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{"id":1104096,"type":0,"block_id":"75af4bcae85a15c25dc3d21c51ede4a8c9d0c8e8","theme_id":46,"user_id":86743,"path":"75af4bcae85a-0627","title":"Handling a Stroke. By Joshua Jacobo","pubtitle":"Handling a Stroke. By Joshua Jacobo","tags":"","public":true,"publicAccess":true,"private_link_enabled":0,"thumb":"https://s3-eu-west-1.amazonaws.com/infogram-thumbs-200/75af4bcae85a15c25dc3d21c51ede4a8c9d0c8e8.jpg","width":550,"copyright":null,"properties":{"transparent":false,"rtl":false,"export_settings":{"showGrid":true,"showValues":true},"whitelabel":false,"embed_button":"enabled","title_link":"infogram","custom_logo":"infogram","custom_link_url":"","embed_button_text":"Share","decimal_separator":".,"},"elements":[{"type":"particle","particle_id":11904733,"object_id":"8704fa7a-e9fe-11e4-a037-7b5f270fdca9","particle_type":"maintitle","picture":null,"text":"Handling a Stroke. By Joshua Jacobo","content_type":"","title":null,"shrink":null},{"type":"particle","particle_id":1246551,"object_id":"78edcb9e2bf41f6e8110cd073860ae6ea7dba572","particle_type":"quote","picture":"","text":"Living Situation","content_type":"","title":"Ralph a fifty-eight year old caucasian, who suffered from a stroke leaving the right side of his body weaker then his left. He has a wife with cancer. A dog in the house; Herbie a 8 year old german shepherd. One car and a house on 3 acres... Ralph also l","shrink":null},{"type":"particle","particle_id":1246552,"object_id":"98b855b3ac6b536a0cf30c7215535f2f16e865a2","particle_type":"image","picture":"http://s3-eu-west-1.amazonaws.com/infogram-particles-700/98b855b3ac6b536a0cf30c7215535f2f16e865a2.jpg"},{"type":"particle","particle_id":1246553,"object_id":"70f37f80ac5551fba9e37eb88b0538329acfb69b","particle_type":"maintitle","picture":"","text":"The Condition of His Life","content_type":"","title":"","shrink":null},{"type":"particle","particle_id":1246554,"object_id":"e3b026278ece331a358e741d1dc858e11ff882c2","particle_type":"quote","picture":"","text":"Children? Parents? Job/Work? Medication?","content_type":"","title":"No parents (deceased). 2 daughters with 3 granchildren and 2 granddaughters. Owns a gas station. Aspirin, Plavix, Hydrochlorothiazide. ","shrink":null},{"type":"particle","particle_id":1246555,"object_id":"f299c85f17537d37d34185503740043a5886bf49","particle_type":"maintitle","picture":"","text":"Part One ","content_type":"","title":"","shrink":null},{"type":"particle","particle_id":1246556,"object_id":"194ff87849e9885a064e08aedc7b3adf09e01d66","particle_type":"quote","picture":"","text":"Statistics ","content_type":"","title":"How many people have this disease? How much does it cost to annually take care for someone with the disease? ","shrink":null},{"type":"particle","particle_id":1246571,"object_id":"joshuajacobo1368534390","particle_type":"bodytext","picture":null,"text":"Where does NC compare to the united states? ","content_type":"","title":"","shrink":null},{"type":"particle","particle_id":1246586,"object_id":"joshuajacobo1368534456","particle_type":"bodytext","picture":null,"text":"The North Carolina Department of Health and Human Services reports that North Carolina is included in the “Stroke Belt,” an area in the southeastern United States that has a significantly higher incidence of stroke than the rest of the country. The North Carolina Stroke Care Collaborative states that the age-adjusted stroke death rate in North Carolina in 2007 was approximately 19% higher than the U.S. rate. The Centers for Disease Control (CDC) reports the age-adjusted (ages 35+) stroke death rates in Mecklenburg County, N.C. (including Charlotte) to be 116 in 100,000. Many people do not realize that strokes can occur in younger patients as well. In fact, a CDC study found that Ischemic stroke hospitalization rates in adolescents and young adults (ages 15-44) increased up to 37% between 1995 and 2008. Given the number of relatively younger people who have suffered strokes in the Charlotte area, Dr. Jodi Dodds, Director of Presbyterian Healthcare Stroke Centers, decided to start a support group for her younger patients. The age range of the group is 25-55 years. Dr. Dodds thinks that the group will help each other out as they