FINAL shaista_210322520021[1][1] [Read-Only].pptx

About preparation and evolution of almond milk yoghurt

1. HOSPITAL INTERNSHIP-2023 MALLAREDDY NARAYANA MULTYSPECIALITY HOSPITAL Presented by : SHAISTA NAAZ 210322520021 MSC NUTITION AND DIETETICS SHAISTA HOSPITAL INTERNSHIP 2023 1

2. ABOUT HOSPITAL: Situated along the Suraram Main Road in Hyderabad, Malla Reddy Narayana Hospital, a part of the Malla Reddy Health city, 500 bedded hospital 110 plus professional consultant doctors SHAISTA HOSPITAL INTERNSHIP 2023

3. Vision and purpose: Save lives Increasing quality of life Actively takes part in accreditation programs Presentation title 3

4. QUALITY POLICY SHAISTA HOSPITAL INTERNSHIP 2023 4

5. Presentation title 5 MEDICAL WING 1 PHARMACY RECEPTION DESK CCU 1 CCU 2 GROUND FLOOR NUTRITION AND DIETETICS DEPT GYNECOLOGY WARDS AAROGYASHREE CORPORATE WING 2 FIRST FLOOR SECOND FLOOR THIRD FLOOR Surgical units HR DEPT MEDICAL WING 2 MICU MEDICAL WING 1 PICU SICU CITU VISITOR WAITING AREA

6. Kitchen layout Presentation title 6

7. FLOOR PLANNING: - FIRST FLOOR : AROGYASHREE OP COUNTER AROGYASHREE OUT PATIENT DEPARTMENT EMERGENCY GROUND FLOOR : RECEPTION DESK OP COUNSELLING CCU 1 CCU 2 FIRST FLOOR : NUTRITION AND DIETETICS DEPARTMENT GYNECOLOGY WARDS AROGYA SHREE DEPARTMENTS CORPORATE WING 2 -> SECOND FLOOR : HR DEPARTMENT
AROGYASHREE DEPARTMENT
MEDICAL WING 1 & 2
MICU -> THIRD FLOOR : OT DEPARTMENT
PICU
SICU CITU SHAISTA HOSPITAL INTERNSHIP 2023 7

8. General hospital diets: The diets given to the patient : 1. Normal diet   2. Soft diet   3. Therapeutic diet
4. Clear fluid diet 5. Full fluid diet 6. Semi solid diet
7. Diabetic diet
8. .Renal diet
9. Low fiber diet
10.Bland diet SHAISTA HOSPITAL INTERNSHIP 2023 8

9. ROLE OF DIETITIAN DAILY DIET PLAN SUPERVISION OF FOOD PREPARATION COUNSELLING THE PATIENTS PLANNING OF THERAPEUTIC DIET CHECK FOOD WASTAGE AT DIFFERENT LEVELS SHAISTA HOSPITAL INTERNSHIP 2023 9

10. Percutaneous transluminal coronary angioplasty DONE BY : SHAISTA NAAZ 210322520021 MSC 2 ND YEAR CAPITAL DEGREE AND PG COLLEGE

11. Introduction: PTCA is performed to open blocked or narrowed arteries caused by coronary artery disease (CAD) and to restore arterial blood flow to the heart tissue without open heart surgery. 11

12. Primary goals Annual revenue growth CAUSES: Coronary artery disease occurs when fatty deposits called plaques build up inside the coronary arteries Smoking High amounts of fats and cholesterol High blood pressure diabetes

13. SYMPTOMS Presentation title 13 Chest pain (angina pectoris) - due to lack of oxygen- Difficulty breathing or shortness of breath -Sweating or "cold sweat“ - Fullness, indigestion, or choking feeling (may feel like "heartburn") - Nausea or vomiting - Dyspnea - Excessive fatigue

14. PTCA RISKS OF THE PROCEDURE PTCA 14 BLEEDING at the catheter insertion site BLOOD CLOTS damage to the blood vessels at the insertion site INFECTION ARRHYTHMIA cardiac CHEST PAIN or discomfort RUPTURE of the coronary artery

15. Diagnostic tests for the PTCA Chest x ray Electrocardiogram Blood test Presentation title 15 This Photo by Unknown Author is licensed under CC BY-NC

16. THE CONNECTION BETWEEN DIET AND CARDIOVASCULAR DISEASE PTCA 16 Diet directly affects the development of atherosclerosis (lesions which can block arteries), the underlying cause for CVD. Diet also affects blood cholesterol levels, body weight, blood pressure, and blood glucose levels.

