The following essay consists of my nutritional assessments and treatment plans of two patients of Pakistani decent now residing here in the United States of America. “Ali” is an 8 year old male of Pakistani decent (second generation) and his maternal great-grandmother “Fatima” is a 76 year old female of Pakistani decent (first generation). They reside together with both Ali’s parents, maternal grandparents and Fatima is widowed. Both patients are practicing Muslims and this is also shown to affect their nutritional needs. Ali and Fatima are accompanied and assisted by Ali’s mother,“Sara”. A nutritional questionnaire was completed by Fatima and Ali’s mother. An in depth conversation was held with Ali, Fatima and Sara. I gained much information that was helpful in my development of the treatment plans below. As a practicing Muslim family, I also discovered that not only is pork prohibited, but pork by products such as gelatin is forbidden to be consumed. The dynamics of this extended family all residing within the same household offer a very structured dietary focus as mealtime is a centrally focused event . The entire family presents for all meals. Fatima, and Ali’s mother, prepare three meals per day consisting of meat or beans prepared with fresh vegetables and fruits and rice or roti (flat bread homemade from wheat flour). According to my data, Ali drinks primarily water and juice products containing less than 10% natural fruit juice. “Artificial juices” are
In this assignment I will be describing the characteristics of nutrients and the benefits to the body.
Nutrition is important to understand because it is a significant contributor to the health and wellness of a human being. Nutrition can determine the weight of a person, the performance of organs and the body’s ability to prevent or accelerate certain diseases. Health and nutrition can be influenced by several factors such as family, friends, peers as well as physical and mental stress. As a young child, the immediate family is the biggest influence on nutrition because they are the first role models and establish the initial habits that the individual will develop. Through daily meal plans given to children, they can develop a standard of care in regard to nutrition and then incorporate key food groups into their daily diet. A child’s
Describe how and when to seek additional guidance about and individual’s choice of food and drink.
There were a number of the things about the individual’s diet that I noticed firstly she doesn’t like change as she is consistent with each food she eats which is not necessarily a bad but in order for her to have a balanced diet she needs to eat a variety of foods.
M2 : Assess how influences on dietary intake may affect the nutritional health of individuals
The Registered Dietitian Nutritionist needs to be able to have the pulse and problems affecting the previously mentioned social groups in order to intervene and improve the care provided by health care professionals in charge of these vulnerable communities. Hospitals and social services need to include the RDN in the medical decision making to affect the nutritional needs of the patient. “ An integrated approach is critical with the support from social services, mental health professionals and medical care whenever appropriate” (eatrightpro.org). Healthy eating is paramount and required for the healing of an injured or sick individual. RDN’s must be diligent in meeting the caloric and nutrient rich diets of acutely ill or trauma patients in order to forecast and replenish the nutritious needs of these in these vulnerable patients. It is imperative factor to provide essential nutrition during these critical phases in order to prevent malnutrition to facilitate healing and health restoration. According to eatrightpro.org, malnutrition affects an estimated 30% to 50% of adult hospitalized patients in the United States. A very small percentage of patients actually leave the hospital with a malnutrition diagnosis. The more we learn about food and its nutritious value in medicine continues to evolve and we must keep the dialogue open and honest among nutritionist and health care providers to affect the prognosis of the injured or
Everyone wants to lose weight, whether they need to or not. Since November 2015, I have lost almost 30 pounds, using nutritional therapy. I have not consumed any products to achieve my goal. What are the 5 ways I did it?
