Emily Johnson is a 38 year old mother of 2 who presents to her primary care physician's office with rapid heartbeat, rapid breathing, dizziness, and...

Emily Johnson is a 38 year old mother of 2 who presents to her primary care physician's office with rapid heartbeat, rapid breathing, dizziness, and fatigue. During initial intake, Emily states that she began the Military Diet after her being disappointed by her weight at her last doctor's appointment. She weighed 196 pounds at her appointment and since starting the diet last week she now weighs 188 pounds. She has been following the "Military Diet" which consists of half a grapefruit and black coffee for breakfast, 1 slice of toast, ½ cup tuna with coffee for lunch, and 3 ounces of grilled chicken, ½ apple, and 1 cup of green beans with tea for dinner. She has been following this eating pattern for 7 days. She reports that she is not exercising, and prior to this latest diet, she was eating on the go most meals, frequently dining out or driving through fast food restaurants. Her doctor determines that she is severely dehydrated, and recommends that she see you to create healthy, safe, weight loss program. Emily height is 5'4 inches.

• What is missing from this diet plan? Discuss 3 ways Emily could achieve a better nutrient balance.

• According to the Mifflin-St. Jeor equation, what are Emily's current energy needs? To lose about 1 pound per week, what should her calorie goal be? 

• Help the patient set a SMART goal (Specific, Measurable, Attainable, Relevant, and Timely) to help her make a healthy lifestyle change.

• What are the physical activity recommendations you would make for Emily to help her achieve her goal?