Krause\'s Food & the Nutrition Care Process 14th edition CLINICAL CASE STUDY Cha

Question

Krause's Food & the Nutrition Care Process 14th edition CLINICAL CASE STUDY Chapter 14

Mrs. Lee is originally from mainland China. She has been living in your area for several years and has numerous health problems, including high blood pressure and glaucoma. You have been asked to counsel her about making changes in her diet. Because her vision is poor, she will not be able to use printed materials that you have in your office that have been translated into Chinese.

Nutrition Diagnostic Statement:

Impaired ability to prepare food and meals related to inability to see as evidenced by client report and history of glaucoma

1. What can you do to make Mrs. Lee comfortable with your session?

2. You explain to Mrs. Lee the need to decrease her blood pressure to prevent further complications from this disease, what model of behavior change does this represent?

3. Mrs. Lee tells you (through interpreter) that she wants to follow the new eating pattern but can’t afford it. What CBT will you use to respond?

4. What five tenets should you review to prepare your cultural competency for the session with Mrs. Lee?

5. If Mrs. Lee is not ready to change, what are three goals for your intervention?

6. What are examples of resistance behaviors?

7. What are some questions you can ask Mrs. Lee if she shows ambivalence to changing her diet?

8. What can you use to evaluate the effectiveness of your counseling session?

9. What tools will be useful to help Mrs. Lee understand portions or types of foods you are recommending?

10. Once an action plan is set, the session should close with what kind of statements?

Explanation / Answer

1. The patient (Mrs. Lee) would feel comfortable when:
(a) The counselor should be patient, flexible, empathetic and an active listener.
(b) The counselor should show positive regard to the therapy offered and has to be fully prepared of what he is going to talk to her
(c) The counselor has to be a good listener and have an eye for detail.
(d) Maintaining confidentiality is essential.

2. You explain to Mrs. Lee the need to decrease her blood pressure to prevent further complications from this disease, what model of behavior change does this represent?
Dietary behavior change. Self evaluation of dietary intake is essential for bringing down the blood pressure.

3. Mrs. Lee tells you (through interpreter) that she wants to follow the new eating pattern but can’t afford it. What CBT will you use to respond?
We could give a practical approach for solving the problem of affordability. Like, for decreasing her pressure, we could recommend her to take less-salty foods and for glaucoma we could recommend sugar-less foods.

4. What five tenets should you review to prepare your cultural competency for the session with Mrs. Lee?
Making her self-aware of the situation is very essential. Make her accept the cultural differences between China and her present location and help her understanding the dynamics of difference.

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