As you complete your reading on the fats in your diet, there are some issues I would like you to address.

First, fats are found in many foods but some are better for you than others.

Secondly, what is a monounsaturated fat and why do you need to know which foods to eat to get this fat into your diet? Think blood chemistry.

Lastly, heart disease is the leading cause of death in this country. Heart disease has maintained its status as the Number One cause of death and while the news points to the decline in numbers, it is still a critical issue.

What are the risk factors? Check the American Heart Association Website and share with each other what you think is the most important means of preventing this problem!! How has it impacted your life?

Please remember to post by Wednesday and then respond to three other people in the class over two different days. Check the rubric by clicking on the three dots in the upper right hand corner of this discussion.

Case Study about Carbohydrate -Related Medical Problem (Diabetes Mellitus)
Patient History: RX, a 6-year-old girl in previously good health, has noticed that, in the past
month, she is increasingly thirsty. She gets up several times a night to urinate, and finds herself
gulping down large amount of water. At the dinner table, she seems to be eating twice as much
as she used to, yet she has lost 4 kilograms in the past month. In the past three days, she has
become nauseated, vomiting on three occasions, prompting a visit to her pediatrician.
Laboratory Results:
 Fasting blood glucose level = 445 mg/dl
 blood pH level = 7.23
 Hb A1C = 9.5%
 C-Peptide Test = 0.4 ng/ml
 urine = tested positive for glucose and for acetone / acetoacetate/ beta hydroxybutyric
acid
Based on the given case, answer the following guide questions:

1. Explain why RX is urinating so frequently.
2. How is RX's condition like that of starvation? Address the role of glucagon in your
answer.
3. Based on your answer in no. 2, what foods will be highly recommended to the patient?
Explain.
4. Do you believe that you can adjust your diabetes drugs to ‘Cover’ whatever you eat?
Why?

Case Study about Protein-Related Medical Problem (Kwashiorkor’s Disease)

Patient BF, an exclusively breastfed boy infant developed Atopic Dermatitis at the age of
4 months. In the beginning, the eczema was treated with antibiotics, topical steroids and brief
courses of oral steroids. The mother was dissatisfied by the outcome of the pediatrician’s advice
so she consulted a naturopathic doctor who prescribed a restricted diet. At 6 months the child’s
daily diet consisted of rice milk, fruits, rice poultry and vegetable broth.

After about 2 months of this diet, the child began to reject the food, in particular solid foods and
to suffer from dysphonia and dysphagia due to the occurrence of laryngeal edema. Because of
this the child was given only rice milk. After a few days the edema appeared on his feet, legs and
upper extremities followed by a reduced urine output. He had no symptoms of gastroesophageal
reflux, but he had forceful vomiting. When hospitalized, he was in a poor clinical condition with
generalized edemaand low urine output. He weighed 7.600 Kg from the age of six months up to
1 year. Blood and urine findings were normal except for the following results: total protein
3 g/dl; albumin 1.365 g/dl (45.5 %); total serum IgE 30 KUA/L; specific serum IgE: milk 0.64
KUA/L; albumin 1.74 KUA/L. Protein was not found in the urine. He required central access due
to difficulty obtaining peripheral rice milk, fruits, rice poultry and vegetable broth access due to
severe edema. He was also found to be anemic with a hemoglobin 5.7 g/dl.

Based on the given case, answer the following guide questions:

1. What is the relationship between Kwashiorkor and Proteins? How is protein contributing
to the patient’s diagnosis of Kwashiorkor?
2. Among the biomedical importance of Proteins, what is most likely related to
Kwashiorkor and Proteins? Explain.
3. How was the patient diagnosed with Kwashiorkor? Discuss the biochemical tests used in
the patient.

4. Based on the case, should the patient have high protein, or low protein intake as his
treatment? What foods would you recommend? Explain.

Sam, a 32-year-old male who works on a construction site visits his family physician three days after suffering a puncture wound in his foot from a nail gun. The site of the injury is painful, red, warm and swollen with evidence of pus. There are reddish streaks extending up his ankle and lower leg. His temperature is 38.3°C. Describe the molecular details on how the above signs and symptoms occurred.

The ankle brachial index or ABI associated with a lower extremity wound most likely to heal after debridement is?

Find any health/nutrition/fitness article in the news media or internet, just make sure to provide the source. 200 words

Stephanie said “I hate being fat.” Client history: Stephanie is a 43-year-old mother of three who has experienced gradual weight gain after the birth of each of her children. She is 5 ft 7 in tall, weighs 189 pounds, works full time, and does not engage in regular exercise. She is considered prediabetic and has prehypertension and appears eager to make lifestyle changes to improve her health and be a better nutritional role model for her children. She has successfully lost weight in the past through intake of laxatives but eventually got bored and regained all of the weight she lost. She does not want to count calories. She wants to know how many servings from each food group she should eat to lose weight and what the best foods from each group are. Her usual intake is as follows: no breakfast; snacks at a vending machine twice a day; fast food for lunch; and dinner with the family. Her dinner usually consists of about 6 oz of meat, potatoes, sometimes a vegetable, bread with butter, and dessert. Stephanie admits to a weakness for “sweets.”

