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Original Question

Course: Health Sciences – Nutrition & Dietetics – Simulation Lab Heart Healthy / Coumadin – David Agbo – Pre-Simulation Assignment Please help to review the Heart Healthy / Coumadin case scenario, David Agbo and help to answer questions/fill as mentioned in Pre-assignment (especially question #3 Education Materials and #4 Interviewing questions & answers), Initial Nutrition Assessment Form and ADIME note using the below said images: Pre-assignment: Simulation Pre-Assignment Name:___________________________ Case:_________________________ Date: _____________________ Assignment Review provided scenario in advance. Fill out the following prompts. Upload to Canvas by 8am the morning of your scheduled simulation in word document or PDF format. All answers must be typed. Assignment will be discussed during pre-simulation briefing time. Include PDF copies of all chosen education materials. Simulation session will not be started if the assignment is not uploaded to Canvas. 1. Pathophysiology of the disease. Include all references in American Psychological Association style, 7th edition. 2. Name the suggested evidenced-based nutrition therapy for the disease (list more than one if applicable). All education materials must be evidenced-based. Include all references in American Psychological Association style, 7th edition. 3. Plan of Action. Describe how you will interpret your education materials to patient and family as well as how the chosen education materials can apply to patient’s lifestyle in promoting their knowledge and health conditions. a) b) c) d) e) f) g) Simulation Pre-Assignment 4. Interviewing and Documentation. Complete the assessment form provided below. Write out the questions you plan to ask the patient to obtain their dietary and social history. Write down the patient’s answers during your interview and include them in your ADIME note in EHR Go immediately after your simulation session. Initial Nutrition Assessment Form Patient Name: ___________________________ Preferred Name: ______________________ Date: _______________ DOB: _____/_____/_____ Sex: M/F Reason for today’s visit: ___________________________________________________________________________ ———————————————————————————————————————————————– Ht: ______ in. / ______ cm Wt: ______ lbs. / ______ kg BMI: ________ UBW: _______ lbs. IBW: _______ lbs. Weight ∆: _______ %Wt ∆: ________ Time of Wt ∆: _________ IBW range: _________ % IBW range: __________ Reason for wt ∆: __________________________________________________________________________________ Est Kcal: _________________________ Est Pro: ________________________ Est Fluid: _______________________ NFPE:____________________________________________________________________________________________ GI Complaints: â–¡ None noted â–¡ Nausea â–¡ Vomiting â–¡ Diarrhea â–¡ Constipation â–¡ Other ________________ Chew/swallow/dentures:_________________________________________________________________________________ PMHx:___________________________________________________________________________________________________ __________________________________________________________________________________________________________ Labs:____________________________________________________________________________________________________ __________________________________________________________________________________________________________ Med/Vitamin/Supplement Indication/ DNI Simulation Pre-Assignment Food/Nutrition-Related Hx: Food allergies/intolerances/aversions: ___________________________________________________________________ Cultural/religiousdietspecifications:__________________ Otherdietrestrictions:___________________________ Live alone or with others: _______________________ Who does majority of grocery shopping? _________________ Who prepares meals? __________________________ Cooking methods: ______________________________________ Difficulty accessing, preparing & cooking foods? __________________________________________________________ Alcohol consumption (type, volume, frequency): __________________________________________________________ Drug/tobacco use (type, frequency): ______________________________________________________________________ PA (type, duration, frequency): ___________________________________________________________________________ Challenges in being more physically active: No / Yes ______________________________________________________ Previous nutrition-related education/goals/attempts: ____________________________________________________ __________________________________________________________________________________________________________ __________________________________________________________________________________________________________ 24hr Diet Recall: Meal/time: B/L/D/S Foods Amounts Simulation Pre-Assignment INTERVENTION: Nutrition Prescription: Kcal___________ Pro__________ CHO: ___________ Fluid ____________ Na: ____________ Texture:_________________________ Frequency:_____________________ Vit/Min:_______________________ Therapeutic:______________________________________ Supplements:____________________________________ Readiness to change: Precontemplation Contemplation Action Maintenance Motivation: High Moderate Low Nutrition Education/Counseling/Materials Provided: ______________________________________________________ __________________________________________________________________________________________________________ __________________________________________________________________________________________________________ __________________________________________________________________________________________________________ __________________________________________________________________________________________________________ SMART Goals: ____________________________________________________________________________________________ 1. ______________________________________________________________________________________________________ __________________________________________________________________________________________________________ 2. ______________________________________________________________________________________________________ __________________________________________________________________________________________________________ 3. ______________________________________________________________________________________________________ __________________________________________________________________________________________________________ COC/Follow-up: _________________________________________________________________________________________ __________________________________________________________________________________________________________ Notes: __________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ MONITOR AND EVALUATE Follow up: ______________________________________________________________________________________________ ______________________________________________________________________________________________ Follow-up visit in ____ days ————————————————————————————————————————– ADIME Note Template: ADIME NOTE ADIME NOTE OUTLINE A: Assessment A: Anthropometrics: Ht., Wt, BMI, Wt hx, Growth hx B: Biochemical Data/Labs, Medical Tests C: Client History: Personal hx (age/gender/race/ethnicity/language/literacy/family role/tobacco use/mobility) Medical/Health hx (CC/disease/surgery/therapy) Family Hx (family medical/health hx) Social hx (socioeconomics/housing/occupation/religion/social support) F: Food/Nutrition-Related History: Diet recall Diet specifications, restrictions, Food allergies/intolerances/dislikes/aversions, Food access/preparation knowledge/skills/methods Alcohol/caffeine/vitamins/mineral supplements/medications Physical activity P: Nutrition Focused Physical Findings: Physical appearance Muscle/Adipose distribution Skeleton Edema Chew/Swallow/Digestive function Extremities/eyes/skin/hair/nails/mouth/teeth/tongue E: Estimated Needs RMR/TEE, Protein Fluid % Macro nutrients Disease specific micronutrients if any D: Nutrition Diagnosis P: Problem or Nutrition Diagnosis Label E: Etiology (related to) S: Signs/Symptoms (as evidenced by) I: Intervention (based on etiology) F: Food/Nutrient Prescription and Delivery E: Nutrition Education C: Nutrition Counseling G: Goal (based on signs/symptoms-Intake, Behavioral, Clinical) COC: Coordination of Nutrition Care M: Monitor F: Food/Nutrition-Related History Outcomes A: Anthropometric Measurement Outcomes B: Biochemical Data, Medical Tests, and Procedures Outcomes F: Nutrition Focused Physical Findings Outcomes E: Evaluation Are goals being met, in progress, or not achieved? ———————————————————————————————————————————– Resources: Images Reference to fill above pre-assignment and ADIME note: Image transcription text Activity: Practicum Heart Healthy/Coumadin – Agbo ACTIVITY DESCRIPTION David Agbo was recently discharged from the hospital after recoverin… Show more Image transcription text Patient: David Agbo DOB: 03/12/1950 75 yo M MR#: MR0987 O Admit Date: ANKA, Chronic Coumadin Therapy E Sections Overview Discovery Pat… Show more Image transcription text @ Overview DATE & TIME SUBJECT STATUS PREVENTION TYPE Problems eS PRIORITY STATUS DESCRIPTION IMMEDIACY DATE OF ONS… Show more Image transcription text Overview Labs DATE LAB TEST VALUE UNIT ABNORMAL FLAG REFERENCE RANGE 06/23/2025 BMP (Basic Metabolic Panel) 12:31 BMP BU… Show more Image transcription text Overview Orders CATEGORY ORDER ITEM FREQUENCY STATUS WHEN Dietetics Heart Healthy Diet AS DIRECTED Active 06/23/2025 12:0… Show more Image transcription text Notes DATE & TIME NOTE TITLE AUTHOR LOCATION 06/23/2025 Free Text Note Kim Anderson, RN Central Clinic 19:12 06/23/2025 History … Show more Image transcription text I Abdomen, Gastrointestinal Assessment Details Basic Information Date: 06/23/2025 11:23:37 Author: Kim Anderson, RN Location: Central Clinic Image transcription text I Abdomen, Gastrointestinal Assessment Details Abdomen, Gastrointestinal Health History Any changes in appetite? Yes Describe: appetite was down … Show more Image transcription text History & Physical (Provider) Details Basic Information Date: 06/23/2025 12:06:37 Author: Manuel Bachman, MD Location: Central Clinic Chief … Show more Image transcription text I History & Physical (Provider) Details Family History (FH): father died of an MI and mother passed away from breast cancer. Review of Systems (ROS): Sk… Show more Image transcription text -….. Skin: intact Plan: review cardiopulmonary function tests and INR. Maintain therapeutic levels. Nutrition consult for new coumadin therapy. X > P… Show more Image transcription text Ig Free Text Note Details Date: 06/23/2025 19:12 Title: Free Text Note Note: Meal pattern 6/12-6/14 62 Breakfast: Hausa koko (millet porridge) with … Show more Image transcription text Free Text Note Details 6/13 Breakfast: . Rice water (rice porridge) Bofrot (1 medium) 1 banana Lunch: . Light soup with 1/2 cup garden eggs and okra . Fufu (c… Show more

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