navigate the unfamiliar terrain of stroke recovery at a young age.","content_type":"","title":"","shrink":null},{"type":"particle","particle_id":1246558,"object_id":"12aedbd27f48f5ad79350dae3750c1908ed4f666","particle_type":"image","picture":"http://s3-eu-west-1.amazonaws.com/infogram-particles-700/12aedbd27f48f5ad79350dae3750c1908ed4f666.jpg"},{"type":"particle","particle_id":1246741,"object_id":"joshuajacobo1368535191","particle_type":"bodytext","picture":null,"text":"While North Carolina still has a budget to work on making the younger patients more informed about strokes. Stroke is a leading cause of serious long-term disability. The United States deals with the cost stroke, an estimated $38.6 billion each year. This total includes the cost of health care services, medications, and missed days of work.","content_type":"","title":"","shrink":null},{"type":"particle","particle_id":1246795,"object_id":"joshuajacobo_1368535466","particle_type":"image","picture":"http://s3-eu-west-1.amazonaws.com/infogram-particles-700/joshuajacobo_1368535466.gif"},{"type":"particle","particle_id":1246805,"object_id":"joshuajacobo1368535515","particle_type":"bodytext","picture":null,"text":"Stroke is one of the leading causes of death for all Americans, but the risk of having a stroke varies with race and ethnicity. African Americans risk of having a first stroke is nearly twice of a Caucasian American. Latino Americans risk falls between that of Caucasian and African Americans. American Indians/Alaska Natives and African Americans are more likely to have had a stroke than are other groups. Although stroke risk increases with age, strokes can and do occur at any age. In 2009, 34% of people hospitalized for stroke were under the age of 65.5","content_type":"","title":"","shrink":null},{"type":"particle","particle_id":1246877,"object_id":"joshuajacobo_1368535773","particle_type":"image","picture":"http://s3-eu-west-1.amazonaws.com/infogram-particles-700/joshuajacobo_1368535773.gif"},{"type":"particle","particle_id":1246934,"object_id":"joshuajacobo1368536001","particle_type":"bodytext","picture":null,"text":"Americans at risk, high blood pressure, high LDL cholesterol, and smoking are key risk factors for stroke. About half of Americans (49%) have at least one of these three risk factors. Several other medical conditions and lifestyle choices can also put people at a higher risk for stroke, including: Diabetes, Overweight and obesity, Poor diet, Physical inactivity, Excessive alcohol use.\n","content_type":"","title":"","shrink":null},{"type":"particle","particle_id":1247233,"object_id":"joshuajacobo1368537245","particle_type":"bodytext","picture":null,"text":"10 percent of stroke victims recover almost completely. 25 percent of stroke victims recover with minor impairments. 40 percent of stroke victims experience moderate to severe impairments requiring special care.10 percent of stroke victims require care in a nursing home or other long-term care facility.15 percent die shortly after the stroke.7.6 percent of ischemic strokes and 37.5 percent of hemorrhagic strokes result in death within 30 days. While subarachnoid hemorrhage (SAH) represents only about 7 percent of all strokes, it is the most deadly with more than a 50 percent fatality rate. Of the survivors, approximately half will suffer permanent disability. 22 percent of men and 25 percent of women die within a year of their first stroke. 14 percent of people who have a stroke or TIA will have another within a year. About 25 percent of stroke victims will have another within five years. The total cost of stroke to the United States is estimated at $43 billion per year. The direct costs of medical care and therapy are estimated at $28 billion per year. Indirect costs from lost productivity and other factors are estimated at $15 million per year. The average cost of care for a patient up to 90 days after stroke is $15,000. For 10 percent of patients, the cost of care for the first 90 days after a stroke is $35,000. The percentage breakdown of the direct costs of care for the first 90 days after a stroke is Initial hospitalization (43%), Rehabilitation (16%), Physician costs (14%) Hospital Readmission (14%), Medications and other expenses (13%).