Methodist University Professional Nursing Studies Program NUR 301 Health Assessment Teaching Plan Instructions and Guidelines

Jenny Kim December 4, 2012 Teaching Plan for: Nutrition plan a. Rationale: Proper nutrient and fluid intake is absolutely necessary for proper physiological functioning of the human body. Vitamins and minerals play an important role maintaining normal function. Water is not only a solvent in the body, but also aids in temperature, body structure and form and transport oxygen, nutrient, and metabolism waste. The patients is active; therefore, has an increase need for calories. There is a common misconception that carbohydrates are the root cause of fat accumulation. This misconception leads to inadequate carbohydrate intake. Carbohydrates are the main energy source for the body. Excessive amounts of carbohydrates can lead to unnecessary fat. Protein intake aids in metabolism, tissue building, immune system function and more. The consumption of fat is not automatically a bad thing. It is important that the patient ingests only a small amount of fat and tries to eat unsaturated fat versus saturated fat. The consumption of small portions more frequently aids in metabolism. The choice in a smaller plate versus larger plate will limit the amount of food available to the patient. The patient can utilize this thumb of rule for servings, which is half of the plates are vegetables; one fourth is meat, and one-fourth as carbohydrates. (Wilkinson, Leuven & Treas, 2010). b. Target symptoms (medication, procedure, treatment) is treating - Proper nutrition to decrease body weight and proper portion control. c. Expectations of (medication, procedure, treatment) effects - The patient will have a better understanding why portion control is so important and how excessive amounts of calories will result in extra body weight. The patient will be able to identify alternatives to her diet in order to substitute for healthier alternatives. d. Identifying any special instructions (i.e., patient needs to be NPO f or x hours before procedure) - Patient will come to the session ready to learn about nutrition. - Patient will have a food diary recall at least 7 days out.

Patient will come with a pen and paper to write down important information.

e. Reason/indication for use - The teaching session will help the patient to change her lifestyle and easier ways to incorporate healthier food in her diet. Recording her daily intake will help the patient keep track of her progress and track any trends. The theoretical knowledge of why a balanced meal will help the patient in not participating in fad diets that cut out an essential component; for example carbohydrates, which are the bodys main source of energy. The teaching session will also give the patient tools that will help reinforce portion control like smaller plates and break down of what your plate should consist of (1/2 vegetables, protein, carbohydrates). The taste test exposure will help eliminate the misconception that healthy food does not taste good. f. Potential interaction with other meds/treatments/procedures - The adjustment to eating healthy might effect the patients psychological need for the food that she is used to. Teaching the patient that the transition might be hard, but show other ways to relieve stress like exercise. g. Student will assess patient teaching needs, including a learning styles assessment and any of the high risk indicators which may include the following: - During the complete health assessment the patient shows great interest in increasing her knowledge to improve her overall health, to include nutrition. h. Resources Wilkinson, J. M., Leuven, K. V., & Treas, L. (2010). Fundamentals of Nursing: Theory, Concepts, and Applications. (2nd ed., Vol. 1, p. 423). Philadelphia, PA: F A Davis Co.