Showing posts with label counselling. Show all posts
Showing posts with label counselling. Show all posts

Wednesday, 28 February 2024

Uniting for Rare Disease Day 2024: Understanding, Supporting, and Healing

Uniting for Rare Disease Day 2024 Understanding, Supporting, and Healing





    Rare Disease Day, observed on February 29th, serves as a poignant reminder of the millions of individuals worldwide battling rare and often misunderstood medical conditions. These diseases, though individually uncommon, collectively affect millions of people, underscoring the need for increased awareness, research, and support. As we commemorate Rare Disease Day 2024, let's delve into the significance of rare diseases, their types, causes, symptoms, and explore the role of nutrition and medical nutrition therapy in managing these conditions.


Defining Rare Diseases:

    Rare diseases, also known as orphan diseases, are medical conditions that affect a small percentage of the population. Despite their rarity, there are over 7,000 known rare diseases, each presenting unique challenges for patients, caregivers, and healthcare providers. There are more than 200 Rare diseases are present in India. 


Types of Rare Diseases:


Rare diseases encompass a broad spectrum of conditions, including genetic disorders, autoimmune diseases, infectious diseases, and rare cancers. Some examples include:

Huntington's Disease:  A progressive neurodegenerative disorder caused by a mutation in the HTT gene, leading to cognitive decline, movement disorders, and psychiatric symptoms.

Cystic Fibrosis: A genetic disorder affecting the lungs, digestive system, and other organs, characterized by thick, sticky mucus production, respiratory infections, and digestive problems.

Progeria: A rare genetic condition characterized by accelerated aging in children, leading to premature aging, cardiovascular complications, and shortened lifespan.


Causes and Symptoms:

    The causes of rare diseases vary widely, with many stemming from genetic mutations, environmental factors, or a combination of both. Symptoms can range from mild to severe and may affect multiple organ systems. While the specific symptoms depend on the disease, common manifestations include:


  • Chronic pain
  •  Fatigue
  • Cognitive impairment
  • Respiratory issues
  • Gastrointestinal problems
  • Skin abnormalities
  • Developmental delays


Nutrition and Food to Prevent Rare Diseases:

    While nutrition alone cannot prevent rare diseases, adopting a healthy diet rich in nutrients can support overall health and potentially reduce the risk of certain conditions. Some dietary guidelines to consider include:


Emphasize Whole Foods: Incorporate a variety of fruits, vegetables, whole grains, lean proteins, and healthy fats into your diet to ensure adequate intake of essential nutrients.

Stay Hydrated: Drink plenty of water throughout the day to maintain hydration and support optimal bodily functions.

Limit Processed Foods: Minimize consumption of processed foods high in added sugars, unhealthy fats, and sodium, as these can contribute to inflammation and chronic diseases.

Consider Nutrient-Rich Foods: Certain nutrients, such as omega-3 fatty acids, antioxidants, and probiotics, may offer protective benefits against certain diseases. Include foods like fatty fish, nuts, seeds, colorful fruits and vegetables, and fermented foods in your diet.


Medical Nutrition Therapy to Treat Rare Diseases:

    Medical nutrition therapy (MNT) plays a crucial role in managing rare diseases by addressing specific nutritional needs, managing symptoms, and optimizing overall health. MNT interventions are tailored to the individual's condition, symptoms, dietary preferences, and medical history. Key components of MNT may include:


Nutritional Assessment: A thorough evaluation of the patient's nutritional status, dietary habits, and metabolic needs to identify areas of concern and develop personalized nutrition goals.

Dietary Modifications: Implementation of dietary interventions to address nutritional deficiencies, manage symptoms, and support overall health. This may involve adjusting macronutrient ratios, modifying food textures or consistencies, and avoiding trigger foods.

Supplementation: Provision of oral or enteral nutritional supplements to ensure adequate intake of essential nutrients, especially in cases of malnutrition or impaired nutrient absorption.

Education and Counseling: Providing education, guidance, and support to patients and caregivers on proper nutrition, meal planning, portion control, and strategies for overcoming dietary challenges associated with the rare disease.


    Rare Disease Day serves as a poignant reminder of the resilience, courage, and perseverance of individuals affected by rare diseases. By raising awareness, advocating for research, and providing support to patients and their families, we can work towards improving diagnosis, treatment, and quality of life for those living with rare conditions. Nutrition and medical nutrition therapy play integral roles in managing rare diseases, offering hope and healing to those in need. As we commemorate Rare Disease Day 2024, let us unite in solidarity, compassion, and determination to make a difference in the lives of those facing rare diseases.

Monday, 4 July 2022

DIET COUNSELLING

 

DIET COUNSELLING



 

DEFINITION

            Diet Counselling is a process by a Health Professional trained in Nutrition who make people choose healthy food choices that make them follow healthy eating habit.

Healthy Eating Habit Leads to

·       Recover from the disease condition

·       Prevent diseases

·       Helps for Weight Loss and Weight Gain

 

SKILLS INVOLVED IN DIET COUNSELLING

·       Be Empathetic:  Empathy involves listening to clients, and understanding their concerns to the best possible level.

·       Be Patience: Treat the Patient with a lot of tolerance levels.

·       Subject Knowledge:  Always be updated with Subject with current trends

·       Build Trust & Rapport:  Create bonding with patients and genuinely helping them will create trust.

·       CommunicationCommunication is very important and should be done properly. Conveying things must be understandable to the patient.

o   Verbal communication :

§  Use Clear Language,                                                                       

§  The tone of voice should not be too low or too loud

o   Non – Verbal Communication includes Sitting posture, Body gestures, Facial Expression and Eye contact.

·       Probing: probing means questioning. Questions are asked to get more information.

o   Ask questions with caution

o   Don’t ask too many questions

o   Always ask open questions than closed questions

·       Active listeningIn diet counselling, active listening helps to avoid the distraction of the conversation. involved both physically and mentally in a conversation, which is called active listening.

·       Summarizing:  It is useful to summarize what was said in a session to provide a focus on what was discussed and to challenge the client to move forward with the prescribed dietary practices.

 

STEPS INVOLVED IN DIET COUNSELLING

1.     EVALUATION

·       Evaluation is done to know the nutritional status, disease condition, Lifestyle and eating pattern of the patient using a nutrition assessment sheet.

·       Nutrition assessment sheet consists of personal history, medical history, lifestyle, sleep pattern, stress management, food frequency and 24 hrs. recall.

·       All the questions in the nutrition assessment sheet are asked for reasons.

·       24 hours recall must be filled along with the timing of the meal, food items and quantity.

2.     SUGGESTION

·       Suggestion is the main part of the counselling. In this going to suggest what are all the changes going to make in their eating pattern

·       Always start with suggestions with appreciation. Eg: appreciating their good habits like drinking a proper amount of water.

·       Tell changes in a positive way and with proper reason to change the habit to the patient. Never stop any habit, Gradually reduce the quantity and stop.

3.     MODIFICATION

·       Modification is the planning menu plan

·       The menu plan should consist of 2 columns

·       1st column – Meal name with Timings

·       2nd column – Food items with quantity

·       All quantities must be mentioned in grams, ml, and numbers.

·       Menu plan should be precise and options must be given


4.     FOLLOW UP

·       Follow-up is done 15 days or 1 month after discharge from the hospital

·       Follow-up is done to know the progression of the patient

·       How much they followed the diet, how far they are doing in a recovery state.

·       Give counselling in follow-up and change the menu plan

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