Mrs. Kouassi is a 44-year-old African from the Ivory Coast. Although she was dia

Question

Mrs. Kouassi is a 44-year-old African from the Ivory Coast. Although she was diagnosed with hypertension about eleven years ago, it was left untreated. A year ago, she was seen in the Emergency Department for fatigue, poor appetite, nausea, and vomiting. She complained of shortness of breath, muscle weakness, and swelling of her lower legs. Her blood pressure reached 220/210. She was hospitalized, diagnosed with end-stage renal disease (ESRD), and started on hemodialysis. She currently goes to a dialysis center four times a week. She has not been working since she was diagnosed, and is receiving disability. Currently, her parathyroid hormone is elevated. Mrs. Kouassi is 5 feet 5 inches tall and weighs 145 pounds. When asked about her diet, Mrs. Keuassi states that she tried to follow the prescribed diet, but it is difficult because she likes to eat African foods such as palm oil and butter, rice, yams, soups, tea, and dishes such as futu (cooked fine-blended cassava). She also likes fruits and vegetables, especially when they are combined with other foods such as in vegetable pizza. 5. Why are protein restrictions relaxed once dialysis begins? What would be the best strategy for collecting data to use in teaching Mrs. Kouassi how to incorporate her ethnic foods into an appropriate diet plan? 6.

Explanation / Answer

5)Protein one of the source of energy provider , helps in body building.The end product of protein is amino acids.The protein and energy requirements of ESRD patients and healthy individuals are nearly same. They have a high prevalence of protein_ energy malnutrition.Protein are lostduring dialysate, the dietary needs are around 0.60gm/kg/day. So the protein intake is usually relaxed.

6) Dietary plan is very important to handle this disease condition Salt restricted high protein diet is preferred here.

Foods containing high amount of sodium, phosphorus, potassium are usually restricted because it is difficult to be removed in dialysis causing harm.

Basic information like the intake of pizza has to be cut down.

Intake of certain fruit are restricted here.

Foods containing peanut butter dairy products, processed foods,organ meat, chocolate should be avoided.

Her likes and dislike has to be asked before providing her education regarding diet.

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