Issue Identification
It is not uncommon for patients in 4B at Emory University Hospital to have dietary restrictions. These restrictions are usually met, understandably, with disdain and protest. In the hospital patients have very little control over what happens during their stay. Their daily routine is met with little regard and they are forced to comply with the hospital’s schedule instead. Diet is commonly one of the only aspects a patient does control. So when diet restrictions are enforced, it is important that the patient is properly educated on the reasons behind the dietary interventions and that they fully comprehend the information. This education is crucial not only for the duration of the patient’s stay but also for their life
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Current Evidence
One of the major aspects of patient health is adequate diet education. In the hospital, diet restrictions are common, especially on the cardiac floor. By fully understanding health risks associated with an unhealthy diet, patients are able to control their diet properly with the information they were provided. Current evidence shows that nutrition education sessions can positively affect patient clinical outcomes (Abshire et al., 2015, p. 989). As a nurse’s responsibility is to be aware of the current practices on nutrition education and provide the patient with up to date information. For example, in 4B there are several patients with a sodium- restricted diets. Research has shown strong positive relationships between sodium and blood pressure. It indicates that limiting sodium in diets can reduce cardiovascular incidents. Studies have documented when sodium intake was reduced by 4.4 g/ a day for at least a month, blood pressure decreased by 4 mmHg in systolic readings and 2 mmHg for diastolic readings (Suckling & Swift, 2015, p. 585-586). If nurses are aware of these implications, they can confidently apply them
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The more nurses use this method, the more accustomed they will be to it and they may be able to even reduce the time of the education session due to its increased effectiveness. The incorporation of the Teach-back method would not only enhance the client’s education, but also give the nurse an opportunity to assess any learning obstacles or health illiteracies. As a result, the patient could request a consultation with a nutritionist if more education or understanding is needed. The patient would have more one-on-one time to discuss the reasoning behind the diet and to ensure a basic understanding on how to successfully continue their diet in their daily life. The patient would also have the opportunity to express any concerns or fears concerning their new diet. By expressing their emotions concerning the subject, the patient can grow more comfortable as the education session goes on and can gain an understanding of the subject, especially when asked to reiterate the information to the nurse to indicate comprehension on the information. Communication between the patient and nurse can improve and be the basis of a healthy relationship that can be beneficial for both parties during the client’s hospital
The relationship between diet and chronic disease made the federal government to issue dietary guidelines for Americans since1980 and publication of dietary guidelines were made every five years. The dietary guideline is in response to the public’s desire for authoritative, consistent guidelines on diet and health (Slavin, 2012). One of the reasons for developing the dietary guidelines was to provide science based advice for two years old or older to help prevent chronic diseases and promote health. Another reason why dietary guidelines were created was to lay a good “foundation for federal nutrition programs and nutrition education programs and serve as a basis for research gaps and priorities” (Slavin, 2012). Also, the government wants to make sure the
In addition to promoting health and reduce risk for disease, nurses play an important role in ensuring that proper disease management is in effect. Disease management is the implementation of the client plan of care prescribed by the physician and includes reminders, education, and other materials. Disease management requires suitable support to improve patient self-management activities and monitor recommended care for each client (“Disease management (position paper),” 2012). Examples of disease management by the nurse will be to monitor client compliance to prescribed diet and evaluate interventions outcomes.
Studies show nurses play a very important rule of teaching the patients; especially improve patient’s knowledge about the medications (Bradley et al., 2012). Nurses are responsible to educate the patient about the purpose of every medication and their side effects. It is also necessary to tell them some alterations to the medication list (Bradley et al., 2012). The purpose of teaching the patient is to help them understand how the medications benefit them. In this way, they will become more compliant. In addition, it is important for the patients to know how the medications work. For example, they need to hold the some blood pressure pill if they have low blood pressure. There is another example shows nurses successfully improve patient’s condition through medication education. The study by Van Camp et al. (2012) investigated how nurse-led education and counseling enhance medications adherence in chronic dialysis patients. The medication is called phosphate binder that prevents the patient from absorbing phosphate in the food. The study showed “the mean adherence group increased from 83% to 94%, phosphate values decreased from 4.9 to 4.3 mg/dl and the knowledge of the medications increased by twenty percent” (Van
After consultation with the client, a healthy diet will be the focus. The client is not overweight, exercises adequately and consistently, and is generally in very good health. The client reports eating ‘junk food’, not eating breakfast, and not getting the recommended daily servings of each food group as endorsed by the United States Department of Agriculture (USDA).
