Professional Documents
Culture Documents
BIRLA HOSPITAL
Submitted to………………….submitted by
THANKS
Shivani pandey
INDEX
S.N. CONTENT
*Therapeutic approach
*Counselling approach
*Administrative approach
3) - Role of Dietician
5) - Introduction of heart
6) - Introduction of hypertension
8) - Dietary treatment
9) - Case Study
*Therapeutic approach
*Counselling approach
*Administrative approach
HEART DISEASE
INTRODUCTIONOFHEART DISEASE
The heart pumps blood with a rhythm determined by a group of pacemaking cells in
the sinoatrial node. These generate a current that causes contraction of the heart,
traveling through the atrioventricular node and along the conduction system of the
heart. The heart receives blood low in oxygen from the systemic circulation, which
enters the right atrium from the superior and inferior venae cavae and passes to the
right ventricle. From here it is pumped into the pulmonarycirculation, through
the lungs where it receives oxygen and gives off carbon dioxide. Oxygenated blood
then returns to the left atrium, passes through the left ventricle and is pumped out
through the aorta to the systemic circulation−where the oxygen is used
and metabolized to carbon dioxide. The heart beats at a resting rate close to 72
beats per minute. Exercise temporarily increases the rate, but lowers resting heart
rate in the long term, and is good for heart health.
HYPERTENSION
INTRODUCTIONOFHYPERTENSION-
Hypertension also known as high blood pressure is a long term medical condition
in which the blood pressure in the arteries is persistently elevated. High blood
pressure usually does not cause Symptoms. Long term high blood pressure,
however, is a major risk factor for coronary artery disease, stroke, heart failure,
peripheral vascular disease, vision loss and chronic kidney disease.
Couses of hypertension:-
*Smoking
*Lack of physical activity
*Too much alcohol consumption
*Stress
*Older age
*Genetics
*Chronic kidney disease
*Being overweight or obese
*Adrenal and thyroid disorders
Symptoms of hypertension :-
*Headache
*Dizziness
*Impaired vision
*Failing memory
*Shortness of breeth
*Pain over the heart
*GIT disturbance
*Unexplained tiredness
Dietary treatment:-
Modrate calorie, low fat, low sodium diet normal protein
intake is prescribed.
CASE
STUDY
Patient-1
DIETARY RECALL
22/07/2017
23/07/2017
Patient-2
Patient name- sardavishwas
Dr. name- dr. S.k Shrivastava
IpD no.- 2488
D.o.A- 24/07/2017
Age/Sex- 72/f
Hight- 150c.m. weight- 55kg BMI-24
Normal calorie-1900 Intake calorie-1700
NDA- 1800
History-
Past History- HTN
Present History- HTN+ acute cheat pain
Biochemical Parametres:-
DATE Blood pressure
25/07/2017 150/100mmhg
26/07/2017 140/90mmhg
27/07/2017 130/90mmhg
DIETARY RECALL
25/07/2017
26/07/2017
27/07/2017
Biochemical Parametres:-
DATE Blood pressure
25/07/2017 140/90mmhg
26/07/2017 130/90mmhg
27/07/2017 130/80mmhg
DIETARY RECALL
25/07/2017
26/07/2017
Time Meal Serving
Morning Tea 150ml
8:00Am
B.fast Poha 100gm
11:00Am
Rice 80gm
Dal 50gm
Lunch Kadhi 50gm
2:00Pm Fulka 2slice
Selad 25gm
Evening Soup 200ml
5:00Pm
Rice 80gm
Dal 50gm
Dinner Luaki veg. 50gm
8:00Pm Fulka 2slice
Selad 25gm
27/07/2017
Time Meal Serving
Morning Tea 150ml
8:00Am
B.fast Veg.daliya 100gm
11:00Am
Rice 80gm
Lunch Dal 50gm
2:00Pm Chole veg. 50gm
Fulka 2slice
Selad 25gm
Evening Soup 200ml
5:00Pm
Rice 80gm
Dal 50gm
Dinner Kadhi veg. 50gm
8:00Pm Fulka 2slice
Selad 25gm
Patient-4
History-
Past History- Normal
Present History- Acute HTN
Biochemical Parametres:-
DATE Blood pressure
25/07/2017 130/70mmhg
26/07/2017 130/80mmhg
27/07/2017 120/80mmhg
DIETARY RECALL
25/07/2017
27/07/2017
Patient-5
Biochemical Parametres:-
DATE Blood pressure
31/07/2017 160/90mmhg
1/08/2017 170/90mmhg
2/08/2017 130/90mmhg
DIETARY RECALL
31/07/2017
02/08/2017
Time Meal Serving
Morning Tea 150ml
8:00Am Biskut 2pice
B.fast Veg.upma 100gm
11:00Am
Dal 50gm
Lunch Rice 70gm
2:00Pm Fulka 2slice
Soyabadi veg. 50gm
Evening Soup 200ml
5:00Pm
Dinner Dal 50gm
8:00Pm Rice 70gm
Fulks 2slice
Parwal veg. 50gm
Bedtime Milk 200ml
10:00Pm