Read the following then answer question below.

Bobby Flay, 20-year-old male, 5 ft. 8 inches, 205 lbs. Activity Level: Sedentary

Based on Mifflin St. Jeor Bobby’s BMR is 1914 calories per day. (Ch. 8)

Protein needs 74.39 grams per day. (Ch.6)

Water needs 3700 gram or 15.5 cups (Ch. 12)

Bobby’s typical diet includes.

Breakfast:

Egg, with black bean burrito with salsa on a tortilla shell

Grapefruit, Pink or Red

Tea

Lunch:

Over roasted chicken with lettuce, tomato, cheese, and BBQ sauce on whole wheat bread

Potato Salad

Watermelon

Glass of milk

Dinner:

Salmon cooked in olive oil with lemon juice

Green beets

Quinoa, Cooked

Glass of milk

Evening Snack

Almonds, Honey Roasted

Cantaloupe

QUESTIONS:

1. What specific changes, if any should bobby make in food intake? (Explain in 4-5 sentences)

2. Evidence supports that effective use of dietary principles ( adequacy, balance, kcalorie control, nutrient density, moderation, and variety) will lead to healthier food choices, and yet people still make poor food choices. Is there a difference in responsibility between individuals and families regarding whether they follow recommended diet-planning principles? (Explain in 4-5 sentences)

Make five RESEARCH TITLE, the topic should be about nurses or related to nursing, make sure that its TIMELY, TRAILBLAZING, and TREND. Provide at least 2 objectives of each title.

centella astiaca

preparation

describe a Democratic leadership theory that you believe will be useful to you as a new graduate nurse.

Describe the four factors that may lead to cumulative effects in older adults. Please use APA format and cite your reference(s). Thank you.

. Pamela Souza, 6 years old, was born with cerebral palsy. Pamela suffers from general spasticity, mental impairment, impaired vision and hearing, and hydrocephalus. She has been admitted to the pediatric unit for evaluation of intrathecal spasticity control. (Learning Objectives 2, 3, 4, and 6)

a. Identify medications that might be used to help control Pamela’s spasticity.

b. What information would the nurse include in the health history?

c. What nursing interventions would be important in Pamela’s care?

d. What information would be important to include in a teaching plan for Pamela and her family?

Discuss whether government plays a role to ensure an adequate healthcare workforce. Identify three ways that local, state, or federal governments can positively impact workforce shortages.

The National Labor Relations Act (NLRA) is one of the most significant pieces of federal legislation dealing with labor relations (textbook Chapter 19, pages 516–517). The act is generally known as the Wagner Act, after Senator Robert R. Wagner of New York. Use the case you identified in the discussion preparation on unfair labor practices in a health care organization. Summarize the case law findings.

The registered nurse is assigned to care for a pediatric client who is receiving immune suppressants. The registered nurse is precepting a student nurse. The registered nurse reviews the key nursing considerations that the student needs to consider in the care of this patient.

⦁   Explain glycaemic index. Draw low- and high-glycaemic index response curves.

⦁   Explain gluconeogenesis. Emphasize the important reactions (bypass reactions) involved in gluconeogenesis.

⦁   When performing in several types of sports, our bodies require energy production faster than our bodies can adequately deliver oxygen. Explain the biochemical consequences with respect to energy production.

⦁   Explain absorption of monosaccharides using illustrative diagrams.

CASE SCENARIO

Mrs. Martha Davis is a 59 year old female is admitted at midnight with a diagnosis of Chest Pain. She complains of a squeezing type pain across her chest and into her left jaw area. Vital signs are: Blood Pressure-200/110; Pulse-128 beats per minute; Respirations- 26 per minute; Temperature-99.8; Saturation of Oxygen-86% on room air; pain level 9/10. During your initial assessment she is rubbing her mid-chest, grimacing and is diaphoretic. The pain has been occurring intermittently throughout the evening and night. Her color is pale except around her lips which are bluish. Cardiac auscultation reveals a rapid rhythm and a murmur, no pulse deficit. She has never had this pain before. Lungs sounds are crackles in both bases with clear upper lobes. She is afraid she is going to die. Per standing orders, a nurse administers & administers Nitroglycerine 0.4mg sublingually; applies cardiac electrodes for continuous cardiac monitoring; obtains an electrocardiogram; which indicates Mr. Davis is in a SVT (supraventricular tachycardia) and a Non-ST elevation MI. The nurse places a peripheral intravenous catheter with saline lock; positions patient in low Fowlers. On assessment vital signs are Blood Pressure-88/45; Pulse-188 beats per minute; Respirations- 22 per minute; Temperature-99.0; Saturation of Oxygen-90% on 2 liters per minute; Pain level 8/10. She says her chest pain hasn’t changed. Heart and lung sounds are unchanged. Color is pale without previous blue changes.

Question 1. What other treatments do you expect for her MI? Why?

atleast answer in 200 words

What would you recommend to the CEO and Board as to how to more fully apply a population health model and positively impact the health of the community and control costs at the same time (The Triple Aim)?

As science and technology continue to improve health care, our ability to prolong life increases. This can create an ethical and moral dilemma in cases when a patient faces a terminal disease. In these instances, health care providers often face a conflict of duty. There is an expectation to sustain life and relieve suffering. Conflict occurs when a patient and/or family member needs to decide whether extraordinary measures should be taken to prolong a life.

In your own words, define extraordinary measures. Provide an example of a situation in which extraordinary measures are used. In the example that you used, do you feel that it was ethical to use extraordinary measures? Why or why not? How does the use of extraordinary measures fit with a health care provider’s code of ethics? You may want to select a specific provider (e.g., cardiologist or nurse) and research that profession’s code. If you were to find yourself faced with the decision to use extraordinary measures to prolong your life or that of a family member, how would you make this decision?

Think of a loved one, a client or patient that you have cared for at work, or a patient case that you worked with.  How might working assignments using Cluster the data based on Gordon's Functional Health patterns and label the clusters may have helped you provide nursing care to this person?