By creating these small adjustments in the patient’s nutritional care, the patient’s independence and dignity are maintained. The patient, such as a stroke patient in rehabilitation, may also be reluctant to take an active role in their nutritional care so firm encouragement by the carer is needed. The presentation and availability of food and drink must also be assessed to deliver person-centred care (BAPEN REF). Patients may forego food if it looks unappetizing so it is important to serve meals that are visually appealing. Serving appetizing meals may also protect against malnutrition (BAPEN REF). Although protected mealtimes ensure that food and drink is given to every patient with minimal distraction, some patients may become hungry or thirsty in the hours between meals. Making food, like sandwiches or toast, and water available to patients may reduce the risk of malnutrition and dehydration and improve patients’ wellbeing (BAPEN REF). Good nutritional care achieved by person-centred practice means not only reducing risk of malnutrition and fluid imbalance but improving the patient’s quality of life,
These health care teams often are made up of many different types of professionals including doctors, physician assistants, nurses, pharmacists, dentists, therapists, registered dietitians (RD), and many other different types of technologists and technicians. Although all of these members of the team are essential, the role registered dietitian’s play and the knowledge they contribute is vital to many different specialties in health care. According to a study by Kelly Adams, Karen Lindell, Martin Kolhmeier, and Steven Zeisel, only 30% of medical schools require an actual separate course in nutrition. Although their curriculum may include nutrition throughout the many different courses a physician has to take, this is an inadequate amount of time being spent on nutrition to be considered and expert in this field, which results in the vitality of having and maintaining a RD on their team. Nutrition can prevent and help treat many different problems that arise in clinical care and the different specialties that it entails.
This NANDA nursing diagnosis is appropriate for the educational topic because residents in Fox Grape do not have access to resources for education about fast foods and health related problems. This project will give these residents information about how to
Likewise, the same survey was used to conduct meal rounds to assess food quality and patient acceptance during three different meal periods for three different diets in the 11AB Surgical Ward. The evaluation included three diets: a puree diet, 2.5-gram sodium diet and a VHA regular diet. It seemed that most of the patients understood why they required each one of the diets. However, most of them wanted their food with more flavor and more salt. The eating and feeding concern at CLC is the ability of the patients to get any foods they want from outside restaurants or family members. It is
Mikey’s nutrition-related goal was to maintain his weight at 165 being 5’8”. Based upon the Harris-Benedict Equation (66 + (6.3 x 165) + (12.9 x 68) – (6.8 x 20), Mikey’s over all calories that are needed to maintain his weight are 3,185 per day. My partners’ BMI was equal to 25 which was considered an elevated level, but should be fine for his health. His classification was considered overweight, but with his age and activity level this is not excessive. With a weight loss of three pounds he would reach the optimal weight range. As far as energy intake needs, I suggested the percentage of carbohydrates should be 55% calories, 20% calories from fat and 25% protein. Mikey also needs to consume approximately 38 g of fiber per day.
Patient’s diets have changed over the last 100 years and have created a large increase in chronic illnesses and higher needs for medical care. This demand has created the need for a much greater system of healthcare that includes hospitals, providers, and insurance companies.
With a home care nutritionist, they continue to follow the dietary guidelines set while placed in a hospital but then continue to grow the patient’s knowledge by teaching them more nutritional information. The main goal of a home care nutritionist is to achieve and maintain the dietary needs with a minimal amount of stress of hardship. There is a lot of emotional, physical and mental factors that have to be taken into consideration when a nutritionist in a home care setting approaches a patient and “The Nutritionist in Organized Home Care” covers all attributes of the home care nutritionist
Nutrition education plays a major role in patient care. When a patient is admitted into the Veterans Affairs Hospital (VA) for treatment they may be put on a specific therapeutic diet. For example, if the patient is diagnosed with diabetes they are put on a carbohydrate consistency diet of 1800 calories per day or, if the patient has hypertension they may prescribe a 2.5g sodium restriction diet. All patients at the VA are assessed by a Registered Dietitian who make the recommendations on which therapeutic diet the patient would benefit from. Following a diet while inpatient is relatively simple because all meals are prepared and served to the patient. The dietitian along with the kitchen staff take care of what types of foods should avoid
The food we consume every day has a significant impact on our health. Changes in your diet can help prevent or control many health problems such as obesity, diabetes and certain risk factors for cancer and heart disease (Nutrition Dietetics 2016). It is crucial for a Nutritionist to understand the health concerns of their clients, as well as their possible food intolerances and even their diets based on religious practice. A Nutritionist should
Patient /caregiver knows the suitable and correct choice of the dietary intake when she is discharged to home.
The paper will examine and appraise a teaching session that I planned and implemented as a nursing student on a cardiology ward, in the form of a reflection what? So what? Now what? (Bortons, 1970). The aim of the teaching session is to provide up to date and relevant information to enable individuals to make an informed choices on there nutritional intake.