Question

Question: Course Project: Nutrition Care Process: Assessment Assignment Overview After reading the case stu...PLEASE NOTE: THIS QUESTION HAS ALREADY BEEN ANSWERED, BUT THE LAST THREE PARTS OF THE QUESTIONS WERE NOT ANSWERED. WHICH ARE:- INTERVENTION,MONITORING AND THE EVALUATION PARTS WERE NOT ANSWERED. THANKS SO MUCH

Course Project: Nutrition Care Process: Assessment:Assignment Overview

After reading the case study below, you will create a nutrition care plan for the client. This week you will complete section A, the nutritional assessment. This portion of your nutrition care plan is worth 40 points. Please refer to the Grading section of this document for the distribution of these points. You will also find Writing Guidelines at the end of this document that will assist you in meeting the expectations for writing your care plan.

This assignment is intended to explore basic nutritional principles such as energy requirements, sources, and uses. Additionally, you will formulate nutritional assessments and describe nutritional requirements corresponding to stages in the life span. You will also examine how effective nutritional counseling is contingent upon collaboration, organization, and concurrence among the members of the health care team.

Assignment Details:

Perform the following tasks:

Complete the reading assignment and the interactive lesson before attempting this assignment.

Please review the following case study:

Case Study: Mr. Leonard Anderson is a 38-year-old male, 5 feet 8 inches tall and weighs 215 lbs. This has been his stable weight for most of his adult life. He has been diagnosed with GERD. Testing revealed he has a narrowing of his esophagus from the GERD. His symptoms consisted of food (even though chewed thoroughly) getting caught in his throat, and frequent and severe heartburn about 1 hour after eating. Mr. Anderson continues to eat his diet which is high in carbohydrates and fat. He also complained of some pain in and around his jaw and neck. Mr. Anderson meets with his physician and is started on a proton pump inhibitor. Mr. Anderson is concerned because he has never taken anything besides over-the-counter medicines before. He is also scheduled for a colonoscopy. It was noted that he has diverticulosis.

Complete the following:

Review Nutrition Care Process at the eatrightPRO® website (you can locate this article by going to www.eatrightpro.org, clicking on Practice in the top navigation, and in the Dietetics Resources section, click on “Nutrition Care Process”) and Chapter 17 of your text. Use the digital library resources for research.

Complete a nutrition care plan for Mr. Anderson using the Nutrition Care Process worksheet located in your course. Note: You will need to open this document and save it to your computer. Use the same template for weeks 8, 9 and 10.

Focusing on the assessment portion of the plan, complete the portions of Section A.

Submit the Week 7 Assignment via Blackboard by clicking on the “Week 7 Assignment” link.

Include the proper file naming convention: SCI115_wk7_assn_jsmith_mmddyyyy.

Grading:

Gradable items in assignment	Points
Complete Section A physical assessment.	15
Complete Section A nutrition evaluation.	15
Complete Section A nutritional needs.	5
Adhere to Writing Guidelines (see below).	5
Total Points	40

Writing Guidelines:

	Exemplary	Accomplished	Developing	Beginning
Content	High quality information focuses on the task/topic in engaging ways Intriguing and/or compelling examples, evidence	All information is accurate and focused on task/topic Examples and evidence support topic	Information sometimes repeated and/or wanders from prompt/task; may contain inaccuracies Examples and evidence are incomplete; lacks detail	Information inaccurate, inadequate or omitted Examples and evidence are unclear or missing
Writing Conventions	Accurate spelling, grammar, and punctuation (0 errors).	Grammatical, spelling & punctuation errors are rare (2 errors per page avg).	Grammatical, spelling & punctuation errors are common (3 errors per page avg).	Grammatical, spelling & punctuation errors significantly detract from meaning of paper (4+ errors per page avg).

NUTRITION CARE PROCESS Male_X_Female___                Age:         38                      Initials:       LA          Date:
A	Diagnosis: ____________________________________________________________________________ Relevant Medical/Surgical History: _______________________________________________________ Pertinent Medications:_________________________________________________________ PHYSICAL ASSESSMENT Age________     Ht________      BMI_____     Weight ________ Describe any recent weight changes:_________________________________________________________ Chewing/Swallowing issues: __           Nausea/Vomiting: __          Elimination:   _ Describe the problem and possible causes____________________________________________________________________ Pertinent Diagnostic Studies_______ ________________________________________________________________ NUTRITION EVALUATION Present Diet:_________________________________ Dietary Supplements: _____________________ Diet history as appropriate: _____________________________________________________________________ ___________________________________________________________________________________________ ESTIMATED NUTRITIONAL NEEDS Calories:   __________________        Protein: _______________________ Fluid needs:      _________________________ Increased requirements for: ______________________________________________________________________ Method and rationale: __________________________________________________________________________ Based on the Assessment what are the main concerns and potential problems for this client _____________________________________________________________________________________________________
D	NUTRITION DIAGNOSIS: List 2 actual diagnosis and 2 potential diagnosis and the rational for each based on the specific information about your client.
I	INTERVENTION: Based on all of the information gathered to this point what would be 3 interventions that would improve the wellness of this client? List them in order of priority and explain why you chose and ordered each intervention
M – E	MONITORING AND EVALUATION: Come up with a plan for ongoing monitoring. What should be included? Then determine how you will evaluate your plan (how will you know it is working) what would you look for in the short term? Long term?

Expert Answer

Answer 1

D, Actual Diagnosis:-
   -Food getting caught in his throat
-Frequent and severe heart burn for 1hour after eating..
-Pain in and around his jaw and neck.
Potential diagnosis:-
   -Narrowing of his esophagus from the GERD,
-diverticulosis
Rational:
Potential nursing diagosis evaluated by actual diagnosis..the test diagnosed for GERD,and diverticulosis as a potential diagnosis because patient having diagnosis signs and symptoms..
I, Intervention:
   Based on all information
-instruct the patient to eat slowly and chew food nicely and advice him to follow a high-protein, low-fat and high- fibre diet to prevent pain and reflux and it will help him to swallow the food without getting abstruct inhis throat..
-Advice patient to avoid spicy,citrus,caffeinated beverages and gas forming drinks.It will help him patient prevent from heart burn and lower the acid reflux..
-Advice the patient to raise his both arms by fully extended position while eating it will help from getting pain and spasm..
-Instruct about patient medication,side effects.It will promote his knowledge and prevent from complication..
M, Ongoing monitoring in case study evidence based patient education must be included..the message should be clear and practical manner..
Education topis should be included about life style changes,smoking cessation,foods that shoul be avoided for cause GERD and diverticulitis,avoiding large and late meals. educate them about medication(PPI) if they taken the medication for long periods there is a risk for pneumonia,intestine infection and bone fracture..If symptoms not controlled must see the doctor immediately..
Patient education promotes the client in active involvement in their plan of care.it will reduce the complication and illness..In short term outcomes patient will improve in skills,attitudes and knowledge,In Long term putcomes there will be changes in life style of patient..It is important to patient get informed decision after systematic review..