Health and Nutrition in the lower- income Hispanic

communities of New Jersey

Trends in Nursing – Spring 2013Carla Capasso, Diana Garcia, Bharathi Honnurappa, Evelyn Lagalante, Kyala

Pascual Lindawati Nino de Rivera, Ivan Vargas-Charry

1998

Assess• El Centro HispanoAmericano in Plainfield, NJ

• Informal Survey– How much made weekly?

– How many fruits and vegetables have you eaten in the last 24 hours?

– How many times a week do you exercise?

– What do you do in your free time?

– What would you like to receive more information on?

Findings:

• Most had a low literacy level• Most did not eat very

many vegetables or fruits because it was not provided at the food bank

Diagnosis

• Deficient knowledge r/t language barrier, low-literacy, and access to resources

• Risk for imbalanced nutrition

• Ineffective self-health management

Goals• Provide information using visual aids

to enhance learning

• The target population will learn how to eat a more balanced diet

• The target population will learn how to live a healthier lifestyle

• The target population will learn how to prevent diseases

Plan• Specific Target Population

• What to focus on?– Health

– Nutrition

– Exercise

– How to eat healthier on a budget

– Information from myplate.gov

• How to help most effectively

• Things to bring home and spread information for those who could read

Implement

• Protect the health of you and your family

• Complications on an unbalanced diet

•Diabetes and Obesity• Definition• Complications

•Heart Diseases• Definition• Complications

•Nutrition• Eating on a budget• Portions sizes• How to eat healthier

with what you have

•Exercise• Recommended

amount• Tips

FRUITS AND VEGTABLES!

After

Evaluation• What body type is more vulnerable to cardiovascular

disease or diabetes?

• What are the complications of uncontrolled diabetes?

• What are the symptoms of a Stroke?

• Give me an example of what to put on your plate to have a balanced meal?

• Things you can do to find food cheaper?

• Give me examples of things to reduce in your diet?

• How much exercise should be done daily?

• What are you going to do differently to better the health of you and your family?

Obstacles

• The target population does not have transportation

• Time restraints due to working, transportation, and child care

• Low literacy

Tips:• Use translation phones or a translator, don’t just

give them a paper and assume they can read

• Use visual aids and demonstrations

• Ask them to repeat and demonstrate information taught

• Be culturally competent and look at each patient individually

• Observe and assess body language

• Ask open-ended questions to confirm understanding

• Inform them of community resources available

Thanks for listening!!

References• Boursaw, Blake; Handal Alexis J.; Iriart, C.; Rodrigues, Gabriela. (2011). Chronic malnutrition among

overweight hispanic children understanding health disparities. Springer Science+Business Media, 13, 1069-1075.

• Gans, Kim M., et al. "Baseline Fat-Related Dietary Behaviors of White, Hispanic, and Black Participants in a Cholesterol Screening and Education Project in New England." American Dietetic Association.Journal of the American Dietetic Association 103.6 (2003): 699,706; discussion 706. ABI/INFORM Complete; Banking Information Source; Hoover's Company Profiles; ProQuest Central. Web. 14 Feb. 2013.

• http://www.diabeticlivingonline.com/diet/fitness/easy-exercises-to-do-around-the-house/?lastPage=true&page=12

• http://paramedicine101.blogspot.com/2010/04/prehospital-stroke-care-1.html

• http://www.lifemartini.com/five-signs-of-stroke-you-must-never-ignore/

• http://www.kmhlawyers.com/practice-areas-2/medical-negligence-malpractice/heart-attack-misdiagnosis/

• htttp://nutritioncaremanual.org/content.cfm?ncm_content_id=79467

• http://jirehdesign.com/eye-illustrations/eye-conditions-illustrations/co0011.html

• http://smmhc.blogspot.com/2011/11/early-heart-attack-care-campaign-what.html

• http://www.diabetestreatmentguide.org/common-causes-of-diabetes-amputations

• Thorpe, Lorna E., et al. "Childhood Obesity in New York City Elementary School Students." American Journal of Public Health94.9 (2004): 1496-500. ABI/INFORM Complete; Banking Information Source; Hoover's Company Profiles; ProQuest Central.Web. 14 Feb. 2013.

References Continued• Burkholder, Gary J.; Gans, Kim J.; Lasater, Thomas M.; Risica, Patricia M. (2003). Baseline fat-

related dietary behaviors of white, hispanic, and black participants in a cholestrol screening and education project in New England. Journal of American Dietetic Association, 103.6, 699-706. http://linksource.ebsco.com/linking.aspx?sid=ProQ%3Anursing&fmt=journal&genre=atricle&issn=00028223&volume=103&issue=6&date=2003-06-01&spage=699&title=American+Dietetic+Association+Journal+of+the+American+Dietetic Association&atitle=Baseline+fate-related+dietary+behaviors+of+white%2C+Hispanic%2+and+black+participants+in+a+cholestrol+screening+and+education+project+in+New+England&i.

• Childhood obesity; parents of overweight hispanic children believe their children are healthy. (2005). Fitness and Wellness Week, Obesity, 1537. http://linksource.ebsco.com/linking.aspx?sid=ProQ%3Anursing&fmt=journal&genre=unknown&issn=15316386&volume=&issue=&date=2005-06-11&spage=1537&title=Obesity%2C+Fitness+%26+Wellness+Week&atitle=Childhood+Obesity%3B+Parents+of+overweight+Hispanic+children+believe

• Coffman, Maren J,PhD., R.N., and Sandra La-Rocque. "Development and Testing of the Spanish Nutrition Literacy Scale."Hispanic Health Care International 10.4 (2012): 168-74. ProQuest. Web. 19 Apr. 2013.

• Kennedy, Christine M. Television and young hispanic children’s health behaviors. (2000). Pedatric Nursing, 26.3, 283-288, 292-294. http://exproxy.raritanval.edu/login?url=http://search.proquest.com.ezproxy.raritanval.edu/docview/199519137?accountid=13438

• List, Deborah G.; Marx, Terry; May, Linda; Thorpe, Lorna E. Childhood obesity in New York City elementary school students. (2004). American Journal of Public Health, 94.9, 1496-1500. http://linksource.ebsco.com/linking.aspx?sid=ProQ%3Anursing&fmt=journal&genre=article&issn=00900036&volume=9&date=2004-09-01&spage=1496&title=American+Journal+of+Public+Health&atitle=Childhood+Obesity+in+New+York+City+elementary+School+Students&au=Thorpe%2C