Reflection Essay on Nutrition
Nutrition Problem
Assessment: Mr. Reyes does not have a history of any allergies, but he has diabetes and renal failure. He smokes a pack of cigarettes every day and takes a cup of coffee each morning. He consumes a lot of fried foods while at home.
Diagnosis: Problem- Mr. Reyes experiences shortness of breath due to congestive heart failure, body weakness, swollen feet, and his appetite has reduced. Etiology- He consumes a lot of fried foods, smokes a lot, and does not adhere to a diet plan.
Intervention: Reduction in smoking, alcohol taking, and more exercise. He also needs to reduce consumption of fried meat, BBQ ribs, pork, chicken wings, and Pepsi soda.
Monitoring and Evaluation: More follow-ups to determine the real extent of food and nutrition history on the patient’s wellbeing. Further assessments on Diabetes 2 and his history with poor diets will show the actual degree of his complications. All plans should involve the family to ensure the patient observes a healthy lifestyle to reduce health complications he currently faces.
Application
The factors covered in the ADIME plan allowed me to focus on specific improvements the patient needs to enjoy a better life. Significantly, I noted the patient requires close monitoring and encouragement to help him overcome the problem he faces so that he enjoys a better living standard in the future. Moreover, he needs to reduce the quantities of snacks, alcohol, and cigarettes he smokes because such habits may exacerbate his condition, given that he needs regular dialysis checkups. The plan allows me to recommend a definite diet plan he needs to observe to help him overcome heart problems and diabetes in the future. The diagnostic process made me aware of the various difficulties he faces that make it hard for him to cope with his situation. Therefore, the monitoring and evaluation process will help me to recommend several actions that will make it easier for him to deal with the situation in the long-term.
Cultural Norms and Biases:
My cultural norms and biases make me approach healthcare from an individualistic standpoint, yet many people require the support of their families to get better. However, they have encouraged me to be more professional in all my dealings with patients, but I need to enhance my overall cross-cultural awareness to improve my performance. Such considerations will help in improving the quality of results I attain in various professional activities I will be doing at different periods. My abilities to provide care for patients of Filipino heritage have improved because I have realized that most people with that ethnic background cherish strong communal ties. Therefore, professionals need to be in constant communication with families of their patients from such backgrounds to ensure they offer them high-quality care.
Significant Factors
Significant factors that influence the patient’s status are economy, values, beliefs, and practices. The patient lives with his mother, wife, and three children on a small farm. His desire to maintain healthy friendships encourages him to get together with his friends for different recreational activities. Thus, such mindsets make him consume alcohol, cigarettes, and snacks, which continuously increase his health problems. The meals he consumes are full of oil, salt, and sugar, thereby creating more problems for his health and wellbeing. Since he is not working, he has to depend on his wife and children for survival, which stresses him because Mr. Reyes feels he cannot adequately provide for his family. Therefore, he needs more encouragement to help him deal with the challenges he faces.
Empathy and Non-Verbal Communication
By being empathetic, the patient will feel that he can confide in me and reveal some of the challenges he is facing. Thus, I intend to reassure him that the healthcare plans are beneficial to his health so that he can follow all the outlined requirements. I will also make him have a more positive outlook on life so that he does worry about the different situations he is facing. The most suitable nonverbal communication is smiling more whenever I interact with him to make him feel more comfortable whenever he comes for various healthcare services. The approach will make him feel more energetic and ready to deal with the different situations he might face.
Questions to Ask
Firstly, I would ask him whether his family history makes him vulnerable to diabetes and heart complications to determine if he can continue staying healthy. Alternatively, I would ask him whether his values contradict conventional belief systems that many people have in the society where he lives. Further, identifying social expectations that influence his thinking will help me to determine if he feels responsible for some of the difficulties his family faces. The responses he will provide will guide me in designing an effective care plan for him to help him recover from the illness in the future. Therefore, I will recommend appropriate actions that will allow him to enjoy better living standards in his residence as he recovers from the disease.
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