NTR 1010 Introductory Nutrition

Capstone Project Instructions

This project allows you to demonstrate the depth of your understanding of the important concepts presented in this course, so please start it as early as you can.

Please submit Part 1 and Part 2 of this assignment to Blackboard. 

· Diet and Wellness reports should be submitted as pdf documents. There should be 9 pdf reports. 

· Answers to questions in Section B, C, D, and questions in Part 2 into 1 Microsoft Word document and submit it in Blackboard.

Part 1: Dietary Self-Assessment (up to 70 points)

Section A: Food Record 

Record 3 days of your food and beverages in the Diet and Wellness app (as you did at the start of the semester), and generate 3 Daily Food Log reports to show your diet record. You can generate your Food Logs from the Reports tab in D&W+. Adjust the date in each case to obtain the Food Log from the appropriate day. 

Section B: Diet & Wellness Plus Diet Analysis

Generate an Intake vs Goals report, as well as 3 Source Analysis reports (for kilocalories, saturated fat, and sodium). You can generate these reports from the Reports tab in D&W+. For each report, you need to set a start date and an end date to capture all 3 days. 

Section C: Your Genetic Risk for Chronic Disease

Recall from Chapter 1 that each of us has a unique risk for developing chronic conditions such as heart disease or diabetes. This risk is based on how we eat, lifestyle choices such as exercise habits and smoking, and the genes we inherit from our parents.

1. List 6 relatives (parents, grandparents, aunts, uncles, siblings, and cousins for example). As you choose these people, focus on older relatives as well as any younger family members who have already been diagnoses with health conditions. They may be living or not.

2. Indicate which (if any) of these people had or have any of the following conditions: 

· Heart Disease

· Pre-hypertension, Hypertension, or Stroke

· Obesity

· Cancer

· Pre-diabetes, Gestational diabetes, or Type 2 diabetes

· Osteoporosis

If you cannot list any “blood” relatives, then list people with whom you grew up. If you don’t know if anyone has had these conditions, list their current age or the age at which they died.

Section D: Interpretation

Using the information from parts sections A, B, and C above, answer the 6 questions below.

1. List 4 vitamins and/or minerals that you consumed in adequate amounts and discuss how this protects you.

2. List 4 vitamins and/or minerals that you consumed in low amounts, and discuss the potential dangers to your health.

3. List your calorie, saturated fat, and sodium intake, and indicate if you overconsumed any of them. Discuss the potential dangers to your health.

4. Discuss 3 chronic disease conditions you are at risk for (or would otherwise avoid) based on your 3-day typical eating pattern and your Medical family tree

5. Using information from Chapters 7 and 8, identify 4 foods you are willing to eat to correct any shortages of vitamins and/or minerals.

6. Using your Source Analysis reports, identify 4 foods you could cut back on to reduce excess calories, saturated fat and/or sodium.

For this Part 1  you are submitting the following to Blackboard for grading:

· 3 Food Logs

· 4 Reports: 1 Intake vs Goals and 3 Source Analysis (Kilocalories, Saturated Fat, and Sodium)

· Family History of Chronic Disease (in a table format)

· Your answers to the 6 questions.

Part 2: Food Bank Analysis (up to 30 points)

Many Americans rely on food banks to make sure they and their families have enough to eat. Although food banks have some capacity to collect and distribute perishables (fresh fruits, vegetables, dairy, and meat), they tend to rely on packaged foods with a long (unrefrigerated) shelf-life. This, of course, affects the nutritional content of their offerings.

1) Identify a local food pantry, and research their mission and the nutrition services they provide.

2) Using the food bank typical food list on the last page, create a menu for one day (breakfast, lunch and dinner). Please make sure you include foods from each of the food groups:

a) Grains

b) Milk

c) Protein

d) Fruit

e)  Vegetable

3) Enter your choices into Diet and Wellness as though you are the client, and generate a Food Log report and an Intake vs. Goals Report.

4) Identify 3 nutrients for which you met the DRI recommendations.

5) Identify 3 nutrients for which you were below the DRI recommendations.

6) Discuss 3 implications of your Intake vs Goals report findings on the long-term health of people who rely on food banks for long periods of time.

7) Based on question 6, List 3 pieces of advice you would provide to these clients based on your analysis.

For Part 2 you are submitting the following to Blackboard for grading:

· The name and mission of your chosen food pantry

· 1 Food Log

· 1 Intake vs Goals Report

· Your answers to questions 4, 5, 6, and 7 above.

  

Food Bank Typical Inventory

  

Grains

Infant cereal

Macaroni

Oatmeal

Grits

Cream of wheat

Pretzels

Muffin mix

Pancake mix

Rice pilaf

Rigatoni

Cereal 

Quick bread mix

Flour 

Macaroni & cheese, boxed 

Rice (brown or white)

Spaghetti

Cornmeal

Noodles 

Biscuit mix

Canned pasta

Graham crackers

Noodle soups

Dairy

Dried milk

Infant formula

Evaporated (canned) milk 

Boxed milk

Canned & Boxed pudding

Parmesan cheese

1. Reflect on the definition and goal of EBP.
2. Choose a professional healthcare organization’s website (e.g., a reimbursing body, an accredited body, or a national initiative).
3. Explore the website to determine where and to what extent EBP is evident.
4. Post a description of the healthcare organization website you reviewed. Describe where, if at all, EBP appears (e.g., the mission, vision, philosophy, and/or goals of the healthcare organization, or in other locations on the website). Then, explain whether this healthcare organization’s work is grounded in EBP and why or why not. Finally, explain whether the information you discovered on the healthcare organization’s website has changed your perception of the healthcare organization. Be specific and provide examples.