\n","content_type":"","title":"","shrink":null},{"type":"chart","chart_id":1767624,"object_id":"joshuajacobo_1368540680","chart_type_nr":3,"data":[[["The percentage breakdown","Money"],["Initial hospitalization","43"],["Rehabilitation","16"],["Physician costs","14"],["Hospital readmission","14"],["Medication and other expenses","13"]]],"custom":{"defaultPath":"rectPath"},"colors":[],"dimensions":[],"modifier":0,"sheetnames":[],"sheets_settings":[]},{"type":"particle","particle_id":1247260,"object_id":"joshuajacobo1368537340","particle_type":"maintitle","picture":null,"text":"Part Two","content_type":"","title":"","shrink":null},{"type":"particle","particle_id":1247256,"object_id":"joshuajacobo1368537329","particle_type":"quote","picture":null,"text":"Therapies.","content_type":"","title":"What are some common therepies for treating a stroke or dealing with a stroke? ","shrink":null},{"type":"particle","particle_id":1247310,"object_id":"joshuajacobo1368537554","particle_type":"bodytext","picture":null,"text":"Treatments and drugs\n\nEmergency treatment with medications. Therapy with clot-busting drugs (thrombolytics) must start within 4.5 hours if they are given into the vein and the sooner, the better. Quick treatment not only improves your chances of survival but also may reduce the complications from your stroke. You may be given:\n\nAspirin. Aspirin, an anti-thrombotic drug, is an immediate treatment after an ischemic stroke to reduce the likelihood of having another stroke. Aspirin prevents blood clots from forming. In the emergency room, you may be given a dose of aspirin. The dose may vary, but if you already take a daily aspirin for its blood-thinning effect, you may want to make a note of that on an emergency medical card so doctors will know if you've already taken some aspirin.\n\nOther blood-thinning drugs, such as heparin, also may be given, but this drug isn't proven to be beneficial in the emergency setting so it's used infrequently. Clopidogrel (Plavix), warfarin (Coumadin), or aspirin in combination with extended release dipyridamole (Aggrenox) may also be used, but these aren't usually used in the emergency room setting.\n\nIntravenous injection of tissue plasminogen activator (TPA). Some people who are having an ischemic stroke can benefit from an injection of a recombinant tissue plasminogen activator (TPA), also called alteplase, usually given through a vein in the arm. This potent clot-busting drug needs to be given within 4.5 hours after stroke symptoms begin if it's given into the vein. This drug restores blood flow by dissolving the blood clot causing your stroke, and it may help people who have had strokes recover more fully. Your doctor will consider certain risks, such as potential bleeding in the brain, to determine if TPA is the most appropriate treatment for you.\nEmergency procedures. Doctors sometimes treat ischemic strokes with procedures that must be performed as soon as possible.\n\nCarotid endarterectomy. In a carotid endarterectomy, a surgeon removes fatty deposits (plaques) from your carotid arteries that run along each side of your neck to your brain. In this procedure, your surgeon makes an incision along the front of your neck, opens your carotid artery, and removes fatty deposits (plaques) that block the carotid artery. Your surgeon then repairs the artery with stitches or a patch made with a vein or artificial material (graft). The procedure may reduce your risk of ischemic stroke. However, a carotid endarterectomy also involves risks, especially for people with heart disease or other medical conditions.\nAngioplasty and stents. In an angioplasty, a surgeon inserts a catheter with a mesh tube (stent) and balloon on the tip into an artery in your groin and guides it to the blocked carotid artery in your neck. Your surgeon inflates the balloon in the narrowed artery and inserts a mesh tube (stent) into the opening to keep your artery from becoming narrow zed after the procedure.\nHemorrhagic stroke \nEmergency treatment of hemorrhagic stroke focuses on controlling your bleeding and reducing pressure in your brain. Surgery also may be used to help reduce future risk.