Answer to Question 1
empacho: this word can mean bashfulness in Spanish but also refers to a gastrointestinal disorder that is similar to an impaction.
chorizos: a kind of sausage made from pork.
Answer to Question 2
Following are some of the factors a student should be considering before such an instruction. The RD must learn as much as possible about the Mexican culture. If the language barrier is a problem, make sure an interpreter is available. Use food models, pictures, handouts in Spanish, etc., as teaching aids. Have available appropriate examples of food substitutes based on Mrs. MG's usual diet. Have examples of low-fat recipes that would be similar to the foods Mrs. MG cooks. If not already available, prepare these recipes by means of pictures instead of words so they can are more easily understood. Be careful to use foods that Mrs. MG can afford. Contact the social worker and local organizations that provide help to the poor in the area to inform her of the available assistance programs. Give the instruction in the presence of her husband, and if possible, anyone else living in the household who may be an influence on Mrs. MG. Re-instruct Mrs. MG several times, if possible, before she leaves the hospital and quiz her to check understanding. If available in the area, set up follow-up visits.
