Client 24-hr Recall Assessment Form
Client 24-hr Recall Assessment Form Name Arush TOBE LISTS FOR Date:… Subscribe to view answer Related Answered Questions 1 of 2 Question Answered step-by-step Asked by MinisterKookaburaMaster676 attachment1.png Image transcription text Client 24-hr Recall Assessment Form Name Arush TOBE LISTS FOR Date: 9/19 Day of Week: Tuesday Typical/ Usual Day: Yes / No FOUR DIABETES Record food and beverages your client consumed yesterday. If yesterday’s intake was not typical, then use a typical weekday as a reference. Time Food and Drink Consumed Amount Starches Fruit Veg Other Milk Meat Fats Etoh Cho 7:30 am Black tea-no additions 2 cups 10 am Ritz peanut butter crackers 6 sandwich-style 2 2 8:30 am Bottle of coke 20 ounce 2.5 Noon Crispy chicken sandwich on a 3 2 3.5 bun, lettuce, tomato, and spread French fries Large Order 4.5 Bottle of coke 20 ounces 2.5 3 pm Black tea-no additions 2 cups Dates 6 small 2 8 pm Naan 4 (3 1/4 inch squares 4 White rice, steamed 2 cups 6 Saag chicken (pieces of chicken, 3 ounces chicken; 1/2 3 4 spinach, in a cream sauce) cup spinach; ‘4 cup heavy cream Dal Tarka (curried lentils with 3/4 cup cooked lentils; 1.5 1 spice) 4 Tbsp curry sauce 1 Lassi 2/3 cup plain nonfat 2 1 1; 0.5 yogurt; 1/2 cup whole milk; 1 cup mangoes; 3 tsps sugar totals 22 4 1 6 1.5 5 14.5 Total Kcals 1760 240 25 285 180 315 507.5 Total Cho (g) 330 240 5 540 18 Total Pro (g) 66 2 12 35 Total Fat (g) 22 8 19 72.5 Total Kcals 3,312.5 Total Fat 121.5grams Total Carbohydrate 1,133 grams Total Protein 115 grams Show less