Question

The goals for a heart-healthy diet are to encourage the patient to eat toods thr reduce the patient's overall cholestero levels normal limits pressure within must k for heart disease are obesity and the patient's typical exercise pattems. In addition, researchers repor be included to maintain cholesterol at a healthy level. that an aerobic exercise program must The American Heart Association eating plan for healthy Americans includes the following: Eat at least 4% cups a day of a variety of fruits and vegetables. Eat six or more servings a day of a variety of grain products, with at least three of those being fiber-rich whole erains Eat fish at least twice a week. particularly fatty fish (e.g., salmon). Research indicates that eating oilyfih omega-3 fatty acids (salmon, trout, and herring) may help lower the risk for death from co . Include fat-free and low-fat milk products, legumes, skinless poultry, and lean meats. Choose fats and oils with 2 g or less of saturated fat per tablespoon (e.g., canola or olive oil) Limit the intake of foods high in calories or low in nutrition. Limit foods high in saturated fat and trans fat. Eat less than 1500 mg of sodium a day Cut back on beverages and foods with added sugars. Limit sugar-sweetened beverages to no more than 36 week Eat at least four servings a week of nuts, legumes, and seeds . Quit smoking and avoid secondhand smoke. Eat no Women should limit their alcohol intake to one drink a day and men to two drinks a d . Balance calorie intake with the number of calones burned each da weight by 15 (active) or 13 (not active) to find the number of calories you should eat to gradually achieve your ideal body weight. Get enough physical activity to keep fit. Exercise at least 30 minutes every day more than two servings a week of processed meats. ay. y. If overweight or obese, multiply your ideal body The Dietary Approaches Daily guidelines for the DASH diet include the following to Stop Hypertension (DASH) diet has been recommended to help lower blood pressure. Four to five servings of both fruits and vegetables Seven to eight servings of whole grains 6 ounces or less of meat, fish, and poultry . Four to five servings per week of nuts, seeds, and dry beans . 2 to 3 cups of milk 2 to 3 teaspoons of oils 5 tablespoons of added sugar per week 1500 to 2000 mg of sodium per day Total fat not to exceed 22% of calories It can be very difficult for patients to change lifelong eating habits. They need reinforcement, multiple types of education materials, and help from community resources, including a dietitian to help them plan meals. Using the following case study rown the Nutrition and Health Promotion chapter, role play with your partner how yo would teach the patient about a heart-healthy diet while showing awareness of patient's concerns regarding a dietary change Anton Johnson is a 54-year-old African American with hypertension and coronary artery disease and a BMI of 32. The goal with this patient is to lower his BMI and reinforce dietary changes to help lower his blood pressure and heart risk. Demonstrate how you would show awareness of Mr. Johnson's concems regarding dietary changes

Answer 1

Role play: to act as a character as a part of fantasy, especially with a group.

The above mentioned Role play ( that to be planned) is to teach the client about a heart- healthy diet and to give clarification about the dietary changes.

The role play should have a conversation with the partner about healthy heart diet:

Heart- healthy diet

One of the major cause of death in the world is Cardiovascular diseases. Obesity and Hypertension also contributes to heart disease negatively. Heart- healthy diet is to be planned and implemented for the clients who are in risk of complication of heart disease to prevent death from cardiovascular disease and to improve the condition of the client.

One of the main purpose of heart - Healthy diet is to reduce the Body mas Index( BMI) to decrease the obesity related risks:

Controlling the portion size of different food groups is a part of heart - heathy diet to decrease the amount of food. Having large portion of whole grains ( wheat flour,Brown rice, oatmeal) and fruits and vegetables , lower portion of refined foods or high sodium contained food.

Fresh vegetables can be taken in the diet but not the fried veggies, canned fruit juice , sauces etc. Fish rich with omega3- fattyacid ( tuna,salmon etc) can be taken liberally in the diet but not the unhealthy fat containing foods like cream sauce, coconut and palm oil and butter. Avoid processed meat or red meat as well as sodium intake to reduce cholesterol and Hypertension.

Daily planned menu according to the DASH diet , excersises and relaxation methods can be beneficial for a heart to be healthy, to reduce Hypertension and BMI and to reduce the risk death by heart problems.

concerns regarding dietary changes might involve the client' s clarification about different diseases like HTN and increased BMI and the importance of diet to reduce these diseases.

another concern might be timing and frequency of food( 4-5 times and a 4 cup of vegetables and fruit . Dryfruits, nuts and seeds can be added in the diet at least 5 times in a week. client should avoid any type of substance abuse like smoking and alcohol. If necessary men can have a maximum of 2 drinks per day. Excersise is a must to reduce Hypertension and cholesterol.