case study

All key elements of the assignment are covered in a substantive way. 
· Identification of a health problem that Mitch may be at risk for
· Two nutritional goals and two physical exercise goals
· Actions taken to meet each goal
· Anticipated setbacks or difficulties and approaches for overcoming them
· Outcomes by which to measure success
· Explanation of behaviors that need changed, how to change them and why
· Explanation of Food Pyramid and each food group
· How the plan may be adjusted to fit changing physical capabilities
The paper is 2,800 to 3,300 words in length.
The paper develops a central theme or idea, directed toward the appropriate audience.
The content is comprehensive, accurate, and persuasive.
Major points are stated clearly; are supported by specific details, examples, or analysis; and are organized logically.
The introduction provides sufficient background on the topic and previews major points.
The conclusion is logical, flows from the body of the paper, and reviews the major points.

You are a dietitian. You are a friend of Mitch's family and have been asked to help develop a nutrition and exercise plan for Mitch. Mitch is a 67 year old male that has been gaining weight over the last three years. He is 5'11' and weighed 165 lbs three years ago. He has put on 35 pounds. Mitch has lived alone for 3 years now. Three years ago, he used to take walks with friends, regardless of the weather. He also bowled once a week and played shuffleboard twice a week. He used to go to the recreation center every Saturday and swim for an hour. Mitch has quit all of these activities and doesn't like to be told he needs to be more active. Mitch is also a smoker and likes to drink alcohol. He has smoked a pack of cigarettes a day for 30 years. He also doesn't miss a meal and eats more now that he doesn't exercise. His favorite foods include hamburgers, meatloaf and breads. He normally has a piece of fruit with breakfast and some form of potato during the day. Mitch's mother lived until she was 92 and her death was attributed to old age. His dad died at 71 and had a history of diabetes.