Nutrition plays an essential role in supporting fitness and exercise. If you increase your level of physical activity, your need for nutrients and calories will also increase. In addition, the foods you eat before and after you exercise will have an impact on your performance during the physical activity and on your recovery afterward.

Perform some library research, and in a 2-3 page paper written in APA format using proper spelling/grammar, address the following:

1. Describe the importance of pre- and post-exercise nutrition choices. Provide examples of foods that are appropriate selections for each category.
2. Explain how foods and nutrients (including fluids and electrolytes) help improve a person's performance during physical activity and their recovery afterward.
3. Consider your responses to items 1 and 2 above, and suggest an appropriate nutritional plan for a physically active person. Be sure to explain what the person should consume in an average day to support their caloric and nutritional needs.
4. Cite at least 2 credible references and present the resources in APA format on the References page.

In the United States we have seen great progress in extending quantity/years to our lives. Longer life may present greater opportunities for such things as increased time with family, more time to pursue hobbies or other activities, such as volunteerism or community activism, than was experienced by previous generations. However, the degree to which aging adults can experience these opportunities is often reduced due to health factors or disabilities. Many of these health and disability factors are the result of lifestyle, and not necessarily due solely to “aging”. Among the health threats are diabetes, arthritis, heart disease, falls, and Alzheimer’s disease, depression, and other mental health issues.

Thus, we have achieved great strides in lengthening our average years of life, but we lag behind in facilitating quality for those extended years. In other words, we have people living “longer”, but not necessarily living “better”. This scenario will have a major impact on our health care and human services systems in the U.S., especially as the Baby Boomers continue to enter their elder years. There are significant concerns that our systems are not equipped to respond to the needs of this population.

In a post of a minimum of 175 words, discuss your thoughts on this scenario.

What evidence can you point to regarding the health and human services needs of this population and the ability of our health care and human services systems to meet them?

Identify some of those health and social service needs and the barriers that elder individuals may face as they age.

End your post with a statement about what you worry about in terms of your own aging.

PHC312

Health communication is very important during pandemics e.g. COVID-19.

1. Discuss how Saudi MOH communicated with the population during COVID-19 and give examples.  
2. What is your opinion?

Case 2-125 yr-old male arrives with second and third degree burns to his posterior head and face, entire trunk and anterior arms. He has a black, charred looking substance around his mouth and nose. He is conscious and responding appropriately. Paramedics were able to get a large-bore IV enroute. Vitals: BP (unable to obtain due to the burns); respiratory rate=40/min; heart rate=155; pulse oximetry=93% on room air; Weight=195 lbs

1.Using the “Rule of nines” calculate the body surface area of this patient that is burned.

2.Using the answer you calculated from above and the “Parkland Formula” for burn fluid resuscitation, calculate the total fluid he should be given over the next 24 hours (in ml). [Include total fluid, breakdown of fluid and the rates at which they would be given.]

3.Consider the fact that this patient has burns to his face. What are you most worried about regarding this?

4.What might indicate that the (answer to #3) needs to be addressed? (What might you see, hear, feel etc?)

5.What is the appropriate management for this (refer to the answer for #3 and #4). Be very specific. What would you do for this particular patient (think both in terms of fluid resuscitation and other things)?

6.What would be an indication that you have adequately replaced the fluid lost?

Mr. Jacobs is a 55-year-old college-educated male recently diagnosed with colon cancer. He is scheduled for surgery with formation of a colostomy. Prior to meeting the patient, the nurse reviews the health record and notes that Mr. Jacobs is able to read English, has family support, and is currently not working. Mr. Jacobs’ wife works in retail. Mr. Jacobs is very health conscious, and his goals are to go back to “normal” life. The nurse notes a comment made by Mr. Jacobs that “a colostomy is the one thing I said I would never live with.” Based on the information gathered, the nurse develops a teaching plan for Mr. Jacobs. The plan includes the provision of written material about colon cancer, anatomy and physiology of the gastrointestinal tract, and alterations presented by having a stoma. Options for care of the stoma are also provided in writing. A second visit to demonstrate how the ostomy appliance is fitted, emptied, and changed is planned. A manikin abdomen will be used to demonstrate and practice stoma care with the patient. Mr. Jacobs is in the developmental stage of generativity versus stagnation. When planning for his learning needs, the nurse also uses multiple sources of information to teach Mr. Jacobs according to his level of education but also attends to the fact that psychomotor learning is required. To evaluate the outcome of the educational intervention conducted, the nurse follows up with Mr. Jacobs to determine his competency (both actual and perceived) in performing the necessary skills of care and Mr. Jacobs’ emotional and attitudinal changes related to the ostomy and his illness. Plans are changed and adjusted according to Mr. Jacobs’ progress toward his goals, incorporating family members while Mr. Jacobs becomes ready for this step. Case Analysis In this case, the nurse attended carefully to assessment before beginning the educational process. Because the patient was well educated, the nurse could rely on multiple forms of education, including written materials. The nurse used hands-on practice to incorporate psychomotor skill. By asking about goals and listening to Mr. Jacobs’ feelings about living with an ostomy before initiating the educational plan, the nurse gathers valuable information about perceptions and attitudes. With this information, the nurse is able to incorporate strategies for addressing the affective domain that will be most effective. Including the family members before the patient is ready may hamper education efforts by limiting trust in the nurse–patient relationship. The patient’s desire to return to his normal life tells the nurse that this patient, in Erickson’s stage of generativity versus stagnation, wants to resume a productive life as soon as possible, lending to motivation to learn. This could have been further enhanced by incorporating frank discussions about the impact on Mr. Jacobs’ sexuality into the teaching plan. Failing to attend to the patient during assessment would have resulted in failure of the patient’s educational experience. For example, if the nurse assumed that the patient would want his wife included from the beginning and arranged the educational sessions with Mrs. Jacobs rather than the patient alone, the nurse would have limited the patient’s ability to express his own needs in the educational encounter.