\n\nEmergency measures. If you take warfarin (Coumadin) or anti-platelet drugs such as clopidogrel (Plavix) to prevent blood clots, you may be given drugs or transfusions of blood products to counteract their effects. You may also be given drugs to lower pressure in your brain (intracranial pressure), lower your blood pressure or prevent seizures. People having a hemorrhagic stroke can't be given clot-busters such as aspirin and TPA, because these drugs may worsen bleeding.\n\nOnce the bleeding in your brain stops, treatment usually involves bed rest and supportive medical care while your body absorbs the blood. Healing is similar to what happens while a bad bruise goes away. If the area of bleeding is large, surgery may be used in certain cases to remove the blood and relieve pressure on the brain.\n\nSurgical blood vessel repair. Surgery may be used to repair certain blood vessel abnormalities associated with hemorrhagic strokes. Your doctor may recommend one of these procedures after a stroke or if you're at high risk of a spontaneous aneurysm or arteriovenous malformation (AVM) rupture:\n\nSurgical clipping. A surgeon places a tiny clamp at the base of the aneurysm, to stop blood flow to it. This can keep the aneurysm from bursting, or it can prevent re-bleeding of an aneurysm that has recently hemorrhaged.\nCoiling (endovascular embolization). In this procedure, a surgeon inserts a catheter into an artery in your groin and guides it to your brain using X-ray imaging. Your surgeon then guides tiny detachable coils into the aneurysm (aneurysm coiling). The coils fill the aneurysm, which blocks blood flow into the aneurysm and causes the blood to clot.\nSurgical AVM removal. Surgeons may remove a smaller AVM if it's located in an accessible area of your brain, to eliminate the risk of rupture and lower the risk of hemorrhagic stroke. However, it's not always possible to remove an AVM if it's too large or if it's located deep within your brain.\nStroke recovery and rehabilitation\nFollowing emergency treatment, stroke care focuses on helping you regain your strength, recover as much function as possible and return to independent living. The impact of your stroke depends on the area of the brain involved and the amount of tissue damaged. If your stroke affected the right side of your brain, your movement and sensation on the left side of your body may be affected. If your stroke damaged the brain tissue on the left side of your brain, your movement and sensation on the right side of your body may be affected. Brain damage to the left side of your brain may cause speech and language disorders. In addition, if you've had a stroke, you may have problems with breathing, swallowing, balancing and vision.\n\nMost stroke survivors receive treatment in a rehabilitation program. Your doctor will recommend the most rigorous therapy program you can handle based on your age, overall health and your degree of disability from your stroke. Your doctor will take into consideration your lifestyle, interests and priorities, and availability of family members or other caregivers.\n\nYour rehabilitation program may begin before you leave the hospital. It may continue in a rehabilitation unit of the same hospital, another rehabilitation unit or skilled nursing facility, an outpatient unit, or your home.\n\nEvery person's stroke recovery is different. Depending on your condition, your treatment team may include:\n\nDoctor trained in brain conditions (neurologist)\nRehabilitation doctor (physiatrist)\nNurse\nDietitian\nPhysical therapist\nOccupational therapist\nRecreational therapist\nSpeech therapist\nSocial worker\nCase manager\nPsychologist or psychiatrist\nChaplain\nCoping and support\n\n\n","content_type":"","title":"","shrink":null},{"type":"particle","particle_id":1247576,"object_id":"joshuajacobo1368538661","particle_type":"maintitle","picture":null,"text":"Part Three","content_type":"","title":"","shrink":null},{"type":"particle","particle_id":1247546,"object_id":"joshuajacobo1368538560","particle_type":"quote","picture":null,"text":"The mini expert.","content_type":"","title":"Common knowledge you should know about stroke.","shrink":null},{"type":"particle","particle_id":1247670,"object_id":"joshuajacobo1368538910","particle_type":"video","picture":null,"text":"//youtube.com/embed/_ANn6Z1iKxc"},{"type":"particle","particle_id":1247591,"object_id":"joshuajacobo1368538678","particle_type":"bodytext","picture":null,"text":"A stroke is a life-changing event that can affect your emotional well-being as much as your physical function. You may experience feelings of helplessness, frustration, depression and apathy. You may also have mood changes and a diminished sex drive.