Part II: Diet Analysis 

Step 1: Creating a Profile

1.  Go to the following website: https://cronometer.com/ IMPORTANT: Instructions below apply to the web-based Cronometer application. Do NOT use the mobile device App. 

2.  Click on Sign Up for Free in the middle of the screen.

• Create your profile by entering your school email and password (8 characters).
• Next, enter your sex, birth date, height, and weight.  For females, leave as normal unless you are pregnant or lactating, which can be selected from the drop down menu.
• Click the check box to agree to Terms of Service and click Create Account at the bottom of the screen.

3.  Once you have entered the Cronometer site, click on SETTINGS at the top of the screen. Once you open SETTINGS, you will see a drop down for PROFILE. It is here you will see your ACTIVITY LEVEL. Also, the email settings are in the SETTINGS then ACCOUNT tab.

https://learn.umgc.edu/content/enforced/576516-006326-01-2208-OL3-7379/PartII_1.jpg?_&d2lSessionVal=EFVi3ANPdCiP5SBE6flegvXzf

 

Under email, be sure to uncheck any checked boxes.  Leaving these boxes checked results in promotional emails from Cronometer.  Cronometer is not endorsed by UMGC, and we do not support any fad diet information that may be sent to you. 

4.  Staying in Profile, using the drop down menu, adjust your Activity Level to the appropriate selection based on your habits and lifestyle. Clicking on Activity Level can provide guidance on which activity level is appropriate for your lifestyle.

 

Note: for this project, do not link your Cronometer account with any fitness tracking devices as it may alter the accuracy of your results for this project.

Step 2: Using the Food Database

1.  To begin entering your foods for Day 1, ensure you are under the Diary tab at the top of the screen. 

2.  Select the appropriate calendar date.  It is highly recommended that you enter all three food diaries at once, using consecutive days on the Cronometer calendar (even if your log days were not consecutive), and use dates closest to today’s actual date.  Because we are using the free version of the site, reports can only be done for the last 7 days so you will be unable to get a report for the days you enter if they are more than 7 days away.  It’s not a problem to edit the dates in this way–it will not impact your results.

3.  Click on Add Food at the top of the screen. Type the first food from your food log into the search bar and click Search.  Select the food item that best matches the food you ate in the Search Results. 

4. Choose the amount that you consumed at the bottom of the search box.  Use the drop menu to select the most appropriate serving measurement and enter the number of servings.  If less than 1 serving, use a decimal to indicate the percentage of one serving consumed.  Click on Add Serving.

Note: Do not include any supplements into your food diary as you are doing an assessment of your dietary intake only.

5. If you need to delete a food item from your diary, simply right click on the food item and select Delete Selected Items.

6. Continue Steps 1-3 for all food items for your Day 1 Food Diary.

7.  After you have entered all food and drink items for the first day, click on the gear found at the top right of the screen.  Select “Mark Day Complete”.

8.  Repeat for Days 2 and 3 by changing the date in the calendar. Again, ensure dates are consecutive in the Cronometer calendar; are within a 7-day window; and are as close to today’s date as possible.

Step 3: Obtaining Your Nutrition Report

1. Once you have entered all of your foods into the Diary for all three days and marked all three days as complete, you need to create your nutrition report to analyze your average intake of nutrients over the three days.  Click on the Trends tab at the top of the screen. Select Nutrition Report.

2.  At the top, select the parameters for your search [see screenshot below]. Ensure your 3 days are included in the last 7 days as the free version of this site only allows for averages from the last 7 days.

• Select include today only if one of your three days was entered on today’s date in the Cronometer calendar.
• THIS IS THE MOST IMPORTANT INSTRUCTION THAT YOU WILL SEE THIS TERM: From the drop down menu, select “Completed Days” instead of the default “All Days”.  This will ensure your report is accurate and includes values for only days in which food was entered.
• Do not include supplements in this report.

3.  After your report is generated, take a screen shot of your Nutrition Report to show all nutrient values from Nutrition Report dates at the top down to Zinc You will likely need to take two screen shots in order to include the required data. [See sample screenshot below].   This step must be done as it is a requirement that you turn this in with the analysis.

4. Open this file to complete the rest of the assignment.  Using the Nutrition Report above, fill in the Average Eaten columns of Tables 1 and 2 of the file you just opened.  To fill in Table 1, Energy and Macronutrients (percent of calories), use the top of the report as shown below.  You will need to hover over each macronutrient name to see percent of calories from each.  Do NOT use information from the sections that are crossed out on the image below.

