Focus on portion sizes Eat slowly and STOP when you are full Eat a healthy breakfast that will fuel you for the entire morning. Eat high alkaline foods such as…..see table

12. Cholesterol Unhealthy blood cholesterol levels lead to Heart attack Stroke Clogging of the arteries High blood pressure Fruits, vegetables, legumes and whole grains tend to be high in fiber and low in cholesterol. HDL-Hauls excess cholesterol from the body so High is ok! LDL-Leaves plaque deposits on the artery walls so keep this cholesterol as Low as possible.

13. Next Time Next week bring in the family, so that they too will become educated, and improve as a whole. Have a great week @ work Dan. I have complete faith in you!!!!