Examine the high-risk nutritional behaviors associated with different cultures. Identify the historical perspectives, belief systems, and other factors associated with these high-risk nutritional behaviors for each culture. Write a 1,500-3,000-words on your findings in which you accomplish the following:

1. Summarize the high risk-nutritional behaviors practiced among two or three different cultures.
2. Discuss the historical perspectives and belief systems of these cultures that influence the high-risk nutritional behaviors.
3. Discuss the role of the health care provider in caring for individuals with high-risk behaviors for each culture. These may include, but are not limited to (a) education, (b) family roles, (c) spiritual beliefs, (d) health care practices, and (e) drug and alcohol use.

This requires minimum of two outside resources in addition to the textbook. Be sure resources are current within the last five years.

  

Required Resources
Read/review the following resources for this activity:

· Textbook: Chapter 16

· Lesson

Introduction
Remember – these journal questions require more thinking than writing. Think about exactly what you are asked to do, and then write as economically as possible. 

Instructions

· Critical Thinking

Go back to your very first journal entry – review your definition of critical thinking. After studying critical thinking for the past eight weeks, would you change your definition in any way? If yes, how and why? If no – if it was perfect – what parts of the text were best reflected in your definition?

· Heart of the Matter

Recall in your first journal entry that you discussed the authors’ statement that the concepts in Chapters 12, 13 and 14 were “the heart of the matter.” After having studied those chapters, answer again, with renewed understanding, the question posed there: Why do you think the authors find these concepts important to critical thinking?

· Ethical Decision-Making

The lecture claims that an argument is no good unless it has a “strong and reasoned ethical base.” Do you agree that ethics is an essential element of a good argument? If yes, why? If no, why not?

· Looking Forward

oDo you believe that you now know everything you need to know about critical thinking – or is learning to think critically a life-long task? Explain your answer.

Instructions: Response must be at least 510 words written in current APA format with at least two academic references cited. References must be within the last five years.

J.C is an 82-year-old white man who was evaluated by GI specialist due to abdominal discomfort, loss of appetite, weight lost, weakness and occasional nausea.

Past Medical History (PMH):
Patient is Diabetic, controlled with Metformin 500 mg by mouth twice a day, Lantus 15 units SC bedtime. Hypertensive, controlled with Olmesartan 20 mg by mouth once a day. Atrial Fibrillation, controlled with Rivaroxaban 15 mg by mouth once a day and bisoprolol 10 mg by mouth once a day.

Labs:
Hb 12.7 g/dl; Hct 38.8% WBC 8.2; Glycemia 74mg/dl; Creatinine 0.8 mg/dl; BUN 9.8 mg/dl; AST 21 U/L ALT 17 U/L; Bil T 1.90 mg/dl; Ind 0.69 mg/dl; Dir 1.21 mg/dl.

Diagnostic test:
Endoscopic Ultrasound of the Pancreas. Solid mass in the head of pancreas 4 cms, infiltrating Wirsung duct. The solid mass impress to infiltrate the superior mesenteric vein. Perilesional node is detected, 1.5 cms, metastatic aspect. Fine needle aspiration (FNA) biopsy: Ductal adenocarcinoma.

Case study questions:

1. Please name the potential most common sites for metastasis on J.C and why?
2. What are tumor cell markers and why tumor cell markers are ordered for a patient with pancreatic cancer?
3. Based on the case study described, proceed to classify the tumor based on the TNM Stage classification. Why this classification important?
4. Discussed characteristic of malignant tumors regarding it cells, growth and ability to spread.
5. Describe the carcinogenesis phase when a tumor metastasizes.
6. Choose the tissue level that is affected on the patient discussed above: Epithelial, Connective, Muscle or Neural. Support your answer.

5 DQ 2

“Continuous Quality Improvement (CQI) in Health Care is a structured organizational process that involves physicians and other personnel in planning and implementing ongoing proactive improvements in processes of care to provide quality health care outcomes.”

With high regards to positive patient outcomes, utilization of CQI is demonstrated daily in my position within the ICU. Collaborating with members of the health care team to strategize a treatment and wellness plan is completed every shift and as needed. Utilization of evidence based practice methods to ensure high quality and consistent outcomes when providing care. Precepting trainees utilizing the basic principles of CQI is also applied in the duties as a nurse.

 Continuous quality improvement (CQI) is the responsibility of all nurses and is vital when addressing the challenges of the health care industry. Provide an example of how you would apply CQI in your current or past position. 

 Using 200-300 words APA format with at least two references. Sources must be published within the last 5 years 

 

Response:

Record a short video (about 1-2 minutes) of yourself explaining your response to the following prompt:

Regarding the memo below, what do you think is ineffective? Put yourself in the reader’s shoes. What might be unclear, or unhelpful, or ineffective about this memo? Explain your evaluation in a short video.