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Meal for a Day

On February 2, 2015 I had:

  • 1 bowl (about 1 cup) of Reese’s puff cereal with whole milk: Serving size of Reese’s Puffs is 3/4 a cup. Without the milk, total fat is 3g and sodium is 160 mg. 1 cup of whole milk is 9 g of total fat and 130mg of sodium.
  • For lunch:
    • half a steak and white cheddar cheese panini sandwich from Panera bread: total fat 18g and sodium is 910mgOLYMPUS DIGITAL CAMERA
    • 1 regular sized (20 ounces) iced green tea. Total fat is 0g and sodium is 10mg.
  • Dinner: 1 1/2 cup of homemade Ham soup. I do not know the Fat content and sodium but most of the fat and sodium content would be from the Ham. No extra salt was added. Other ingredients (Carrots, onions, celery, potatoes, and elbow macaroni noodles).
  • Snack: 1 bag of mini nutter butters: 115mg of sodium and 6g of total fat
  • Other Beverages besides water: Arizona Green tea: 16 fl. oz. has a total fat of 0g and sodium 20mg

After looking through the American Heart Association Website, there are different recommendations on how to change lifestyle habits such as nutritional habits and exercising. The website also offers different languages such as Chinese and Spanish. Looking at what is recommended for a healthy lifestyle in relation to nutrition and exercise, the recommended sodium intake is 2,400 in order to reduce cholesterol; however, the recommended intake for lowering blood pressure is 1,500 mg. Looking at what I had yesterday, if I had eaten a whole panini sandwich for lunch, I have already eaten more than my recommended sodium intake if I were on a low-sodium diet. Furthermore, my patients may not only have poor blood pressure control, but may also have heart problems such as heart failure that may decrease the recommended sodium intake to about 1,200 mg. I think we ask a lot out of patients, to suddenly make changes in there life especially when it comes to eating habits or exercise. I think it is important to understand that we are asking them to make lifestyle changes and that it takes times. I think including the patient into plan of care is important because it will affect them in the long run. Asking them what they will be willing to cut down and what is possible for them to do now. Making smaller strides to conquer the huge milestone. I do not think I could change into a low-sodium, low-fat diet in one day. I think it would take time, but it’s important to find creative ways in order to conquer the smaller strides. For example, I do really exercise as much as I should and I noticed I would have a lot harder time breathing after a short walk up stairs. Also, my 4 year old sister could not walk far and would constantly complain. What I did, was I decided to walk to the farthest park in my community with my sister and son. After about a week, my sister would not complain walking to the far park nor after we played at the park to go home. Not only did I help build her endurance, I built my endurance back up as well. Maybe, our patients have a hard time walking and can only do minimal exercise, and that is where we as nurses have to be creative in order to help our patients make those small strides.

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Also, on the American Heart Association website, to maintain a healthy diet, control blood pressure and cholesterol, and maintain a healthy weight, a variety of fruits and vegetables should be consumed daily. Looking at my meal list, I need to tackle that better because there will be some days I eat a lot of fruits and vegetables and on some days it is very minimal the amount of fruits and vegetables I eat. Exploring the website, I have gained a better understanding the changes we are asking our patients to make and things that I have to take into consideration such as the patient’s culture and lifestyle.

healthyeater

Yesenia Rosas 2015-02-01 02:48:32

Here is what I have eaten all day:

  1. Hot chocolate
  2. Fruit smoothie (spinach, 1 slice of cantaloupe, 1 slice of pineapple, ½ banana, and one orange)
  3. Sandwich (mayo, mustard, 2 slices of ham, spinach, and pickles) with one bag of hot cheetos :/
  4. Mexican cobb chicken salad
  5. Lots of water
  6. Hershey chocolate

If I were to have to change my diet to a low sodium/ low fat diet I do not think I would struggle a lot with the “low-sodium” part, because I do not like to eat a lot of salt in general. However, with respect to the “low- fat” part I might find it a bit challenging to adjust at first.

corazon

Advanced Directive Limmerick

There once was an advanced directive
A measure most certainly corrective
You can fill it out yourself
To plan your future health
Not mandatory, but totally elective

Start of the Semester

This is the first course that technology is truly being utilized into the classroom setting. I personally like it and wished we had CIKeys earlier in the program. I haven’t had the chance to really blog before so creating my page has been slightly challenging, but it has been fun learning along the way. I am excited to begin the semester and learn about what technology can offer me! :)

Just added a new category…

It’s called nurs420

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Testing =)

A Whole New World

Well, I never would have imagined that the first thing we do in Critical Care Nursing is make our own websites, but I am actually really excited about it! This is something I would NEVER do on my own, so I am glad we are required to do it for class. I’m excited to see how they all turn out by the end of the semester. Here we go!

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“I am only one; but still I am one.
I cannot do everything; but still I can do something.
And because I cannot do everything,
I will not refuse to do the something that I can do.”
– E.E. Hale, American writer

One of the things I really love about nursing is that every so often patients have a way of reminding me why I do it…

This week had been dragging by, bringing one technical difficulty after another along with it. By the time I slunk into work yesterday, behind my extra large cup of coffee, I just wanted to get through the shift without anything else going wrong. And then the inevitable… a patient suddenly dissolves into frustration and tears, and more than anything just needed to be heard…

Behind my calm exterior I struggled to re-prioritize while she talked… So many tasks to do, so many other patients, and what answers do I have to really solve her problems anyway?… So I took a deep breath to still my thoughts and looked deep into her eyes (my way of stripping away clinical roles to reestablish a human connection with someone). This technique tends to work pretty well to keep a situation in the present, but then she really looked back at me. It felt a little like watching an icicle melt in a ray of sunshine… calm, gentle, refreshing. I stayed with her for a total of about 15 minutes, but the moment touched both of us profoundly.

As I dive into the wild and wooly world of Care of the Complex Client, it is moments like these that remind me what it is all for. To do what I can, to make the difference that I can, day by day, hour by hour, minute by minute.