1. Health and Nutrition in the lower- income Hispanic communities of New Jersey Trends in Nursing – Spring 2013 Carla Capasso, Diana Garcia, Bharathi Honnurappa, Evelyn Lagalante, Kyala Pascual Lindawati Nino de Rivera, Ivan Vargas-Charry

2. 1998

3. 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?

4. 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

5. Diagnosis Deficient knowledge r/t language barrier, low-literacy, and access to resources Risk for imbalanced nutrition Ineffective self-health management

6. 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

8. 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

9. Implement

10. Protect the health of you and your family Complications on an unbalanced diet

12. Diabetes and Obesity Definition Complications Heart Diseases Definition Complications

13. Nutrition Eating on a budget Portions sizes How to eat healthier with what you have Exercise Recommended amount Tips

15. FRUITS AND VEGTABLES!

16. After

17. 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?

19. Obstacles The target population does not have transportation Time restraints due to working, transportation, and child care Low literacy

20. 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

22. Thanks for listening!!

23. 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.

24. 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=000 28223&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+screen ing+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=153 16386&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/19951 9137?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=009 00036&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