For remaining macronutrient components and the micronutrients, use the Nutrition Report tables to obtain the information to fill remaining average intakes for Tables 1 and 2. 

Using the screenshot below as an example (vitamins in this case), you will use the 1st column values rather than the red/yellow/green bar values in the 2nd column.

5.  Finish Tables 1 and 2 in the document you downloaded by using the following resources for Target or RDA/AI Nutrient values.

Macronutrients: Use the AMDRs that you learned about in your text for Target values.  These can be found in their respective chapters in the text (Chapters 4, 5, and 6).

Micronutrients: Use the link below for RDA/AI values for all vitamins and minerals except Vitamins A and D. For Vitamins A and D, the units from Cronometer do not match the RDA/AI units found in the link below.  While this is the most recent publication for RDA/AIs, presently IUs are the preferable measurement for vitamins A and D. As a result, Cronometer provides their results in IUs for these two vitamins. Use the following reference:

            Vitamin A –     RDA 3000 IU for males

                                    RDA 2,333 IU for females

            Vitamin D –     RDA 600 IU for males and females

Here is a detailed reference for Dietary Reference Intakes for all vitamins and macronutrients (see pp. 1-5), which will benefit the analysis portion of your paper:  DRI Values

Step 4: Analysis Questions

1.  Answer Questions 1-9 in the file you downloaded above based on your results in Tables 1 and 2.  Use complete sentences and ensure proper grammar and spelling.

2. In order to calculate the EER equation (question #2 on the Word document you have downloaded in order to complete this assignment), you will need your PA value (physical activity).  Use the following PA levels for your equation based on your gender and activity level:

• Men
  • 1.0 for sedentary
  • 1.11 for low active
  • 1. 25 for active
  • 1.48 for very active
• Women
  • 1.0 for sedentary
  • 1.12 for low active
  • 1. 27 for active
  • 1.45 for very active

3. For Question 8 on the Word Assignment form, note that the given link is broken. Instead, use

https://www.nal.usda.gov/sites/default/files/fnic_uploads//UL_vitamins_elements.pdf

Step 5: Submission

The following should be submitted as attachments when you have completed this part of your project:

1. Nutrition Report screen shots (as .doc or .pdf file)

2. Completed Analysis to include tables and answers to diet analysis questions (found here)

 

Diversity has a significant influence on health care. Studying transcultural health care helps health professionals understand different cultures in order to provide holistic and individualized health care. Review the Purnell Model for Cultural Competence, including the theory, framework and 12 domains. Write 750-1,000-word paper exploring the Purnell Model for Cultural Competence. Include the following:

1. Explain culturally sensitive care and its application within health care.
2. Explain the theory and organizational framework of the Purnell Model, and discuss its relevance to transcultural health care.
3. Describe Purnell’s 12 domains of culture, and assess how each of these domains plays an active role in the diversity of health care in your specific field.
4. Discuss how this model can be applied when working with different cultures in order to become a more culturally competent health care provider.
5. Cite at least three references, including the course textbook.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance. 

This benchmark assignment assesses the following programmatic competency:

BS Health Sciences

1.1 Explain culturally sensitive care and its application within health care.

 Cultural competency means to be respectful and responsive to the health beliefs and practices—and cultural and linguistic needs—of diverse population groups. Discuss strategies to provide care to patients who are from different cultures and may have different cultural beliefs. For example, what might the APN do if the patient refuses a high-quality, evidence-based treatment meant to cure the illness because of cultural beliefs? How can the APN respect cultural beliefs while still providing quality care? In what ways can the nurse do more than simply “do no harm?”

Expectations

• Length: A minimum of 300 words, not including references
• Citations: At least one high-level scholarly reference in APA from within the last 5 years

March 2021

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• Week 2 Assignment: Course Project Milestone 1 (graded)Submit Assignment
  • Due Sunday by 11:59pm
  • Points 150
  • Submitting a file upload
  • This assignment will be uploaded automatically to Turnitin upon submission to verify this is your original work and no parts were copied from another student.Turnitin is now more closely integrated with Canvas. Overall, you will find Turnitin assignments easier to use, but the steps to submit an assignment have changed somewhat. Directions are as follows:
    1. Click the orange “Submit Assignment” button at the top of the page to open the upload window.
    2. Click on “Choose File” to select your assignment file you want to upload.
    3. Check the box to agree to the Turnitin End-User License Agreement.
    4. Click “Submit Assignment.”
    5. Your Turnitin report will be visible in the “Grades” section of your course.  
    

