Trinity Valley Community College



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 ( 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. | |

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|List the most recent serum sodium NA for your client. | |

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|What is the normal range for NA? | |

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|Is your client in the normal range? | |

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|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? | |

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|Assessment of patient’s level and potential for learning. |

|Identify the patient’s education level. | |

|Identify the patient’s preferred method of learning (Visual (reading), Auditory | |

|(listening) Physical (doing) | |

|Any comments made by the patient to support a readiness to learn or lack of. | |

|List any identified barriers to learning. | |

|Method of teaching |

|What teaching strategies could be utilized? | |

|What learning/teaching aids will you use? | |

|How did you choose the teaching strategies and learning aids? | |

|How did you verify the client’s learning? | |

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|Individualized 2 Day Meal Plan for the patient (six meals) |

|Discuss how this plan reflects patient’s preferences and life choices.| |

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|Discuss how this meal plan promotes health and “goal achievement” with| |

|this patient. | |

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|Day One Meal Plan (3 meals): | |

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|Day Two Meal Plan (3 meals): | |

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|Evaluation of Teaching |

|Patient’s response to the teaching. | |

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|What could I have done differently to increase the patient’s learning?| |

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