Friday, December 6, 2019

Nutritional Case Analysis Of Hala Bira †MyAssignmenthelp.com

Question: Discuss about the Nutritional Case Analysis Of Hala Bira. Answer: Introduction Diet and nutrition are very crucial for elders as it enhances the risk of cardiac diseases, diabetes and other physical and mental ailments (WHO, 2018). In this assignment a case study of Ms. Hala Bira (43) has been presented, who has lived at the rehabilitation center for more than 30 years, however due to some reasons she has started losing weight tremendously which is deleterious to her health. This assignment aims to discuss the situation of Ms. Hala Bira and regarding that will describe the situation, which need to be changed and the nutritional plan that will help in the improvement of Hala Biras condition. Discussion While going through the case of Ms. Hala Bira, it was observed that, though she used to live in the rehabilitation center for 30 years, she was found to be nutritionally deprived from past three tears and losing weight tremendously. Further the healthcare facilities found that she used to skip her lunch and dinner, despite of her favorite food items. He used to dump her food, when no supervisor or carer was around. These actions determined that the rehabilitation center lacked monitoring and caring facilities. Proper monitoring and guidance is important for the growth and development of any habit and Hala Bira needs 24 hour guidance because it might possible that due to aging, she has lost her appetite due to which, she usually had her breakfast but skips het lunch and dinner (Holyday et al., 2012). Hence, the first thing, that need to be changed was her monitoring and care facility, so that she is constantly under observation of health authorities. As awareness of the applied intervention helps to improve the health condition of patient more than uninformed interventions because the patient also applies his or her energy to recover faster. Therefore the first health promotion action that will be used as an intervention will be learning session, in which, Hala Bira will be taught about importance of diet and nutrition. Further through the presentation of the learning session and different activities the barriers of Hala Bira to attain her dietetic requirements can be assessed (White et al., 2012). For example, the check list she filled regarding the Determine Your Nutritional Health Checklist" (American Academy of Family Physicians, 2018). It was important as the healthcare workers in the rehabilitation center were unable to understand the issues she was facing because Hala Bira used to be quite and did not talk to anyone. Therefore, teaching plan or informative session with the patient with some activities that can reveal the b arriers which affect the patients mental and physical state to achieve wellbeing is beneficial for such treatment. Further, a plan should be prepared keeping all the factors of Determine Your Nutritional Health Checklist" as removing all those barriers can help Hala Bira to eat as per her diet and nutritional requirement (Tappenden et al., 2013). While assessing the checklist filled by Hala Bira, it was seen that she has circled points which states that, she eats alone everyday (1 point), she is unable to cook or shop (2 points), she has lost more than 10 pounds unwillingly (2 points), she takes too much medicines (1 point). Furthermore, she accepted that she eats less than 2 meals per day (3 points), she had to change her diet because of illness (2 points) and is suffering from tooth and mouth problem (2 points) (American Academy of Family Physicians, 2018). Hence according to these factors, she was at higher nutritional risk. Therefore, an intervention should be used for her treatment, because as per the checklist, she is depressed about her changing health condition that makes her have so many medicines and have her lunch dinner alone (Volkert, 2013). Hence, as intervention, plans to make her happy and involve in conversations or discussions should be involved. Her care providers should eat with her so that she does not feel alone and should be provided with tactics that will help her to attain her daily nutritional requirements. The carers should always observe her while having food and for encouragement, should eat with her. Stress-free eating habit will help to balance the dietetic issues of Hala Bira and she will regain her lost weight (Rist, Miles Karimi, 2012). Further to involve her in the cooking procedure, carers should involve her in food making process, it will help to boost her appetite and she will be able to increase her consumption gradually. Furthermore, for the habit of drinking water, she will be asked to drink water after having her medicines which will increase her level of water consumption too (Holyday et al., 2012). Further to make her busy and feel important in the rehabilitation center, she will be involved in the sessions such as exercises, gardening, art and craft, which will distract her focus from her physical and mental ailments and improve her appetite. Finally to understand the improvement in Hala Bira regarding her nutritional habit, an assessment will be carried out using a 10 close-ended question based questionnaire related to her current state of food and nutrition. Depending on the response, the intervention will be modified or similar intervention will be extended (White et al., 2012). Conclusion Diet and nutrition are the reason for a maximum of the physical illness because imbalanced nutritional habit hampers the balance of human physiology. The World Health Organization has also stated the fact that diseases such as heart related issues, diabetes and blood pressure related diseases are the effects of imbalanced micro and macro nutrition within the body. Hala Bira has several issues such as loneliness, depression due to medical condition and excessive weight loss and appetite loss that lead her consume less than two meals every day. It was observed that she used to dump her lunch and dinner while the carers were not present, hence the assignment suggested that she should always be observed by carers and the carer should have his/her dinner with Hala Bira so that her loneliness can be removed. Furthermore, the assignment presented a plan including, involving her in activities to keep her busy and divert her negative thinking away and focus on constructive and creative activi ties. Furthermore, a teaching plan to involve her in the intervention was also mentioned in the assignment followed by evaluation of Hala Biras understanding regarding importance of diet and nutrition. All these were aimed to attain success in interventions aimed for Hala Bira. References American Academy of Family Physicians. (2018).American Academy of Family Physicians.Aging.sc.gov. Retrieved 25 February 2018, from https://aging.sc.gov/sites/default/files/documents/Trainings/Nutrition%20Check%20list.pdf Holyday, M., Daniells, S., Bare, M., Caplan, G. A., Petocz, P., Bolin, T. (2012). Malnutrition screening and early nutrition intervention in hospitalised patients in acute aged care: a randomised controlled trial.The journal of nutrition, health aging,16(6), 562-568. Rist, G., Miles, G., Karimi, L. (2012). The presence of malnutrition in community?living older adults receiving home nursing services.Nutrition Dietetics,69(1), 46-50. Tappenden, K. A., Quatrara, B., Parkhurst, M. L., Malone, A. M., Fanjiang, G., Ziegler, T. R. (2013). Critical role of nutrition in improving quality of care: an interdisciplinary call to action to address adult hospital malnutrition.Journal of the Academy of Nutrition and Dietetics,113(9), 1219-1237. Volkert, D. (2013). Malnutrition in older adults-urgent need for action: a plea for improving the nutritional situation of older adults.Gerontology,59(4), 328-333. White, J. V., Guenter, P., Jensen, G., Malone, A., Schofield, M. (2012). Consensus statement of the Academy of Nutrition and Dietetics/American Society for Parenteral and Enteral Nutrition: characteristics recommended for the identification and documentation of adult malnutrition (undernutrition).Journal of the Academy of Nutrition and Dietetics,112(5), 730-738. WHO. (2018).WHO | Nutrition for older persons.Who.int. Retrieved 25 February 2018, from https://www.who.int/nutrition/topics/ageing/en/index1.html

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