\n\nMaintaining your self-esteem, connections to others and interest in the world are essential parts of your recovery. Several strategies may help both you and your caregivers, including:\n\nDon't be hard on yourself. Accept that physical and emotional recovery will involve tough work, and it will take time. Aim for a \"new normal,\" and celebrate your progress. Allow time for rest.\nGet out of the house even if it's hard. Try not to be discouraged or self-conscious if you move slowly and need a cane, walker or wheelchair to get around. Getting out is good for you.\nJoin a support group. Meeting with others who are coping with a stroke lets you get out and share experiences, exchange information, and forge new friendships.\nLet friends and family know what you need. People may want to help, but they may not know how to help. Let them know that you would like them to bring over a meal and stay to eat with you and talk, or to go out to lunch with you, or attend social events or church activities.\nKnow that you are not alone. Nearly 800,000 Americans have a stroke every year. Approximately every 40 seconds someone has a stroke in the United States.\nCommunication challenges\nOne of the most frustrating effects of stroke is that it can affect your speech and language. Here are some tips to help both stroke survivors and caregivers cope with communication challenges:\n\nPractice will help. Try to have a conversation at least once a day. It will help you learn what works best for you, feel connected and rebuild your confidence.\nRelax and take your time. Talking may be easiest and most enjoyable in a relaxing situation when you have plenty of time. Some stroke survivors find that after dinner is a good time.\nSay it your way. When you're recovering from a stroke, you may need to use fewer words, rely on gestures or rely on your tone of voice to communicate.\nUse props and communication aids. You may find it helpful to use cue cards showing frequently used words, pictures of close friends and family members, or daily activities, such as a favorite television show or the bathroom.\nPrevention\n\nKnowing your stroke risk factors, following your doctor's recommendations and adopting a healthy lifestyle are the best steps you can take to prevent a stroke. If you've had a stroke or a TIA, these measures may help you avoid having another stroke. Many stroke prevention strategies are the same as strategies to prevent heart disease. In general, healthy lifestyle recommendations include:\n\nControlling high blood pressure (hypertension). One of the most important things you can do to reduce your stroke risk is to keep your blood pressure under control. If you've had a stroke, lowering your blood pressure can help prevent a subsequent transient ischemic attack or stroke. Exercising, managing stress, maintaining a healthy weight, and limiting the amount of sodium and alcohol you eat and drink are all ways to keep high blood pressure in check. Adding more potassium to your diet also may help. In addition to recommending lifestyle changes, your doctor may prescribe medications to treat high blood pressure.\nLowering the amount of cholesterol and saturated fat in your diet. Eating less cholesterol and fat, especially saturated fat and trans fats, may reduce the plaque in your arteries. If you can't control your cholesterol through dietary changes alone, your doctor may prescribe a cholesterol-lowering medication.\nQuitting tobacco use. Smoking raises the risk of stroke for both the smoker and nonsmokers exposed to secondhand smoke. Quitting tobacco use reduces your risk of stroke.\nControlling diabetes. You can manage diabetes with diet, exercise, weight control and medication.\nMaintaining a healthy weight. Being overweight contributes to other stroke risk factors, such as high blood pressure, cardiovascular disease and diabetes. Weight loss of as little as 10 pounds may lower your blood pressure and improve your cholesterol levels.