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Posted: June 14th, 2023
Module 07 Content
1.
To prepare for the live classroom session and your written submission, use your chapter readings and course materials.
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The focus for this live classroom is a discussion about diet therapy for a 58 year old woman who experienced her first MI and is being discharged home. She currently works full time and is divorced. She lives in an apartment and has no family in the surrounding community.
Be prepared to discuss the following:
1. What should be the focus for her nutritional history and assessment?
2. What dietary recommendations should be made?
3. What obstacles to staying on the diet recommended might this woman encounter?
4. What special considerations should you, as a nurse, be aware of?
After the live classroom, submit your completed assignment to the drop box below. Please check the Course Calendar for specific due dates.
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Introduction:
This discussion focuses on diet therapy for a 58-year-old woman who experienced her first myocardial infarction (MI) and is being discharged home. As a nurse, it is important to assess her nutritional history, provide appropriate dietary recommendations, anticipate potential obstacles to adherence, and consider special considerations in her care.
Focus on Nutritional History and Assessment:
When conducting a nutritional history and assessment for the patient, the following areas should be considered:
a. Dietary Habits: Assess the patient's typical dietary intake, including the frequency of meals, portion sizes, food preferences, and any recent changes in eating patterns.
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b. Medical History: Evaluate the patient's medical conditions, including hypertension, diabetes, dyslipidemia, and other comorbidities that may impact dietary recommendations.
c. Medications: Review the patient's current medications, as some may have specific dietary restrictions or interactions.
d. Lifestyle and Psychosocial Factors: Explore the patient's daily routine, work schedule, social support, cooking skills, and access to healthy food options. Assess any emotional or psychological factors that may influence her eating behaviors.
e. Anthropometric Measurements: Measure the patient's weight, height, body mass index (BMI), and waist circumference to assess her body composition and overall health status.
Dietary Recommendations:
Based on the patient's nutritional assessment and considering evidence-based guidelines, the following dietary recommendations should be made:
a. Heart-Healthy Diet: Emphasize a balanced diet rich in fruits, vegetables, whole grains, lean proteins (such as poultry, fish, legumes), and low-fat dairy products. Encourage consumption of unsaturated fats (e.g., olive oil, nuts, seeds) and limit saturated and trans fats.
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b. Sodium Restriction: Advise the patient to limit sodium intake to less than 2,300 mg per day (or even lower if she has hypertension) to help manage blood pressure and reduce fluid retention.
c. Fiber Intake: Recommend increasing dietary fiber intake through whole grains, fruits, vegetables, and legumes. Adequate fiber intake can help regulate blood glucose levels, improve lipid profiles, and promote satiety.
d. Omega-3 Fatty Acids: Encourage the consumption of fatty fish (e.g., salmon, mackerel) or other sources of omega-3 fatty acids, as they have potential benefits for cardiovascular health.
e. Fluid Intake: Educate the patient about the importance of adequate fluid intake, focusing on water consumption, to maintain hydration and support overall cardiovascular health.
Obstacles to Diet Adherence:
Several obstacles to staying on the recommended diet may be encountered by the patient:
a. Lack of Social Support: Living alone without family in the surrounding community may limit the patient's access to emotional and practical support, making it challenging to adhere to dietary changes.
b. Work Schedule: Full-time employment may lead to time constraints for meal preparation and difficulty making healthy choices while at work. Encourage meal planning and provide resources for convenient, nutritious options.
c. Limited Cooking Skills and Resources: Assess the patient's cooking skills and kitchen equipment. If necessary, provide resources and education on simple, healthy meal preparation methods and budget-friendly food choices.
d. Emotional Factors: Explore the patient's emotional state and address any emotional factors that may impact her eating behaviors, such as stress, anxiety, or depression. Collaborate with other healthcare professionals, such as a registered dietitian or counselor, if needed.
Special Considerations for the Nurse:
As a nurse, you should be aware of the following special considerations:
a. Education and Counseling: Provide comprehensive education about the importance of dietary modifications, potential benefits, and strategies to overcome
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