Hypertension and Healthy Eating, Part 1: Role Play, Demo, Foundations

Hypertension and Healthy Eating, Part 1: Role Play, Demo, Foundations


This is a role play
between a CHW and a client. The client has
hypertension, and we’re talking about how to
make changes to diet. Hey, Lee, it’s really
good to see you again. I’m sorry I couldn’t
meet last week. Hey, it happens. It does. It does. But I understand that what
you really wanted to focus on was coming up with
a plan for your diet to better manage our
high blood pressure. It that still where
you are today? Yes it is. I’ve been having a hard time
with it, because you know, I know a little bit
about it, but not enough. Yeah, well and changing
diet, honestly, is one of the hardest
things that we do. I know it’s something that
I’ve struggled with for sure. And I’ve got some information
that I can share with you, but the place that I
always like to start is with what your current state
of knowledge is coming in. And I’m just
wondering if we could do sort of like a really
simple kind of chart, which is basically tell me a little
bit about what you know about the kinds
of food and drink that are things that
are going to increase your risks for high
blood pressure. Right? Uh-huh. And so, I’m just putting
the up arrow there. And what is the type of food
and drink that will actually help you to reduce your
high blood pressure? And you know, I don’t expect
that you know everything. That’s why you’re here. I think on the,
as far as going up it’d be soda, anything that’s
sugar coated, has sugar in it. Like chocolate milk. Stuff– Yeah, yeah. And I know all that
is not good for me, but it’s all the stuff I like. That’s the way it
always is, right? Like, sugar in my coffee. Am I having too much
sugar in my coffee? And it’s the same with salt. So. Yeah, those are two
of the real big things that we have to watch out for. Absolutely. And I know that I
have a hard time, because I know when
I’m having fries or whatever, I salt them down. Or eggs, I salt them down. And so, it’s just how, this is
my eating habits up until now. Right, and probably, I
mean for most of us things that– habits that
started early in our life. Absolutely. So I watched my father do it. You know, and I thought well,
he’s never led me astray, so. Right. So it must be good. Well, and they didn’t have
the benefit of knowing, what, unfortunately,
we know now. Yeah. So that’s a great starting point
in terms of the sugary foods and sugary drinks are things
that can increase our risks. And salt is a real big one. What would you say are
some of the things that are better choices in
terms of food and drink that will help you to better
manage your high blood pressure? Water. What are the healthy things? Yeah. Water, a lot of water. Yeah. Occasional dairy I
guess, like milk, cheese. I don’t like cottage
cheese though. That’s not going to work. I don’t know. When I eat now, I
eat a lot of oatmeal. Uh-huh. So that’s good, it’s supposed
to be good for your heart? Yeah, It really is,
and particularly, and we can talk about this
later, but the least processed oatmeal. Like not those rolled oats, but
if you get the sort of rawest form. That’s pretty much the best,
usually, in any kind of food. OK. The whole grain. Right. But this already is a
really great starting point, because you’re coming in with
a pretty sound understanding of some of the things that
are least healthy for you. Right. And some of the things
that are better for you. And the trick, of
course, is how do we put those into action, right? Right. My whole thing is,
you always hear people talking about how
to kick in your metabolism to get your carbohydrates
to be eaten up. And I can’t figure out
what they’re talking about. I mean because they say
drink a glass of milk before you go to
bed, and it kicks it in while you’re sleeping. I mean there’s all
kinds of weird things you hear but aren’t
necessarily true. Yes. OK, so. You know that’s not something
I know anything about. But I do know that part of
the problem that we have with figuring this out,
what should we be eating, what’s healthy for our
heart, is that there’s so much information out there. And some of it is
good information, and some of it isn’t. So that’s one of things I
want to do with you today is share one really good source
of information about nutrition that we share with
all of our patients.