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Lesson Plan

Uploaded by

cheydaPA
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© © All Rights Reserved
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Download as PDF, TXT or read online on Scribd
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Cherri Taite

HSCI 4681

12 September 2024

The NCP in practice

The NCP in practice

Step 1: Nutrition Assessment

Client history: past medical history and family history

Ms. YCR IS 60 y/o African American F, retired LVN of 30+ years convalescent care. She is 5 ft 3 and 188lb
as of August 2024. Present medical hx includes osteoarthritis, hypertension (controlled w/ Rx) , eligible
and awaiting possible knee replacement Tx. Past medical/ surgical Hx includes total hysterectomy,
bilateral total hip replacement, multiple surgeries to wrists, shoulder, neck secondary to work related
injury . Family Hx : hysterectomy, ovariectomy, cancer.

Biochemical data: Per PatientLabs WNL.

Anthropometric data: Ht Wt BMI

● Ht = 5 ft 3 in = cm
● Wt = 188 lbs = kg (as of 08/2024)
● Bmi= 33.3 kg/m2

● UBW = 155 lbs

● IBW 126.5 LB

● ABW = 126.5 + .25(188-126.5) X 100%

● 08/2024 : 188

● 06/2024 : 200-201 lbs

● 03/2024 205

● 09/2023 : 220 lbs

Physical activity: Uses cane for as needed,. Gait unsteady on occasion . PT q 3 wk. cardio & strength
training @ the gym 3x / wk minimum, 45+ min. Receives physical therapy Tx q 3 weeks , epidural pain
management Tx. Pt focus isn’t weight loss but states goal wt of 170 lbs.

Food and nutrition intake summary:

From 24 hour food recall:


06/2024 : 200-201 lbs

200 – 188 / 200 x 100% = 12/200 = 6% / 3 mo

08/2024 : 188

09/2023 : 220 lbs

220-188/220 x 100% = %

32lbs lost / 220 lbs x 100% = 14.55% loss 1 year

LAB 3 Step 2: Nutrition Diagnosis:

PES statement: Inadequate nutrient intake related to limited mobility and ability to prepare meals as
evidenced by intake of irregular meal pattern containing nutrionally imbalanced meals documented in
24 hour recall.

LAB 4 LESSON PLAN

Nutritional Counseling Lesson Plan: Diet and Physical Activity for Hypertension (15-20 Minute
Consultation)

Objective:

• Educate the patient on the role of diet and exercise in managing hypertension.

• Introduce the DASH (Dietary Approaches to Stop Hypertension) diet.

• Provide simple, actionable recommendations for improving diet and physical activity
to manage high blood pressure.

Lesson Plan Outline:

• How Diet and Exercise Affect Blood Pressure:

• Diet: Foods like fruits, vegetables, and whole grains can help lower blood pressure.
Excess salt, added sugars, and processed foods can raise it.

• Exercise: Regular physical activity helps reduce blood pressure and improves heart
health. Aim for at least 150 minutes per week of moderate exercise.

2. The DASH Diet for Managing Hypertension

• Purpose of the DASH Diet:


• Designed to lower blood pressure and improve heart health.

• Key Components of the DASH Diet:

• Fruits and Vegetables: High in potassium and fiber. Aim for 4-5 servings of each per
day.

• Whole Grains: Brown rice, oats, and whole wheat bread. Include 6-8 servings daily.

• Low-fat Dairy: For calcium and vitamin D. Aim for 2-3 servings per day.

• Lean Proteins: Chicken, fish, beans, and nuts. Include 2 or fewer servings of lean meat
per day.

• Nuts, Seeds, and Legumes: Include for healthy fats and fiber. Limit to 4-5 servings per
week.

• Limit Sodium: Reduce sodium intake to less than 2,300 mg per day, or ideally 1,500 mg
for better results.

• Limit Saturated Fat and Added Sugars: Choose healthier fats, and avoid sugary drinks
and snacks.

• Sample DASH Diet Meal Plan:

• Breakfast: Oatmeal with fresh berries and a small amount of low-fat milk.

• Lunch: Grilled chicken salad with mixed vegetables and a light vinaigrette.

• Dinner: Baked salmon, roasted sweet potatoes, and steamed broccoli.

• Snacks: Fresh fruit or a handful of unsalted nuts.

3. Physical Activity and Hypertension

• Exercise Recommendations:

• Regular exercise can lower blood pressure by 4-9 mmHg.

• Aim for 30 minutes of exercise, 5 days a week.

• Incorporate strength training 2-3 days a week to support overall heart health.

• Try short, 5-10 minute stretching or walking breaks throughout the day.

4. Simple Tips for Success


• Start Small: Begin by gradually increasing fruits, vegetables, and whole grains while
cutting back on salt and processed foods.

• Focus on One Change at a Time: Work on reducing sodium intake or adding more
vegetables into meals before tackling other diet changes.

• Track Progress: Keep a food and exercise journal to track improvements in diet,
exercise, and blood pressure.

Key Takeaways:

• The DASH diet is an effective, evidence-based strategy to manage high blood pressure.

• Regular physical activity (150 minutes per week) plays a significant role in lowering
blood pressure.

• Focus on reducing sodium, eating more fruits and vegetables, and getting active to
improve heart health.

This streamlined consultation is designed to give the patient clear, concise information that they can
use immediately to manage hypertension. The focus is on practical dietary changes and physical
activity tips that are easy to implement.

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