17. HEART HEALTHY DIET A heart-healthy diet High in omega-3 fats, found in many fishes, especially salmon High in fiber High in fruits and in green, red and orange vegetables Low in saturated fats and trans fats Low in sodium Low in sugar Low in cholesterol Low in alcohol or alcohol-free Calorie-balanced to support a healthy weight SHAISTA HOSPITAL INTERNSHIP 2023 17

18. SHAISTA HOSPITAL INTERNSHIP 2023 18 The goals of a heart-healthy diet are to eat foods that help obtain or maintain healthy levels of cholesterol and fatty molecules called lipids. You can achieve this by: Reducing overall cholesterol levels and low-density lipoproteins (LDL), which are harmful to the heart - Increasing high-density lipoproteins (HDL), which are beneficial for the heart -Reducing other harmful lipids (fatty molecules), such as triglycerides and lipoprotein. Any diet should also help keep blood pressure and weight under control. Physical activity should be included

19. Foods that are heart healthy strawberry Oat meal blackberries salmon onions peas Green leafy vegetables Green tea SHAISTA HOSPITAL INTERNSHIP 2023 19

20. Diet After Stent Placement   Why Is It Important To Eat Well After Stent Placement? Food provides energy and nutrients for recovery after a stent implant Heart-protective nutrients help manage blood pressure to keep blood flowing Eating enough is important even if you experience decreased appetite after stent placement Eating specific foods helps to regulate emotional changes and anxiety Eating well reduces the risk of plaque formation and buildup in your arteries again Presentation title 20

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23. Presentation title 23 Patient profile: Name : sugar Age : 60 years Gender :female BMI: 25.43 kg/ Life style :sedentary Date of admission :17/10/2023 present problem : Patient was suffering from chest pain radiating to arm , SOB swelling  

24. Biochemical parameters PARAMETERS    AT THE TIME OF ADMISSION    AT THE TIME OF DISCHARGE    NORMAL VALUES    Hemoglobin        13.2mg/dl    9.1     12-15 mg/dl    Packed cell volume                        41.7   %    51.9     36-46%    Red blood cell count        4.7 mill/cum    3.55     3.8-4.8mill/cum    Urea        09   8   7-18.0mg/dl    Platelet count        2.60   0.97     1.5-4.1 lakh    Creatinine        0.77   0.62   0.5-1.0mg/dl    Sodium        138 mmol/L    131   136-144mmol    Potassium        4.2   3.9   3.6-5.1mmol/L    Chloride        103   98   98.0-107.0mmol/L    Presentation title 24

25. Presentation title 25 Medication: The patient was on following medication to reduce the Pain ,nausea and vomiting HEPARIN -anti coagulant ECOSPRIN -headache , fever, sore throat T.CLOPICET- prevent blood clot T.STORVAS –lower lipids T.BETAlOC –lowering high blood pressure

26. Presentation title 26 Dietary principal for CAD patient PRINCIPLE OF DIET:
LOW FAT
HIGH FIBER
HIGH CALORIE
MODERATE CARBOHYDRATE

27. Presentation title 27 Counselling given to the patient: DIET COUNSELLING: Physical activity at least for 40 mins/day Include fiber rich diet like vegetables, fruits, whole sprouted gram Check weight regularly and maintain it
Oil-1/2L /person/month
Limit saturated fat consumption Include raw salads and green leafy vegetables daily

28. Presentation title 28 Must Avoid: Red meat and organ meat Saturated fats like in creams , cheese, butter ,ghee
Sweets and confectionary, chocolates etc. High fat food ,deep fried food items like poori ,Vada Bakery products like cake pastry , cookies Limit coconut/groundnut chutney Smoking/drinking

29. Presentation title 29 Discharge summary: DISCHARGE SUMMARY:
A 60-YEAR-old female with CAD was admitted on 17-10-2023 at 10:00AM with C/O Sweating and Headache, Left Upper Limb Pain. All necessary investigations were done and Patient is posted for surgery [PTCA] on 18-10-2023. the patient was on soft diet before the stent placement and then was shifted to NBM after the stent placement the pateient was stabilized and was on soft diet

30. Presentation title 30 Minor case study Alcoholic hepatitis: Alcoholic liver disease (ALD) represents a spectrum of injury, ranging from simple steatosis to alcoholic hepatitis to cirrhosis Symptoms include yellowish Skin and eyes Loss of appetite.
Nausea and vomiting.
Belly tenderness.
Fever, often low grade.
Tiredness and weakness

31. Presentation title 31 Causes includes : alcohol Lack of nutrition Chemical breakdown Complications: Obesity Enlarged veins Kidney failure

32. CONCLUSION: Completing my internship as a dietitian has been a great experience in my career development. Gained practical knowledge . Worked closely with the health care teams Skilled in nutritional assessment, patient counselling, and dietary planning Presentation title 32

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