Krause\'s Food & the Nutrition Care Process 14th edition Clinical Case Study Cha
ID: 82462 • Letter: K
Question
Krause's Food & the Nutrition Care Process 14th edition Clinical Case Study
Chapter 14
Mrs. Lee is 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 the printed materials that you have in your office that have been translated into Chinese.
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. In order to make Mrs Lee comfortable, it is important to communicate with her. Since she is not able to read the printed material, we could tell it to her in easy English or arrange for a translator who could translate it to her in Chinese if she is completely non acquainted to the language.
2. This change represents that Mrs Lee is now comfortable and willing to hear what the doctor is saying. This model is through cognitive behavioural therapy that helps making the patient aware of the alternative ways to thinking that help in reducing psychological distress.
3. The cognitive analytical therapy can be used which would combine the principles of cognitive therapy along with a higher analytical approach. This would help Mrs Lee to figure out more ways to address her problem.
5. When a patient is not ready to change, the doctor has to intervene. There are a number of intervening strategies and the goals for intervention are :
- to target the root cause and along with alleviation of symptoms
- promotion of positive feelings and good mental Health
- to improve the quality of life
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