    Please refer to the pages below for more information about these changes.
    • Turnitin Submitting a Paper (Links to an external site.) explains how to submit a file.
    • Turnitin Assignment Student View (Links to an external site.) lets you submit a paper, then view feedback on the file you have submitted.
    • Turnitin Viewing Instructor Feedback (Links to an external site.) helps you view your instructor feedback.

    Please contact your instructor if you have any questions.Purpose
    The purpose of this assignment is to demonstrate the skills of the professional nurse as an educator. You are to prepare a patient scenario based on the required assigned topic. You will choose an already developed and reliable mHealth app to use in the education of your patient.
    Course Outcomes
    This assignment enables the student to meet the following Course Outcomes.

  • CO1: Describe patient-care technologies as appropriate to address the needs of a diverse patient population. (PO1)
  • CO5: Identify patient care technologies, information systems, and communication devices that support safe nursing practice. (PO5)
  • Points
    The entire project is worth 600 points. Milestone 1 is worth 150 points of this total.
    Due Date
    Submit your completed NR361 Milestone 1 by Sunday, 11:59 p.m. MT, end of Week 2. You may consult the Policies section in the Introduction & Resources module for details regarding late assignments. Post questions about this assignment in the Course Q & A Forum.
    Required Assignment Topic
    Select ONE of the Health Conditions or Health Behaviors for the focus of your assignment through the Healthy People 2030 link below:
    https://health.gov/healthypeople/objectives-and-data/browse-objectives (Links to an external site.)
    Note: You will use the same scenario you develop and the same mHealth app you identify in future assignments (Weeks 4 and 6).
    Note: You will use the same scenario you develop and same mHealth app you identify here in future assignments (Week 4 and 6).
    Requirements and Guidelines
  • Download the required Milestone 1 Template (Links to an external site.). Save it to your computer with the file name: Your Last Name NR361 Milestone 1.docx.
  • Write a patient scenario using the Required Assignment Topic.
    • Make sure to include a Healthy People 2030 Health Condition or Health Behavior in the scenario for a patient with a desire to maintain or achieve good health and prevent illness and who could benefit from an already developed and reliable mHealth app.
    • Choose a scholarly peer-reviewed journal article published within the last 5 years and related to the health condition or health behavior in your scenario. The Chamberlain Library is your best place to obtain this article. Cite this in APA 7th edition format in this section of the assignment. Please see your APA Manual or our APA resources (‘Crediting Sources Made Simple’) within the course to assist you with this citation format.
  • Describe in detail the plan for teaching this patient in the scenario.
    • Include the nurse’s assessment of learning needs and readiness to learn.
  • Identify a mHealth app that could benefit the patient, considering the teaching/learning needs you identified.
    • Describe the app including the mHealth app name, purpose, intended audience, mobile device(s) upon which it will operate, and where to download or obtain it. Add any other information you believe would be pertinent to this situation.
    • Include a working link if it is to be downloaded from a website in the area indicated on the template.   
    • Make sure to add a citation for this mHealth app in APA format.  The directions and example of how to cite a mobile app are located on page 340 of the APA Manual, 7th edition.
    • At the end of the Milestone 1 Template there is a References page where you will list your 2 references.  One will be the mHealth app reference (also on page 340, APA Manual) and the other will be your scholarly article reference.
  • You are required to complete the Milestone 1 Template using the productivity tools required by Chamberlain University, which is Microsoft Office Word 2013 (or later version), or Windows and Office 2011 (or later version) for MAC. You must save the file in the “.docx” format. Do NOT save as Word Pad. A later version of the productivity tool includes Office 365, which is available to Chamberlain students for FREE by downloading from the student portal at http://my.chamberlain.edu  (Links to an external site.)
  • Carefully review the grading rubric criteria for Milestone 1 and type directly on your saved Milestone 1 Template. Be sure to delete the directions under the headings before submitting. The assignment paper should be approximately 2-3 pages, not counting the title page or References page.
  • The instructor will score Milestone 1 and provide feedback and a clear statement regarding the required assignment topic:
    • Accepted,
    • Accepted with revisions needed, OR
    • Not accepted.
    • If the Milestone 1 assignment needs revisions or is not accepted, the instructor will indicate if the student should communicate further revisions to the instructor. No additional points will be earned for revisions to Milestone 1 issue, but these revisions will greatly enhance success on later milestones.