A. Identify and write the relevant and vital assessment data.

B. Develop a Nutrition Diagnosis basing on the Nutrition Terminologies which is applicable to the patient

C. Formulate a patient’s Nutrition Goal

D. Identify appropriate Nutrition Goal

E. Utilize the ADIME Nutrition Documentation

USE ADIME NUTRITION DOCUMENTATION

significance of low albumin, hemoglobin, and sodium level for liver disease?

Anorexia Nervosa Case Study - see below before answering questions 1-5

Melissa is in her second week of hospitalization in an inpatient eating disorder specialized hospital unit. She is a 15-year-old Hispanic female who immigrated to the Unites States 6 years ago. Her parents report preoccupation with her body and food intake beginning at 12 years of age. Upon admission, Melissa’s weight is 78 pounds, her height is 62.25 inches, and her body mass index (BMI) is 14.2.

Patient began menses at the age of 12 and, due to typical adolescent developmental changes, reported feeling uncomfortable in her body. At this time, she measured 58 inches and weighed 93 pounds, 76th percentile BMI for age). She learned she could restrict through seeing her mom diet at home and began counting her calories. She would aim for less than 1000 calories per day and began walking for 30 to 60 minutes daily. After 6 months, halfway through her sixth-grade year, Melissa had dropped to 82 pounds and did not grow in height during this time; she dropped to the 46th percentile (BMI for age) and stopped menstruating. Melissa’s parents began worrying and started to adapt a Maudsley/family-based therapy approach that included eating all meals at home with them. She would continue to restrict at school and exercise as much as she could but was able to gain weight back and by the beginning of 7th grade was up to 105 pounds and grew 2 inches.

Melissa continued to be monitored by her pediatrician and entered high school with a height of 61 inches and weighed 112 pounds. Entering high school, Melissa quickly became stressed with the high demand of her classes and began restricting again, this time down to approximately 500 to 800 calories per day. By January of this year Melissa’s weight had dropped to 89 pounds, so she began outpatient treatment. Her typical daily intake before admission was 1 cup coffee in the morning with an apple. For lunch she had salad that she packed from home with 3 ounces of sliced turkey on it and a ½ cup of brown rice with balsamic vinegar. For dinner she had two pieces of Laughing Cow cheese with steamed vegetables in her room, telling her parents she had too much work to do to sit at the table. If she got hungry at night, she would have an individual bag of fat-free popcorn. She also reported 60 to 90 minutes of walking or running per day at the gym after school.

Since her first onset of menses, Melissa was getting her period on average 4 to 5 times per year; however, it has now been 6 months since her last period. Melissa denies any purging or laxative abuse. At her most recent pediatrician appointment, Melissa lost another 2 pounds since the week prior, and her heart rate was 68. The doctor recommended inpatient hospitalization for refeeding.

Since being in the hospital, Melissa has struggled with eating 100% of her meals and has been caught hiding food in her napkin and spilling her supplements out in the garbage when staff is not looking. The staff report she is consuming on average 60% to 75% of her three meals and two snacks. She reports fearing any foods high in fat such as cheese, fried foods, desserts of any kind, meat, oils, and potato chips.

Medical history: Amenorrhea, hypokalemia

Current medications: MVI with trace minerals, thiamine daily

Inpatient calorie prescription: 3000 kcal/day + 8 fl oz Ensure Plus

BP: 89/58

Pulse: 58

1. List the essential criteria for the diagnosis of anorexia nervosa (AN). Indicate Melissa’s AN subtype.

2. What indications supporting hospitalization did Melissa meet before her admission?

3. What would you expect to find in nutrition-focused physical examination of Melissa?

4. What is a reasonable weight gain goal during hospitalization for Melissa?

5. What are some behavioral or psychological treatment approaches that could be used to help Melissa?

An Outbreak of Yellow Fever in Paraguay: Health Risk Communication in a Crisis (February 2008). Once the minister of health has declared a state of emergency and determined, along with the government and other experts in the region, that mass emergency vaccination will be needed, how should health officials proceed in order to obtain necessary vaccinations?

What is the optimal mode of communicating to the public under a disease outbreak?

When distinguishing care management from case management, the nurse realizes that case management is primarily:

1.A tool for health maintenance organizations.

2.Targeted toward a specific segment of the population

3.Implemented with individual clients

4. Used to measure health care....

4. Used yt

3.Used to measure the health status of the aggregate population

Discuss some of the major community health concerns and statistics associated with adolescents and young adults today.

Social support significantly predicts how well individuals cope with stress.

True.

False

In your own words what is the roles of nursing in e-health