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The patient I picked for this assignment is Mxr. Raja, ofthe age 47. He came to Singapore in 2015 from Bangladeshand is currently a Singaporean Citizen.

He is also working as a businessman andhis religion is Hindu. He came to Tan Tock Seng Hospital and complained ofchest pains and shortness of breath. After some investigations,his doctor Mr. Ong diagnosed him withCardiovascular disease (CAD). The social factor that I believe contributed tohis diagnosis is his ethnicity.

He is an Indian Tamil. According to the Cadi(Coronary Artery Disease in Asian Indians) Research Foundation, it isprofoundly far-fetched that Indians put on double the weight as Chinese, smoketwice the same number of more cigarettes, and ate twice as significantly morefat. This information shows thatchanges in way of life identified with abundance, urbanization, and inactiveliving are amplified in Indians contrasted with others because of hereditarilyacquired hazard factors. Indians have more elevated amounts of rising dangerfactors like homocysteine, plasminogen activator inhibitor, and particularlylipoprotein.

Middle Lp(a) levels are fundamentally higher in Asian Indians (12mg/dl) contrasted with Chinese (10 mg/dl) and Malays (8 mg/dl).The Indians dietplays a huge role in contributing tocardiovascular disease. India is experiencingquick 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 expansionin corpulence, diabetes, metabolic disorder, and cardiovascular illness (CVD).When I interviewed Mr. Raja regarding hisusual diet before he was admitted, he claims that he consumes Indian curry atleast twice a week. He enjoys eating fried foods like Roti Prata dipped incurry and Butter Chicken. Deep frying is a most popular type of foodpreparation among Asian Indians and frequently result in expanded utilizationof 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 highfatty deposits in the coronary arteries. Also, such a diet can lead todangerous dyslipidemia (abnormal blood lipids). During my posting, thedietician of Mr.

Raja implemented that his diet be a low-fat diet with a varietyof fruits and vegetables to help improve his condition. Therefore, I believe that since he is an Indian, hispreferred diet of choice is a major contributing factor to his condition. One discovery that I made through this assignment is thatAsian Indians have the most astounding rates of getting medical conditionrelated to the heart.

in spite of the way that almost 50% of them are vegetarian and smoking is unprecedented amongladies. The danger of developing and even dying from CAD among Asian Indiansworldwide 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 illeffects of CAD the significance of having a healthy eating regimen andexercising    I will educate themthat getting some regular, daily exercise can reduce the risk of heart disease. Combining physical activitieswith other lifestyle measures, such as maintaining a healthy weight, results inan even greater payoff. Physical activities can help to control weight andreduce chances of developing other conditions that may put a strain on theheart, such as high blood pressure, high cholesterol, and diabetes.In general, moderate exercise, such as walking at abrisk pace, for about 30 minutes on most days of the week can help to reach theDepartment of Health and Human Services recommendations of 150 minutes a weekof moderate aerobic activity, 75 minutes a week of vigorous aerobic activity,or a combination of moderate and vigorous activity. For even more healthbenefits, 300 minutes of moderate aerobic activity or 150 minutes of vigorousaerobic activity every week The idealapproach to lessen the trans fats in your eating regimen is to confine themeasure of strong fats — spread, margarine, andshortening — that is added to nourishmentwhen cooking and serving.

I will advise them likewise to decrease the measureof saturated fat in their eating regimen by trimming fat off meat or picking lean meats with under 10percent fat. I will educate them on the need to check the nutrition labelof a few treats, wafers and chips. Huge numbers of these snacks — even thosenamed “decreased fat” — might be made with oils containing transfats. One intimation that a nourishment has some trans fat in it is theexpression “halfway hydrogenated” onthe fixing list.

When my patients insist on utilizing fats, I will advise them to pick monounsaturated fats, forexample, olive oil or canola oil. Polyunsaturated fats, found in certain fish,avocados, nuts, and seeds, additionallyare great choices for an eating regimen.Monounsaturated and polyunsaturated fats may help bring down their aggregateblood cholesterol. Through this assignment, I learnedthe importance of how different ethnicities can greatly impact the type ofmedical condition one can get. Hence as a nurse,I will be sensitive towards my patient’s ethnicityand take their preference into consideration.


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