Question 1: How would the nurse best plan to educate Mr Jacobs regarding care of his colostomy bag after surgery?

Question 2: What is another way in which Mr. Jacobs could be assisted in learning to care for his colostomy?

Question:

There are two items to cover. First, define the term internal audit. In many cases the physician states they did not commit fraud, rather it was their staff that coded and billed inappropriately. For the second part of the discussion, discuss how an internal audit would help the practice avoid prosecution.

Note: Minimum word count for parts I and II is 150 words each. And a reference as well.

Patient Introduction

Location: Orthopedic unit 0800

SBAR report from a night nurse:

Situation: Jared Griffin is a 63-year-old African American male who had a right total knee arthroplasty (TKA) yesterday morning.

Background: Mr. Griffin has a history of MRSA, which was diagnosed 3 years ago when he had surgery for a hammertoe. A nasal swab was done in the office during his recent preoperative check that came back positive for MRSA. Decolonization protocol was initiated prior to the admission for the total knee procedure and he is currently under contact precautions per hospital policy. He has a history of osteoarthritis and mild hypertension.

Assessment: Mr. Griffin is afebrile with a temp of 37.2 °C (99.8 °F), and vital signs have been stable during the night. Pain level has been at a 2-3. He has dangled his feet off the side of the bed and will have physical therapy in his room at 1000. He has been able to bend his knee to a 75-degree angle and the goal is 90 degrees. The surgeon changed Mr. Griffin’s dressing, and discontinued the drain and IV fluids, at 0700 on his morning round. His labs just came up, but I haven't had a chance to look at them yet.

Recommendation: You'll need to go in and do your morning assessment. Continue with contact precautions and observe for signs and symptoms of infection.

Fundamentals of Nursing Care

Taylor, C., Lynn, P., Bartlett, J. (2019). Fundamentals of Nursing: The Art and Science of Person-Centered Care, 9th Edition. Medical-Surgical Nursing Care Asepsis and Infection Control, Chapter 24, pp. 594-637Medical-Surgical Nursing Care Components of a Neurovascular Assessment, Chapter 26, p. 721, Box 26-7Medical-Surgical Nursing Care Postoperative Nursing Care, Chapter 30, pp. 958-966

Diseases and Conditions

Expert Clinical Content from Lippincott Advisor

Methicillin-resistant Staphylococcus aureus

Pharmacology

Expert Clinical Content from Lippincott Advisor Pharmacology

Clindamycin hydrochloride Pharmacology

Oxycodone hydrochloride-acetaminophen Pharmacology

Enoxaparin sodium

Diagnostics

Expert Clinical Content from Lippincott Advisor

White blood cell count and differential Pharmacology

Red blood cell count Pharmacology

Hematocrit test Pharmacology

Hemoglobin level test Pharmacology

Red blood cell indices Pharmacology

Platelet count Pharmacology

Blood urea nitrogen level test

Procedures

Expert Clinical Content from Lippincott Procedures Pharmacology

Isolation garb, donning Pharmacology

Isolation garb, removal Pharmacology

Hand hygiene

1. Document your finding related to Mr. Griffin's preoperative and postoperative assessment findings regarding the presence of an infection.

2. Identify and document key nursing diagnoses for Mr. Griffin regarding current condition.

3. Referring to your feedback log, document all nursing care provided as well as Mr. Griffin's response to this care, including responses related to infection control and the use of personal protective equipment (PPE).

4. Document your handoff report in the SBAR format to communicate Mr. Griffin's future needs.

Watch the TED Talk, What Your Doctor Won't Disclose.

Discuss what the ethical issues are that are disclosed in this talk. How does the relationship between doctors and pharmaceutical companies affect the cost of healthcare for the patient?

What evidence-based resources can one use to facilitate health-illness transitions, the adult patients? What comfort level can you use in finding these resources?

In 2 paragraphs please share any experience you have in working with individuals from backgrounds different from yours. How would this experience translate to working within a health care environment and with patients? What are some of the challenges you have encountered in working with patients from diverse populations? Do you have any challenges related to the field? Please include your references.

ethical implications of using theory to predict and control behavior.  

1) Is the compliance decreased or increased on the above problem?

2) What is the naturally occurring substance that helps keep the alveoli from collapsing?

3) Name the diseases where surfactant may be inactivated in adults?