\nEating a diet rich in fruits and vegetables. A diet containing five or more daily servings of fruits or vegetables may reduce your risk of stroke.\nExercising regularly. Aerobic exercise reduces your risk of stroke in many ways. Exercise can lower your blood pressure, increase your level of high-density lipoprotein (HDL, or \"good\") cholesterol, and improve the overall health of your blood vessels and heart. It also helps you lose weight, control diabetes and reduce stress. Gradually work up to 30 minutes of activity — such as walking, jogging, swimming or bicycling — on most, if not all, days of the week.\nDrinking alcohol in moderation, if at all. Alcohol can be both a risk factor and a preventive measure for stroke. Heavy alcohol consumption increases your risk of high blood pressure, ischemic strokes and hemorrhagic strokes. However, drinking small to moderate amounts of alcohol may help prevent ischemic stroke and decrease your blood's clotting tendency.\n\nTreat obstructive sleep apnea, if present. Your doctor may recommend an overnight oxygen assessment to screen for obstructive sleep apnea (OSA). If OSA is detected, it may be treated by giving you oxygen at night or having you wear a small device in \nyour mouth.\n\nAvoiding illicit drugs. Certain street drugs, such as cocaine and methamphetamines, are established risk factors for a TIA or a stroke. Cocaine reduces blood flow and can cause narrowing of arteries.\n\nPreventive medications\nIf you've had an ischemic stroke or TIA, your doctor may recommend medications to help reduce your risk of having another stroke. These include:\n\nAnti-platelet drugs. Platelets are cells in your blood that initiate clots. Anti-platelet drugs make these cells less sticky and less likely to clot. The most frequently used anti-platelet medication is aspirin. Your doctor can help you determine the right dose of aspirin for you.\n\nYour doctor may also consider prescribing Aggrenox, a combination of low-dose aspirin and the anti-platelet drug dipyridamole, to reduce the risk of blood clotting. If aspirin doesn't prevent your TIA or stroke, or if you can't take aspirin, your doctor may instead prescribe an anti-platelet drug such as clopidogrel (Plavix).\n\nAnticoagulants. These drugs, which include heparin and warfarin (Coumadin), reduce blood clotting. Heparin is fast acting and may be used over a short period of time in the hospital. Slower acting warfarin may be used over a longer term.\n\nWarfarin is a powerful blood-thinning drug, so you'll need to take it exactly as directed and watch for side effects. Your doctor may prescribe these drugs if you have certain blood-clotting disorders, certain arterial abnormalities, an abnormal heart rhythm or other heart problems. Other newer blood thinners may be used if your TIA or stroke was caused by an abnormal heart rhythm.","content_type":"","title":"","shrink":null},{"type":"particle","particle_id":1247947,"object_id":"joshuajacobo1368539796","particle_type":"maintitle","picture":null,"text":"Part Four","content_type":"","title":"","shrink":null},{"type":"particle","particle_id":1247958,"object_id":"joshuajacobo1368539823","particle_type":"quote","picture":null,"text":"Plan a weeks worth of events for the patient. ","content_type":"","title":"Based on the patients living condition. Remember he's an old man who suffered from a stroke, and his wife has cancer they can only do so much.","shrink":null},{"type":"chart","chart_id":1767146,"object_id":"joshuajacobo_1368539152","chart_type_nr":19,"data":[[["Plans of the week.","Events"],["Sunday","Take a day off. Go to church, head out to eat and enjoy mowing the lawn."],["Monday","Before you go to work. Check up oh the vegetable garden, water the plants, go for a jog/walk."],["Tuesday","Spend the day out with the family, walk the dog, and take a hike with the ladie."],["Wednesday","Go to work. Let the heart relax. Check up on garden make sure there aren't any pests."],["Thursday","Gas station maintenance, fix up your work place. Give it a check up."],["Friday","Take the day off, spend time with the grandchildren take them to