Nutrition Counseling for Health Promotion
Cover the content of the health issues identified in the case study and the content in Unit 3 of Edelman, Kudzama, & Mandle (2018). Include the following as they relate to your patient’s health concerns:
- Nutrition Counseling for Health Promotion
- Incorporate the application of a mobile app either by practitioner or population (ie, use of CDC Immunization App to reference Catch Up Schedule, or Fitbit© App and mobile technology for fitness tracking).
CASE STUDY
Mrs. Jones is a 32 year old Caucasian female who presents for follow up on her gestational diabetes. She is 3 months postpartum and was diagnosed with gestational diabetes. This was her first pregnancy. She has a strong family history of diabetes and was told to get it checked out once she stopped breastfeeding. She has not checked her glucose since she came home from the hospital, stating she has been too busy.
- Allergies: Sulfa
- Current medications: Multivitamin
- PMH: Gestational Diabetes
- PSH: Tonsillectomy, Wisdom teeth extraction
- Social: Denies tobacco, Alcohol, or illegal drug use. She is married and lives with her husband and new baby. She works as an elementary teacher. She follows a regular diet and walks 2 days a week when she has recess duty.
- Immunizations: flu: 2019
- Family: Father: alive, +DM, CAD, Hyperlipidemia, Mother: alive, +DM, CKD
ROS:
- Constitutional: Complains of increase fatigue
- HEENT: Denies any headache, nasal congestion, ear pain
- Cardiovascular: Denies chest pain
- Respiratory: Denies any SOB or DOE
- GI: Denies any issues, last BM 1 day ago.
- GU: Denies any painful urination, urgency, hesitancy
- Musculoskeletal: denies.
- Neurological: Denies
- Psychiatric: Denies suicidal ideations, depression. Does report difficulty falling asleep
- Endocrine: Denies any weight changes, intolerance to heat/cold
- Hematologic/ Lymphatic: Denies any bruising
OBJECTIVE:
- Vital signs: Ht: 66, Wt: 185, BP 130/78, HR 76, Resp: 16, SaO2: 98%
- Constitutional: Well developed, overweight female
- HEENT: Oropharynx pink, moist, no lesions or exudate. Tonsils 1+ bilaterally. Teeth in good repair, no cavities noted. Tongue smooth, pink, no lesions, protrudes in midline. Neck supple. No cervical lymphadenopathy or tenderness noted. Thyroid midline, small and firm without palpable masses
- Cardiovascular: RRR, No murmurs or rubs noted.
- Respiratory: Clear all fields
- GI: Abdomen round, soft, with bowel sounds noted in all four quadrants.
- GU: Deferred
- Musculoskeletal: Crepitus noted bilateral knees, fluid wave noted to Rt knee
- Integumentary: Skin warm and dry, No rashes noted
- Neuro: Follows commands without difficulty
Working with your group, utilize the above case study a, develop a Voice Over PowerPoint presentation for your patient covering the problems identified in the case study and content in Unit 3 of Edelman, Kudzama, & Mandle (2018). Include the following:
o Screening [Immunizations are to be addressed explicitly-ie. up to date- and define, or not up to date- management]o Health Educationo Nutrition Counseling for Health Promotiono Exerciseo Stress Managemento Complementary and Alternative Strategies.o Incorporate the application of a mobile app either by practitioner or population (ie, use of CDC Immunization App to reference Catch Up Schedule, or Fitbit© App and mobile technology for fitness tracking).