The patient I picked for this assignment is Mxr Raja of the age 47 He came to Singapore in 2015 from Bangladesh and is currently a Singaporean Citizen He is also working as a businessman and his religion is Hindu He came to Tan Tock Seng Hospital and complained of chest pains and shortness of breath After some investigations his doctor Mr Ong diagnosed him with Cardiovascular disease CAD The social factor that I believe contributed to his diagnosis is his ethnicity He is an Indian Tamil According to the Cadi Coronary Artery Disease in Asian Indians Research Foundation it is profoundly far fetched that Indians put on double the weight as Chinese smoke twice the same number of more cigarettes and ate twice as significantly more fat This information shows that changes in way of life identified with abundance urbanization and inactive living are amplified in Indians contrasted with others because of hereditarily acquired hazard factors Indians have more elevated amounts of rising danger factors like homocysteine plasminogen activator inhibitor and particularly lipoprotein Middle Lp a levels are fundamentally higher in Asian Indians 12 mg dl contrasted with Chinese 10 mg dl and Malays 8 mg dl The Indians diet plays a huge role in contributing to cardiovascular disease India is experiencing quick healthful change bringing about abundance utilization of calories saturated fats trans fats simple sugars salt and low admission of fiber Such dietary change and an inactive way of lifestyle have prompted an expansion in corpulence diabetes metabolic disorder and cardiovascular illness CVD When
I interviewed Mr Raja regarding his usual diet before he was admitted he claims that he consumes Indian curry at least twice a week He enjoys eating fried foods like Roti Prata dipped in curry and Butter Chicken Deep frying is a most popular type of food preparation among Asian Indians and frequently result in expanded utilization of fat especially trans fat the most hazardous type of fat 1 By replacing 2 of these from trans fats with unsaturated fats can decrease coronary artery disease chance by 24 Such foods contain a large number of fats and oils An excessive amount of oils will lead to high fatty deposits in the coronary arteries Also such a diet can lead to dangerous dyslipidemia abnormal blood lipids During my posting the dietician of Mr Raja implemented that his diet be a low fat diet with a variety of fruits and vegetables to help improve his condition Therefore I believe that since he is an Indian his preferred diet of choice is a major contributing factor to his condition One discovery that I made through this assignment is that Asian Indians have the most astounding rates of getting medical condition related to the heart in spite of the way that almost 50 of them are vegetarian and smoking is unprecedented among ladies The danger of developing and even dying from CAD among Asian Indians worldwide are 40 to 400 higher than individuals of another ethnic origin Subsequently
I will ensure that I instruct my Indian patients who might experience the ill effects of CAD the significance of having a healthy eating regimen and exercising I will educate them that getting some regular daily exercise can reduce the risk of heart disease Combining physical activities with other lifestyle measures such as maintaining a healthy weight results in an even greater payoff Physical activities can help to control weight and reduce chances of developing other conditions that may put a strain on the heart such as high blood pressure high cholesterol and diabetes In general moderate exercise such as walking at a brisk pace for about 30 minutes on most days of the week can help to reach the Department of Health and Human Services recommendations of 150 minutes a week of moderate aerobic activity 75 minutes a week of vigorous aerobic activity or a combination of moderate and vigorous activity For even more health benefits 300 minutes of moderate aerobic activity or 150 minutes of vigorous aerobic activity every week The ideal approach to lessen the trans fats in your eating regimen is to confine the measure of strong fats spread margarine and shortening that is added to nourishment when cooking and serving I will advise them likewise to decrease the measure of saturated fat in their eating regimen by trimming fat off meat or picking lean meats with under 10 percent fat I will educate them on the need to check the nutrition label of a few treats wafers and chips Huge numbers of these snacks even those named decreased fat might be made with oils containing trans fats One intimation that a nourishment has some trans fat in it is the expression halfway hydrogenated on the fixing list When my patients insist on utilizing fats I will advise them to pick monounsaturated fats for example olive oil or canola oil Polyunsaturated fats found in certain fish avocados nuts and seeds additionally are great choices for an eating regimen Monounsaturated and polyunsaturated fats may help bring down their aggregate blood cholesterol Through this assignment I learned the importance of how different ethnicities can greatly impact the type of medical condition one can get Hence as a nurse I will be sensitive towards my patient s ethnicity and take their preference into consideration
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