Question

QUESTION 1

Mr. Simpson is a 56 yr. old African American from Mississippi, who now lives in New York. He has been a type two diabetic for the past 10 yrs. Recently, he was diagnosed with hypertension. He lives with his wife, who does the meal preparation and his daughter. His only exercise is walking to work (roundtrip 1 mile) and rarely brings lunch to work. He was recommended to visit a dietitian. He comes into your office with his wife and is body language tells you (arms and legs crossed) that he does not want to be there.

How do you address Mr. Simpsons supposed resistance?

QUESTION 2

What food preferences and patterns would you think Mr. Simpson would follow?

QUESTION 3

What questions regarding his diabetes need to be asked/answered?

QUESTION 4

What are the cooking methods for Mr. Simpson’s food choices?

QUESTION 5

What are the positive aspects of his diet/food/meals/ patterns?

Answer 1

QUESTION 1

First greet the patient. Say hello Mr Simpson. Then maintain good rapport with the client. Many patients are never disclose their problems if he or she feel uncomfortable.  Don't  argue or blame the patient. Allow them to speak their own problems. If patient reluctant to speak , emphasize the importance of visit. Here, from Mr Simpson's body language understand that he is nervous and not interest to visit dietition may be because he doesn't know the impotance of this meeting. In such circumstances, dietition explain the significance of this visit.

QUESTION 2

From Mr Simpson case history realized that he didn't follow healthy diet. Most of the time he didn't take their lunch at work place.

So i would suggest combination of diabetic as well as hypertensive diet.

• Small and frequent diet is good for DM patient. It help to maintain glucose and insulin level and prevent hypo/hyperglycemia.
• If possible,check their blood sugar level before and after food.
• Encourage them to include more vegetables and fruits especially apple, avacado, berries and kiwifruits in their diet.
• Emphasize the importance of having lunch.
• Aviod junk food consumption.
• Avoid carbohydrates, sodium, coffies and beverages in their diet.

QUESTION 3

• What are medicines you follow?
• Did you experience hypoglycemia or hyperglycemia? If yes how often?
• Do you maintain regular follow-up visit?
• What about his physical activity?
• How often do check your blood sugar level?
• Do you have any family history of diabetic?
• Do you have diabetic retinopathy or other complication?
• Did you visit dietition prior?

QUESTION 4

• Stay away from processed food items
• Use coconut, mustard, sunflower, soybean ,peanut oil for cooking meal.
• Don't use chicken,turkey or other meat's skin .
• Choose healthy cooking methods such as boiling, broiling ang grilling .
• Include green leafy vegetables in their diet.
• Cook vegetable only for 10minutes.
• Include salad, yogurt and milk in their menu.
• Whole grain breads and cereals are best for diabetic patient.

QUESTION 5

• He lives with his family, meals are prepare his wife. Home made meals are good option to control many diseases.
• He visit dietition with his wife at a proper time even if he is little bit nervous. Dietition is an ideal person to prepare good menu diabetic patients.
• He commute his workplace by walking. He walk one mile distance everyday. In this hectic lifestyle many people are use their vehicle to go thier workplace even a small distance. So this is a positive aspects of his life.