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case study

HUN1201: Human Nutrition – ready to go

Canvas Assignment 4: Energy Balance Case Study

Name:

Introduction

Janet is a 38-year-old mother of three who has experienced gradual weight gain after the birth of each of her children. Janet is 5 feet 4 inches tall and currently weighs 235 pounds. She works as an accountant sitting at a desk all day crunching numbers. Her days are long, and her job is stressful.

Janet states that she does not engage in regular exercise, feels tired, and does not have much time to prepare healthy meals. On her way home, she often stops for fast food take-out for herself and family. Since she feels tired often, she drinks 24 ounces of cola daily to keep her “energized.” For breakfast, she loves to stop at Dunkin Donuts for her donut and coffee. After dinner, she consumes 2 bowls of chocolate ice cream to manage her stress.

At bedtime, Janet has trouble falling asleep and gets about 5 hours of sleep a night. Her children report that she snores loudly.

Her recent physical at the doctor revealed that Janet is prediabetic with the following lab results:

Blood pressure = 170/90 mmHg

Cholesterol = 250 mg/dl

LDL Cholesterol = 172 mg/dl

HDL Cholesterol = 38 mg/dl

Fasting blood glucose = 110 mg/dl

Number of calories ingested = 2858

Number of calories expended = 1090

Part A. Summary

Summarize Janet’s issues and constraints.

Part B. Discussion Questions

Answer the following questions in complete sentences.

1. Based on Janet’s height and weight, what BMI category does this place her in? How does this affect her daily life?

2. Looking at the number of calories Janet has ingested and expended, will Janet be in energy balance, energy deficit, or energy excess? Explain why.

3. Based on Janet’s lab values, is Janet at risk for heart disease? Explain what factors are putting Janet at risk.

4. Identify
3 environmental factors that have put Janet in an energy imbalance. With
each environmental factor,
explain how each factor is causing the energy imbalance.

Environmental Factor

Causes

5. To help Janet with long term weight loss, there are
three areas that Janet needs to adjust according to your textbook. What are the three areas?

With
each area, explain two
specific ways to accomplish this based on Janet’s habits. Be sure to provide workable solutions for her considering the constraints you identified in Part A.

Area to Adjust

How to Accomplish

Part C: Debrief

Based on what you learned in this course, what is the root cause of Janet’s symptoms and lab values? What is the role that nutrition plays in this cause? Explain your answer.

High protein

Re-read Two Points of View–Are High Protein, Low Carbohydrate Diets Good for You?  in your text. Then answer the following prompts:

  1. Which side do you think has the more compelling argument? Why?
  2. Do you think that a high-protein, low-carbohydrate diet is a healthful diet choice? Why or why not?
  3. Do you think you could stick to a high-protein, low-carbohydrate diet? Why or why not?

WEEK8 5550

Read the following case study and answer the reflective questions.  Please provide evidence-based rationales for your answers.  APA, 7th ed. must be followed.  

Discussion

Preparing the Discussion

You are a family nurse practitioner working in an outpatient primary care office of a large hospital system. The practice has been operating for over 15 years, and many of the administrative and clinical staff were hired when the practice opened. You have been in the practice for less than 3 months. In that short amount of time, you have witnessed several of the clinical staff engaging in heated arguments with each other, sometimes in patient areas. You overhear an argument occurring today between two staff. You pick up a patient's chart and notice a very low blood pressure that the medical assistant failed to notify you about. When you confront the MA, she states that she was going to report the vital signs to you when she became engaged in the heated argument you overheard and forgot to notify you. 

Unfortunately, this pattern of behavior is not unusual in this practice. Working with staff who cannot cooperate effectively can negatively influence your ability to spend time with patients, can impede the flow of patients through the office, and could impact patient safety. 

Case Study Responses: 

1. Analyze the case study for potential issues for members of the healthcare team from office conflict. Contrast the potential effects for each member of the healthcare team based on the required readings from the week. Discuss the potential ethical and legal implications for each of the following practice members: 

· Medical assistant

· Nurse Practitioner

· Medical Director

· Practice

2. What strategies would you implement to prevent further episodes of potentially dangerous patient outcomes? 

3. What leadership qualities would you apply to effect positive change in the practice? Focus on the culture of the practice.

4. A scholarly resource must be used for EACH discussion question each week.

POSTTRAUMATIC STRESS DISORDER

See attachment for instructions 

W1 D see attachment

Chamberlain



NR506NP-63763



Modules


Week 1: Barriers to Practice

Preparing the Discussion

Using the readings from this week as well as reliable outside resources to: 

1. Identify and describe practice barriers for all four APNs' roles in your state FLORIDA and discuss these barriers on a state and national level. The four roles include the nurse midwife, nurse anesthetist, nurse practitioner, and clinical nurse specialist.

2. Identify forms of competition on the state and national level that interfere with APNs' ability to practice independently.

3. Identify the specific lawmakers by name at the state level (i.e., key members of the state's legislative branch and executive branch of government)

4. Discuss interest groups that exist at the state and national levels that influence APN policy.

5. Discuss methods used to influence change in policy in forms of competition, state legislative and executive branches of government, and interest groups.

6. A scholarly resource must be used for EACH discussion question each week.

Reflection 2

  

One of  the key points of learning from experience is to reflect on what you  did. Reflect on the selection of your topic and question. Answer the  following questions in a document of between 250 and 500 words. Save  your response as a word document and include a 7th edition APA cover  page. Upload the document to complete the assignment. Do not cut and  paste from any document of quote from any source. This is a reflection  on your own experiences, so you should not need to do this.

A. What options do you have for finding literature?

B. How can you judge which literature is most credible?

C. Is your literature search complete? Yes my article search is complete as it has been approved by the Pamela Wright.