The Evidence Analysis Library is an online resource of a combination of nutritional research providing guidance in making evidence based decisions; providing answers with given grades that indicate overall strength or weakness of such conclusion. Other useful resources available from AND are the Nutrition Care Manual that help practitioners increase the use of the problem solving method such as the nutrition care process. One important, indispensible tool is the International Dietetics and Nutrition Terminology (IDNT) that enforces standardized language across all the RDs. The IDNT’s main function is to describe and document the RDs practice of care in medical records, coding and billing. Positions papers from AND represent the academy’s current stand point, such as goals, mission, values and strategies. Such decisions are generated from current data, facts and research literature available. Position papers may be redacted or replaced as new evidence is being generated, in attempt to keep up with current
Victoria’s midwife processed the referral in an untimely manner therefore delaying her treatment. It was not sent until Victoria was 31 weeks, as a result she was not seen until 31 weeks and three days. She had a little over two weeks where she was left confused about what her management should be and worried for the well being of her unborn child. Realistically the referral should have been done immediately. She saw a physician, obsetrician, dietitian and diabetic midwives during this appointment. In her appointment with the dietitian Victoria voiced her concerns regarding her traditional Indian diet while she was being educated about meal preparation and healthy food choices. She worked full time and lived with her mother who did all the cooking so feared she would struggle to stick to the strict new eating regime. Many women attempt to adhere to the recommendations and lifestyle modifications, but find this incredibly challenging (Nielsen et al., 2014). It is understood that women struggle with the enormous dietary changes due to food preferences and cravings, and women are often confused with lack of sufficient advice (Neufeld, 2011; Hirst et al., 2012). From the clinics point of view they understood the barriers in Victorias life and tried to work with her to reduce her anxiety, and provide food choices that worked with her diet such as consuming less rice so that she could have better outcomes and possibly avoid treatment. Additional to the advice Victoria received
Important aspects to provide for this cultural group include the preservation of the faith, the alleviation of suffering, respecting the patient’s autonomy and being honest and open when providing information regarding their health. Muslims believe that God created them and gave them their bodies as gifts; therefore, this population express their strong gratitude for their health by taking care of their bodies and avoiding harm (Yosef, 2012). Although with strong attempts to care for their bodies, there are some biological variations such as heart disease, diabetes, and cancer that place them at risk for illness due to the lack of knowledge that is needed to prevent them from occurring. Unfortunately at time, this population faces barriers to access adequate healthcare including modesty, gender preference and misconceptions about health and illness that arise from their cultural beliefs and practices (Yosef, 2012). Therefore, it is important for healthcare providers to be aware of this to make sure that this cultural groups needs are easily met so that they seek the proper care.
My patient is 32 year Indian female who resided at a group home. She doesn’t have a good family support. Unable to express himself, difficulty with eyes contact, generalized restlessness or agitation, feelings of despair, hopelessness, and, delusions and hallucinations is common with this patient. I will inquire if the family prefer same gender to care for them; is there a particular diet patient follow, because majority in this group tend to be vegetarian. The family do want to incorporate their cultural beliefs in the plan of care. Her sibling do not want to have anything to do with her due to her illness. Her parent comes to visit once every three months.
Foods and their nutrients are essential to life. In the beginning years of life an infant’s nutritional health depends on the family unit. Parents must have knowledge of the changing food needs of the child and must also have sufficient resources to provide food, shelter, and clothing for the family. Equally important, parents create the cultural and psychological environment that influences the
The article I chose is about a 69-year-old immigrant man from Iran, named Farhad Tabrizi. Mr. Tabrizi went to the Emergency Room because he was coughing up blood, had severe chest pain along with various other symptoms. After the ER admitted him and continue to conduct various tests to determine the problem, hospital staff worked on gathering Mr.Tabrizi’s medical history. This proved difficult to do because he didn’t speak any English only fluent Farsi. His son who accompanied him spoke reasonably fluent English and Farsi so the medical staff tried to get as much medical history out of the son when he was around, but his visits were often unpredictable and Mr. Tabrizi seemed to get uncomfortable giving out information about his family and their medical backgrounds. He also refused to eat any of the food the hospital provided to him. His son explained that he feared the food may have hidden pork bi-products and decided it was safer to just not eat the food. The medical staff told Mr. Tabriazi son that they spoke to the chief and made sure his food was prepared without any pork by-products and that they respected his religious beliefs and would make certain it was prepared in a way that he wished. Even with that said, Mr Tabrizi’s wife continued to bring in food from outside the hospital on her visits for him to eat. After three days of staying at the hospital, the results from the tests come back.
Josephine has come in today because she is having issues with her weight and currently struggling with an eating disorder. Conducting a physical and nutritional assessment would be the best way to determine where she is experiencing deficiencies and what might be causing these problems. The first assessment would be the anthropometrics phase. These are measurements of the body such as weight, circumference, skin fold thickness and body max index (BMI). BMI tests are a common measurement technique many practitioners use mainly because it is easy to perform and inexpensive. Josephine has a BMI of 21.4, which is considered a normal and healthy BMI for her height and weight.
Morbid obesity, which is also called extreme obesity or class III, is defined as an individual having a BMI of 40 kg/m2 or greater. This classification is made based on increased risk for comorbidities, including hypertension, cardiovascular disease, sleep apnea, gallbladder disease, metabolic syndrome, type II diabetes mellitus, hyperlipidemia, osteoarthritis, nonalcoholic fatty liver disease, hormonal cancers, and depression, among others.1