TRINITY VALLEY COMMUNITY COLLEGE ASSOCIATE DEGREE NURSING PROGRAM LEVEL II Clinical Activity Nutrition

1.) Mini-Nutrition Assessment (MNA)

2.) DASH DIET teaching for clients with Hypertension

This activity will guide you in:

·  1.) Assessing generally the overall nutritional status for your client with the use of the Mini-nutrition Assessment worksheet.

·  2.) Developing and implementing teaching for a DASH Diet for a client with hypertension.

Directions:

·  For both activities, familiarize yourself with the questions before asking the client. Avoid making it feel like an interrogation and use your communication skills to encourage a discussion.

·  Use the Mini-nutrition Assessment form attached below.

·  Use an online BMI calculator to calculate your client’s Body Mass Index (BMI).

·  Work in a team of two to gather information about each patient in your assigned area or unit. Coordinate with your clinical instructor, RN’s, and CNA’s/PCT’s to discuss activity.

2.) DASH DIET TEACHING FOR CLIENTS WITH HTN

Preparation
Note the client’s blood pressures for the last three days / Day 1 Day 2 Day 3
Does this client have a medical diagnosis of hypertension? (If no à STOP and choose a client that does have one.)
List the client’s antihypertensive medications.
Medication Name / Adverse effects with the highest potential or the ones that are actually affecting your patient.
List the most recent serum sodium NA for your client.
What is the normal range for NA?
Is your client in the normal range?
What is the effect of too much sodium on blood pressure?
Should all sodium be removed from a client with HTN’s diet? Why or why not?
Assessment of patient’s level and potential for learning.
a.  Identify the patient’s education level.
b.  Identify the patient’s preferred method of learning (Visual (reading), Auditory (listening) Physical (doing)
c.  Any comments made by the patient to support a readiness to learn or lack of.
d.  List any identified barriers to learning.
Method of teaching
a.  What teaching strategies could be utilized?
b.  What learning/teaching aids will you use?
c.  How did you choose the teaching strategies and learning aids?
d.  How did you verify the client’s learning?
Individualized 2 Day Meal Plan for the patient (six meals)
a.  Discuss how this plan reflects patient’s preferences and life choices.
b.  Discuss how this meal plan promotes health and “goal achievement” with this patient.
c.  Day One Meal Plan (3 meals):
d.  Day Two Meal Plan (3 meals):
e. 
Evaluation of Teaching
Patient’s response to the teaching.
What could I have done differently to increase the patient’s learning?

205