You are admitting a 19-year old female college student to the hospital for fevers.  Using the patient information provided, choose a culture unfamiliar to you and describe what would be important to remember while you interview this patient. Discuss the health care support systems available in your community for someone of this culture. If no support systems are available in your community, identify a national resource.

  4 DQ 2

     To sustain a balanced lifestyle, exercise is an essential part of daily life. People who do not remain healthy and exercise on a regular basis are more likely to develop cardiovascular diseases such as type 2 diabetes, obesity, heart disease, high cholesterol, cancer, depression, anxiety, and dementia.

     Diabetes and cardiovascular disease are two of the most common risky diseases that affect mainly middle-aged Americans today. To begin with, heart disease is the leading cause of death in the United States for men, women, and individuals of most racial and ethnic groups. According to the Centers for Disease Control and Prevention, heart disease, stroke, and other cardiovascular diseases account for one out of every three deaths in the United States. Cardiovascular disorders claim the lives of one human every 36 seconds in the United States. Second, more than 34 million Americans have diabetes, with one of every four of them being unaware of their condition.

     Physical activity is beneficial to diabetics because it renders the body more receptive to insulin management. Both physical activity aids in the regulation of blood sugar levels, as well as the prevention of nerve injury and heart disease. Nurses must remind patients to check their blood sugar levels before, after, and after physical exercise. Clients can eat a healthy snack comprising 15 to 30 grams of carbohydrates if their blood sugar is low until exercising. Blood sugar levels above 240 mg/dl could be too high to reliably engage in physical activity.

     The CDC recommends 150 minutes of low intensity physical activity a week, such as exercising, playing sports, or doing housework. To gain the client’s confidence, the nurse does not push exercise on them, but rather advise them to take it slowly and start small. The client should be encouraged to choose an enjoyable exercise, choose a partner, commit to a goal, and schedule workouts during the week. Another piece of advice that nurses should give their patients is to take the stairs rather than the elevator, park farther away from the supermarket, and do jumping jacks during commercial breaks.

Respond by using 200-300 words APA format with references supporting the discussion.

 For the middle-aged adult, exercise can reduce the risk of various health problems. Choose two at-risk health issues that regular physical exercise and activity can help prevent and manage. Discuss the prevalence of each of these health problems in society today. Describe measures that you would take as a nurse to assist clients with health promotion measures to incorporate exercise and physical activity into their lives. Include the kind of activities you would recommend, the amount of exercise, and the approach you would use to gain cooperation from the client. Support your response with evidence-based literature. 

 Imagine you are working at a doctor’s office. You are approached by the office manager, who asks you to develop an effective way of storing patient information.

Write a 350- to 700-word summary to your office manager informing her of the advantages of using electronic health records (EHRs) to store patient information. Be clear and concise, use complete sentences, and use examples to support your responses.

Include the following in your response:

• Discuss the functions and advantages of using EHRs.
• Discuss three to four forms used to keep patient information in EHRs.
  • What is the purpose of each form?

  Nutrition/ Core Nutritional Science Assignment/no plagiarism/deadline close

PLS CHECK ATTACHMENT

DNT 200 — NUTRITION FOR HEALTH SCIENCES 

STUDY GUIDE 6: ENERGY METABOLISM AND WEIGHT CONTROL

Directions. Using Chapters 7, 8, and 9 of your textbook as a reference, answer the following questions. Please include the questions with your answers. Be sure to put your name on your document. Your answers should be thoughtful, complete, and in Standard English. Credit will not be given for answers copied from online sources.

2. Your friend Tiffany is taking a nutrition course at another local community college. She is having difficulty understanding the unit about the energy yielding pathways of carbohydrate, protein, and fat. Help her by discussing how the basic units of carbohydrate, protein, and fat are utilized in energy pathways to produce energy. Be thorough. Include their differences and similarities? 

3. Tina W. is a 44 year old white female who has tried a number of weight-loss programs to include very strict diets. She has never exercised in her previous weight loss attempts. She takes several cardiac medications, none of which she can remember. She is 5’9” and weighs 195 pounds. Her lowest body weight was 135 pounds, when she was 30 years old. (She was able to maintain that weight for two years.) Her blood pressure is high, at 160/90. Tina mentioned that she tried numerous diets as a teenager when she weighed 170 pounds for 3 years. 

a. Using the formulae  in your text book, calculate Tina’s:

1. BMR (Hint: Be sure to read note b in the BMR column of Table 8-1). What is the meaning of your calculation?

2. Estimated Energy Requirements. Assume a sedentary activity level. What is the meaning of your calculation?

Show your work for both questions. 

b. What types of exercise would you be likely to discuss with Tina? 

c. What would be the goals of her treatment? 

4. Determine your BMI. Is your BMI in a healthy range? If not, why not? Do you believe that measuring body fat percentage may more accurately reflect your body composition? Briefly discuss each body composition measure (e.g. skinfold calipers, bioelectrical impedance analysis, etc.) and discuss why measuring body fat is important in assessing a client’s overall health status. 

5. Select one fad diet from any popular publication or online source. Using the ‘How To H9-1’ Box for Identifying a Fad Diet or Other Weight-Loss Scam (Highlight 9, page 291) of your textbook, evaluate the diet. 

6. List and briefly explain the four main components of energy expenditure?

7. Kristin B. , like many Americans is overweight. Kristin is 43-year-old and a mother of two. She has gained 40 pounds since the birth of her youngest child five years ago. She is 64 inches tall and weighs 170 pounds with a BMI of 29.2. Her waist circumference is 37 inches. Kristin can’t figure out why it is so hard to lose weight and keep it off. 

Kristin decides something must be wrong with her to be such a dieting failure. Maybe she just doesn’t have sufficient willpower or maybe she has abnormal metabolism. She feels tired most of the time and has very little energy. She is very busy with her children and has a demanding job as a middle school teacher. Kristin tries to cook healthy meals for her family but is often too tired or stressed to bother, so she stops to get some fast food on her way home. To make matters worse, her seven year-old son recently came home from school and said the kids were teasing him for being fat.

Kristin’s father recently died from complications of type 2 diabetes. At her last medical checkup, her blood pressure was mildly elevated but all of her laboratory blood tests were normal.

Kristin decides it is time to make some changes for her entire family but she doesn’t know quite where to start. She hopes she can help her son by finding a diet that works for him. Complicating the problem is the fact that Kristin’s husband doesn’t have a weight problem. Knowing that you are studying nutrition, Kristin decides to ask you for advice.

a. Based on her health history and physical measurements, describe how you would determine the seriousness of Kristin’s weight gain in relation to her health. 

b. Using the information in chapter 9, what would you estimate to be a reasonable amount of weight for Kristin to lose over the next six months? 

c. What are some advantages for Kristin of keeping a food and exercise record? What other habits besides food intake and physical activity may be especially useful for Kristin to record?  

d. You advise Kristin to limit her daily caloric intake to 1,400 kcalories. Use Table 9-3 to plan one day of meals and snacks to meet her nutritional needs within this calorie level. Use the chart below (one row is already completed): 

   

Pattern (e.g.    fruit, vegetables, grain, etc.) – from Table 9-2

check attachment for table

TEXTBOOK:  Understanding Nutrition, 15th edition. The publisher is Cengage