the zoo, the park, and then some ice cream."],["Saturday","Go grocery shopping in order to make the meals necessary to keep your heart pumping healthy. Spend the day with the woman."]]],"custom":{"defaultPath":"rectPath","styleName":false},"colors":["#6d3099"],"dimensions":[],"modifier":0,"sheetnames":[],"sheets_settings":[]},{"type":"particle","particle_id":1248633,"object_id":"joshuajacobo1368541961","particle_type":"maintitle","picture":null,"text":"Part Five","content_type":"","title":"","shrink":null},{"type":"particle","particle_id":1248648,"object_id":"joshuajacobo1368541998","particle_type":"quote","picture":null,"text":"Create a meal plan for your patient.","content_type":"","title":"When you have a stroke, you can't just eat anything anymore. You need a heart healthy hardy meal.","shrink":null},{"type":"particle","particle_id":1248683,"object_id":"joshuajacobo1368542077","particle_type":"bodytitle","picture":null,"text":"Here is a 7 day meal schedule for my patient.","content_type":"","title":"","shrink":null},{"type":"particle","particle_id":1249842,"object_id":"joshuajacobo1368544961","particle_type":"bodytext","picture":null,"text":"Monday \nBREAKFAST\nQuick Breakfast Taco\n or \nScrambled Eggs with Smoked Salmon\nSkim milk (1 cup)\nOrange (1 large)\n\nLUNCH\nSeared Tuna & Watercress with Scallion-Ginger Relish\nWhole-wheat toast (1 slice)\nFat-free Cheese Slice\n\nSNACK\nHummus & Vegetables\n\nDINNER\nAlmond-Crusted Chicken Fingers\n or \nRoasted Pork Tenderloin\nMary's Zucchini with Parmesan\nCucumber Salad\nCinnamon Baked Apples\n\nTuesday\nBREAKFAST\nPoppy Seed Waffles\nGrapefruit (1/2)\nSkim milk (1 cup)\n\nLUNCH\nCrackers & Tuna\n or \nQuesadillas al Greco\nThe EatingWell Diet House Salad\n\nSNACK\nLow-fat vanilla yogurt (8 oz.)\n\nDINNER\nBalsamic-Glazed Roasted Chicken Breasts\n or \nTuna Pan Bagna\nSkim milk (1 cup)\nOven Sweet Potato Fries\nMelon (1 cup, cubes)\n\nWednesday\nBREAKFAST\nEatingWell Diet Breakfast Smoothie\n\nLUNCH\nRomaine Salad with Orange, Feta & Beans\nWhole-wheat pita bread (1 medium pita) or \nGreens & Gorgonzola Pizza\nBlueberries (1 cup)\n\nSNACK\nHummus & Vegetables\n\nDINNER\nSpicy Beef with Shrimp & Bok Choy\n or \nPork Chops with Apples & Thyme\nBrown Rice & Greens\nMango-Lime Sorbet\n\nThursday \nBREAKFAST\nSpinach & Tomato Omelet\nSkim milk (1 cup)\nStrawberries (1 cup)\n\nLUNCH\nTuna Melt\nThe EatingWell Diet House Salad\n\nSNACK\nNonfat plain yogurt (8 oz.)\nCrunchy Cereal Trail Mix\n\nDINNER\nCurried Chicken with Mango Salad\n or \nCaribbean Pork Curry (Porc Colombo)\nQuick-cooking barley (1 cup)\nCreamed Corn\n or \nGreen Bean Casserole with Caramelized Onions\nSpinach Salad with Warm Maple Dressing\nSorbet Shake\n\nFriday\nBREAKFAST\nCheddar-Apple Melt\nSkim milk (1 cup)\n\nLUNCH\nLoaded Spinach Salad\nWhole-wheat pita bread (1 medium pita)\nFat-free cheese (2 slice)\n\nSNACK\nRadish Crispbread\nSpiced Almonds\n\nDINNER\nUltimate Beef Chili\n or \nVegetable Lover's Chicken Soup\nClaire's Mixed Green Salad with Feta Vinaigrette\nMango-Lime Sorbet\n or \nLemon Ice Cream\n\nSaturday \nBREAKFAST\nAsparagus & Canadian Bacon Omelet\nSkim milk (1 cup)\nApricot (1 cup, halves)\n\nLUNCH\nUltimate Beef Chili\n or \nProvencal Chicken\nRainbow Chopped Salad\nWhole-wheat toast (1 slice)\nRaspberries & Mangoes\n\nSNACK\nSpiced Spanish Almonds\nEdamame Nibbles\n\nDINNER\nHam-&-Cheese-Stuffed Chicken Breasts\nProvencal Barley\nRoasted Asparagus with Caper Dressing\nOld-Fashioned Fruit Crumble\n or \nRaspberry Sorbet\nmore smart savings\n","content_type":"","title":"","shrink":null},{"type":"particle","particle_id":1262460,"object_id":"joshuajacobo_1368620892","particle_type":"image","picture":"http://s3-eu-west-1.amazonaws.com/infogram-particles-700/joshuajacobo_1368620892.jpg"},{"type":"particle","particle_id":1262469,"object_id":"joshuajacobo1368620934","particle_type":"maintitle","picture":null,"text":"Part Six","content_type":"","title":"","shrink":null},{"type":"particle","particle_id":1262504,"object_id":"joshuajacobo1368621106","particle_type":"quote","picture":null,"text":"The last and Final Part of the Project.","content_type":"","title":"Preparing a family for their final decision. 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