 

What is your vision for the future of nursing? How does your vision fit with the recommendations in the IOM report? What two action steps do you plan to take to promote this vision?

Submission Instructions:

• Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. 

 

2-page group

reflection paper on the

ASL experience. Each

component of the ASL

Reflection Rubric should

be addressed under its

own level one heading. 

Include the 2 course

Objectives that your group

chose to focus on during

your ASL experience. 

APA format required

OBjective   

1.3 Explore available resources for evidence-based practice in 

nursing.

1.5 Determine the benefits and barriers to evidence-based nursing practice

Must include the attached header to paper

  

 Application of Analytic Methods1

Interprofessional Collaboration

           Medication errors can occur in any setting. Much has been done to eliminate this problem, yet there is much more than need be done to provide safe patient care. If I were asked to gather an interprofessional collaborative (IPC) team, in response to a recurring medication error and to prevent future mistakes in the inpatient medical-surgical unit where I work, I would put together a team from different disciplines within the institution. I would gather an IPC team to include members who can contribute to the solution, have expert advice, and who can help lead the change in a quality improvement project. According to Dang and Dearholt, (2018), the IPC team should be precise enough to be effective, yet large enough to have expert knowledge of the presenting problem.  The IPC team would include a pharmacist, nurse educator, nursing manager, unit head nurse, a registered nurse, a physician, an informatics specialist, and a practicing scholar.

           The responsibilities of each team member begin by the team coming together, and being prepared to share evidence-based content to help resolve the practice problem. For a team to be effective, the members of that team need to be able to share and understand each other roles (Etherington et al 2019). The role of the IPC members is to understand the impact the practice problem has on patients’ outcome, staff morals, and healthcare cost and to research ways to solve the problem. Members need to be knowledgeable about the topic presented. The team should be committed to the project and should be motivated to resolve the practice focus problem.  I would have weekly meetings with team members to follow up and feedback.

           Medication errors are listed under patient safety, which is one of the eighth practice problem burden in the United States of America (Chamberlain College of Nursing 2020). According to the World Health Organization (WHO), a medication error can occur during any step of the medication process, from prescribing to administering (2016). Therefore, the team should be looking into all potential medication error aspect. The team leader should distribute tasks accordingly, and hold each team member accountable for the task assigned. The team of ICP shall strategize a plan to prevent medication errors in the unit.

           The nurse researcher and educator would establish policies, protocols, and training modules for unit nursing staff. The Informatics specialist will review the current technology and improve the system to identify and create alert as soon as a medication is written by the prescriber. The pharmacist would work within it department to establish a clear protocol for requesting clarification before any questionable medication is dispensed to the unit. The nurse manager and unit team will work on reeducating the staff on safe medication administration. Nursing leaders need to create a culture of confidence among staff, that it is appropriate to question a provider’s order if deemed unsafe.  In a pilot study by Boscart et al., (2017) they found that interprofessional teamwork, education, and open communication promote best practice and improve quality of care in heart failure patients in a long-term care setting. I believe respectful communication among disciplines is beneficial in all clinical practices.

           It is well known, that there is no I in team. For a team to be successful it members have to be able to work well alongside each other. Mutual respect for each other opinions is a must for the team to succeed. Ineffective communicating is the root cause of misunderstanding. It happens in personal relationships, boardrooms, and of course in healthcare settings.  Often, the failure to communicate can have life-changing impacts of patients, family, nurses, insurances providers and healthcare systems. Clapper (2018) indicated that debriefing allows team members time to critique performance and discuss ways for improvement. To facilitate effective communication and collaboration, there should be frequent feedback from team members.

References

Boscart V.M., Heckman, G.A., Huson, K., Brohman, L., Harkness, K.I., Hirdes, J., McKelvie,  R.S., & Stolee, P. (2017) Implementation of an interprofessional communication and collaboration intervention to improve care and capacity for heart failure management in long-term care. Journal of Interprofessional Care. 31 (5), 583-592. Doi.org/10.1080/13561820.2017.1340875

Chamberlain College of Nursing (2020) NR-701 Week 1: Application of Analytic Methods (Online Lesson) Adtalem Global Education

Clapper, T (2018). TeamSTEPPS is an effective tool to level the hierarchy in healthcare communication by empowering all stakeholders. Journal of Communication in   Healthcare 11 (4) 241-244. Doi.org/10.1080/17538068.2018.1561806

Dang, D., & Dearholt, S. (2018) John Hopkins nursing evidence-based practice model and guidelines (3rd ed.). Sigma Tetu Tau Intentional.

Etherington N., Wu M., Cheng-Boivin O., Larrigan S., Boet S. (2019) Interprofessional communication in the operating room: a narrative review to advance research and practice Canadian Journal of Anesthesia 66 (10) 1251-1260 doi.org/10.1007/s12630-019-01413-9

Medication Errors. Technical series on safer primary care. (2016) World Health Organization. License: CC BY-NC-SA 3.0 IGO. www.WHO.org

I NEED A COMMENT FOR THIS POST WITH AT LEAST TWO-THREE  PARAGRAPH AND TWO SOURCES NO LATER THAN FIVE YEARS