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 

 

SCENARIO

A young 33-year-old man is admitted to your unit with a chief complaint of “tiredness and morning headaches” even after sleeping. How you would perform a comprehensive analysis of symptoms? What are the possible causes of the symptoms? What examinations would be crucial to determine the cause of his problems? Why

CLASSMATE RESPOND

I would first introduce myself, assuring for privacy and comfort. After taking a detailed health history and acknowledging the complaints of tiredness and morning headaches, I would assess for the following symptoms:  loud snoring, being awaken from sleep by gasping or choking, dry mouth or sore throat after waking, asking if anyone has told the patient of having episodes of not breathing while asleep, having mood changes and high blood pressure.

Assessments include height and weight, checking BMI for overweight. Blood pressure would be assessed.

One possible cause could be sleep apnea. One examination to determine if it is sleep apnea would be the overnight pulse oximetry. If this comes back positive, the next step would be a polysomnography, which is an overnight sleep study where you are hooked up to certain monitors that tract your heart, brain, lungs, oxygen levels and arm and leg movements.

You may be referred to an ENT doctor to rule out any blockage to your throat or nose.

If positive for sleep apnea, some changes should be started: lose weight, exercise and monitor alcohol intake. You may also be recommended to wear a CPAP (continuous positive airway pressure)

Obstructive sleep apnea. (2018, March 06). Retrieved from https://www.mayoclinic.org/diseases-conditions/obstructive-sleep-apnea/diagnosis-treatment/drc-20352095

 

Patient has to be less than 18 years old

 

In addition to Journal Entries, SOAP Note submissions are a way to reflect on your Practicum experiences and connect these experiences to your classroom experience. SOAP Notes, such as the ones required in this course, are often used in clinical settings to document patient care. Please refer to this week’s Learning Resources for guidance on writing SOAP Notes.

Select a patient who you examined during the last 3 weeks. With this patient in mind, address the following in a SOAP Note:

• Subjective: What details did the patient or parent provide regarding the personal and medical history? Include any discrepancies between the details provided by the child and details provided by the parent, as well as possible reasons for these discrepancies.
• Objective: What observations did you make during the physical assessment? Include pertinent positive and negative physical exam findings. Describe whether the patient presented with any growth and development or psychosocial issues.
• Assessment: What were your differential diagnoses? Provide a minimum of three possible diagnoses. List them from highest priority to lowest priority. What was your primary diagnosis and why?
• Plan: What was your plan for diagnostics and primary diagnosis? What was your plan for treatment and management? Include pharmacologic and non-pharmacologic treatments, alternative therapies, and follow-up parameters, as well as a rationale for this treatment and management plan.
• Reflection notes: What was your “aha” moment? What would you do differently in a similar patient evaluation?

  

Question

1. Which of the following factors that affect supply do NOT shift the supply graph to the right?

Technological changes

Size of the industry

Weather

Input prices

2. There is a negative relation between income and the demand for health care: the richer the country, the greater the demand for health care.

True

False

3. _______ costs are easily identified because a recent market transaction is available to provide an accurate measure of costs

Implicit

Direct

Explicit

Indirect

4. In general, goods and services which are close substitutes have higher price elasticities

True

False

5. ________ is the sole provider of a good or service in a well defined market with no close substitutions.

Perfect competition

Oligopoly

Monopoly

Oligopolistic competition

6. _______ examines how changes in market conditions influence the positions of the demand and supply curve and cause the equilibrium price and quantity to change. 

Marginal private benefit

Marginal private cost

Comparative statics•

7. If the percentage increase in the quantity consumed is greater than the associated percentage increase in income the good is called___

Superior good

Inferior good

Normal good

8. A good for which income elasticity is positive but less than one. The good is called a(n) ___

Superior good

Normal good

Inferior good

9. The ___ effect would encourage the substitution of other consumer goods for investment in health as one ages. 

substitution

addition

subtraction

10. Which is not a state health incentive? 

The Oregon Health Plan

Hawaii’s Universal Coverage

Minnesota Care

California Universal Health Coverage