A 58 year old woman who experienced her first MI and is being discharged home. S
ID: 85786 • Letter: A
Question
A 58 year old woman who experienced her first MI and is being discharged home. She currently works full time and is divorced. She lives in an apartment and has no family in the surrounding community.
To prepare for the live classroom session and your written submission, use your chapter readings, review of videos, course materials, research, and written assignments.
Be prepared to discuss the following:
What should be the focus for her nutritional history and assessment?
What dietary recommendations should be made?
What obstacles to staying on the diet recommended might this woman encounter?
What special considerations should you, as a nurse, be aware of?
Explanation / Answer
The patient's history is very critical in diagnosis of myocardial infarction. The lifestyle of the patient is also an important component in diagnosis. The history of the patient includes;
- Smoking habit
-Concentration of HDL and LDL
- Consumption of alcohol
- Physical activities performed by the patient on daily basis (exercise)
-Consumption of any hypertensives
All these points on the nutritional history of the patient will help in proper assessment of the existing condition.
Myocardial Infarction is mainly caused due to blockage of arteries. One of the cause of blockage is excessive Consumption of cholesterol. The dietary recommendations a MI patient should follow is as follows;
- Consumption of DASH diet. DASH stands for Dietary Approaches to Stop Hypertension.
- For example when patient has to consume about 2000 calories in a day. She should eat accordingly.
- She should consume about consume six to eight 1-ounce servings of grains; four to five 1-cup servings of vegetables; four to five 1-cup servings of fruit; two to three 8-ounce servings of fat-free or low-fat milk or milk products; and six 1-ounce servings of lean meat, poultry and fish per day. It is based on the calories consumed per day.
- Mediterranean diet is also an good option for MI patient.
- As this diet encourages to consume more fruits, vegetables and saturated fats.
These recommendations can be made.
The obstacle this women might face to stay on diet is that she works full time. So she will not always remember to have a proper balanced diet. She lives alone which can also create a problem because she might feel lazy after work and may not cook. No one is there in her house to take care of her and to check on her diet. Lastly she is 58 yrs old and may not feel very active to cook the food or have outside.
The special considerations as nurse would be to encourage her to do physical activities, follow a proper diet chart. If any serious problem is identified during the nutritional assessment the Consumption of particular thing should be stopped immediately. I can ask the dietician to prepare a diet plan which is easily available and healthy for the patient.
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