In 2011 the United States Department of Agriculture (USDA) introduced the “My Pl

Question

In 2011 the United States Department of Agriculture (USDA) introduced the “My Plate” initiative, to help Americans make healthy food choices and to be active every day.

Click on the MyPlate.gov link and review “The3 P’s – Plan, Purchase, and Prepare Food on a Budget”.   Provide four nursing interventions/actions the RN can take to promote good nutrition for people eating on a budget. Be sure to provide a rationale for each intervention/action. In your responses to peers, choose peers who has chosen different interventions/actions and explain why you agree or disagree with their choices. refrences please

Explanation / Answer

Access to healthy food choices is a significant barrier to optimum nutrition for low -income, urban, diverse adult populations. It is estimated that 11.5 million Americans live in low -income neighborhoods that are located more than one mile from a supermarket, and that 2.3 million of these individuals do not have a vehicle (Wong et al., 2011). Ingredients for making food from scratch may cost more than convenience foods, and in low - income areas,

groceries may not be home- delivered, although pizzas are.Unfortunately, stores serving the lowest- income consumers may be more expensive with lower quality, service, and variety than stores provide in more affluent areas (Webber, Sobal, & Dollahite, 2010).

A report based on health and lifestyles survey data, conducted by Lang and Caraher (1998) identified some influences on food choice as the issues of living in food deserts+% (which includes food price and limited quality and range of healthy food choices), difficulties with transportation of purchased food from store to home, inadequate food storage facilities, and lack of cooking skills. VerPloeg et al. (2009), in an expert committee report to Congress, further summarized these characteristics of food deserts and the associated issues of food access in low income communities as transportation problems, poverty, and food prices. The authors concluded that the relationship between food access and diet and development of diet- related diseases involves many complex factors besides individual behaviors, and that individuals are impacted by their physical and social environments.

In addition to living in these areas called food deserts that lack the physical and economic access to nutritious foods such as fresh fruits and vegetables (Reisig &Hobbiss, 2000), persons who live in low - income urban areas often have easy access to all other foods of poor dietary quality, which results in also naming these areas ³IRRG VZDPSV (Fielding & Simon, 2011). Brown, Vargas, Ang, and Pebley (2008) conducted a cross - sectional multilevel analysis of 2,536 adults in Los Angeles to examine the status, with and without chronic conditions such as diabetes and cardiovascular disease. They found that greater access to and shopping in large supermarkets was associated with better self - rated health and lower BMI rates. Individuals with chronic conditions we more adversely affected by living in neighborhoods with a high number of convenience stores. The accessibility of non nutritious foods, such as sugar-sweetened beverages, and foods high in saturated fat, trans-fat or refined sugar may explain the high rates of obesity and increased risk of diabetes and cardiovascular disease in low-income people. Nutrition+&!!interventions for this vulnerable group should address both increased access to healthy food, such as fruits, vegetables, grains, and low-fat dairy, and behavior change related to dietary choices (Ver Ploeg et al., 2009)

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