The Affordable Care Act was signed into law by President Barack Obama in March 2010. Many of the provisions of the law directly affect health care providers. Review the following topic materials:

1. “About the Affordable Care Act”
2. “Health Care Transformation: The Affordable Care Act and More”

What are the most important elements of the Affordable Care Act in relation to community and public health? What is the role of the nurse in implementing this law?

 

What search engines or databases are you using to identify the articles for your Weekly Article Summary assignment? What key words are you using for your search? Have they been effective in finding articles that are relevant to your clinical practice? Include rationale.

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. 

 

Please submit Meal Planning for Lipids Assignment in the appropriate folder on the Assignment Page.

All written assignments must contain APA in-text citations and end-of-text citations.

Part A – Respond to the following questions in complete sentences and paragraphs. This section should be at least 12 sentences and have at least 2 citations.

What is the AMDR in the United States for fat in the diet?
What are some of the cardiovascular concerns regarding fats and oils?
What fats and oils are considered as bad for the cardiovascular system? What are the consequences of having those fats and oils in the diet?
What fats and oils are considered as good for the cardiovascular system?
What was your perception of dietary fat before reading this week’s resources?
How has your perception changed?

Part B – Below is a sample one-day menu for Mrs. Sprat. Her doctor just told her she is at risk for developing heart disease since her cholesterol is a little high. The doctor has asked her to meet with a registered dietitian to learn more about heart-healthy fats to include and which unhealthy fats to avoid. She hopes to meet with a dietitian next week, but in the meantime, she needs help making these changes.

List five suggestions for Mrs. Sprat’s diet. Provide only changes that address the goals with her meal planning as mentioned above. Tell her which food she should omit and with what you would replace it. You may also change portion sizes. Highlight (yellow only please) or bold the item you are changing and list the original saturated fat and cholesterol of that item. If the original item contains any trans-fat, also list that. Then, write the change next to that and list the saturated fat and cholesterol content after the substitution. You must document the source(s) of your saturated fat and cholesterol data with complete APA citations. None of your changes may increase the saturated fat or cholesterol amounts. All of your changes must decrease either the saturated fat or the cholesterol content of that item by at least 10%. You may make more than five changes, but if you do, you will only receive full credit when all changes correctly match the assigned directions.

Breakfast
8 oz. whole milk
8 oz. orange juice
2 fried eggs (fried in butter)
2 slices sourdough toast with 1 tablespoon butter

Snack
1/2 peanut butter and jelly sandwich: 1 slice white bread, 1 tablespoon Skippy peanut butter, 1 tablespoon grape jelly

Lunch
8 oz. cream of tomato soup
1 oz. potato chips
1 sandwich: 2 oz. turkey, 1 oz. salami, 2 slices white bread, 1 tablespoon mayonnaise
8 oz. grape juice

Snack
6 oz. fruited yogurt, sweetened, whole milk

Dinner
5 oz. dark meat chicken, fried
1 medium baked potato with 1 tablespoon butter, 1 tablespoon sour cream, and 1 tablespoon bacon, chopped
1/2 cup cooked broccoli with 1 tablespoon butter
8 oz. cola
4 oz. whole milk

Snack
1/2 cup chocolate ice cream

 Cover some of these subjects: Somebody says that fats make you “fat?” Are they correct? What is the difference between fats and oils from the viewpoint of nutrition? Account for the fact that some oils are called saturated oils. What are some of the factors that determine where a lipid is a fat or an oil at room temperature? What is a fatty acid? Describe saturated fats or fatty acids. Explain how the body makes cholesterol from saturated fats. Describe trans fats. What are some of the reasons why you should limit the amount of saturated fat or trans fat in your diet?  Name some of the foods which contain natural saturated fat. Are their any natural vegetable products that inherently contain saturated fats? Are there any natural foods that are inherently high in trans fats?  Many food products have a very high saturated fat content or trans fat that is introduced during food processing. Describe the food processing that converts an oil, margarine or peanut butter into a product that has a high saturated fat content. Provide 3 full APA citations that are evidence-based. 

I attached a screenshot of the rubric!

Select a nurse theorist and write a paper describing the background of the theorist, the theory, and its application to nursing practice. The paper should address the following:

1. Describe the background of the nurse theorist and the various social and professional issues that influenced the development of the theory.

2. Identify the major concepts and relational statement of the nursing theory. Concepts common to most nursing theories include: Person, health, nursing, and environment.

3. Describe the assumptions made by the nurse theorist. To what extent are these assumptions compatible with your personal philosophy of nursing?

4. Apply the theory to a clinical situation and describe how its use will improve nursing care or influence the way care is given.

The paper must be typed in APA format with a minimum of 1000 words (excluding first and references page) with a minimum of 4 evidence-based references using the required Arial 12 font. Follow the APA example paper under the folder APA tools. Make sure references are used according to APA guidelines and electronic references must be from reliable sources such as CDC.