Discussion 4 (Vitamins)

Vitamins are energy building nutrients that contribute to sound nutritional health. Water, on the other hand, is responsible for carrying necessary nutrients and removing waste products throughout our body. A human body is made out of mostly water and is critical to our health. Similarly, minerals and electrolytes are essential to human health and can be obtained in our diet from different foods. When humans are too sick to consume a regular diet, digestion and absorption may impact the supply of necessary nutrients, requiring specialized nutritional support to meet their nutritional needs.

After studying 

Module 4: Lecture Materials & Resources
, read the case study and answer the prompts:

Sharyn Bartell is a 24-year-old student who suffered multiple fractures when she fell from a cliff when hiking. As a result of the accident, she is immobile, in traction, and had a small bowel resection. She is able to keep her head up to 45 degrees. Sharyn used to weigh 140 pounds but has lost 8 pounds since the accident. The healthcare team agrees that Sharyn will need a feeding tube before her nutritional status deteriorates any further.

1. Navigate the web, research a high protein formula that can be administered via feeding tube and share 1) name of formula, 2) nutrient composition, and 3) indications for use.

2. Navigate to the Oley Foundation: 

Dietary Recommendations for Patients with Intestinal Failure – Oley FoundationLinks to an external site.
, read “Physiological Considerations” and discuss in at least one paragraph with two (2) effects of the small bowel resection on Sharyn’s fluid and electrolyte balance.

3. Navigate to the Oley Foundation: 

Living with Enteral Feeds – Oley FoundationLinks to an external site.
 and provide two (2) physical or psychosocial adjustments Sharyn will have to make when living with a feeding tube.

Discussion 5 (Nutrients)

All people need the same nutrients, but the amounts will vary depending on their stage in life such as infants, children, adolescents, pregnancy, adults, and older adults. For example, a pregnant woman will need to make sure she has a proper diet before, during, and after the pregnancy. A poor diet before and during the pregnancy may affect the health and development of her infant. She will also need to make sure and maintain a nutritionally balanced diet after the pregnancy, especially if she plans to breastfeed her infant.

After studying 

Module 5: Lecture Materials & Resources
, answer the following:

1. Review figure 10-3 Comparison of Selected Nutrient Recommendations for Nonpregnant, Pregnant, and Lactating Women in text and compare the recommended percent allowances for:

A. Iron – Who (nonpregnant, pregnant, lactating) needs it more and why?

2. Ellen is an 18-year-old single mother of a six-month infant; she works at a convenience store and makes minimum wage. Ellen has limited financial means and needs assistance. Navigate to Floridahealth.gov: 

https://www.floridahealth.gov/programs-and-services/wic/wic-program-info.htmlLinks to an external site.
 and share at least two (3) examples of how food assistance programs can help Ellen’s infant and one (1) example of why nutrition is important for an infant – provide a full paragraph.

3. Miguel is a 75-year older adult and has been diagnosed with early macular degeneration. Explain what macular degeneration is and share 2 vitamins or minerals that help reduce progression of the disease.

 

Discussion 6 (Chronic Disease)

 According to the Centers of Disease Control and Prevention (CDC, 2023), six out of ten adults in the United States have at least one chronic disease, and about four in ten have two or more chronic diseases. Chronic diseases include cardiovascular conditions, cancers, diabetes mellitus, and Alzheimer’s. Diet is a lifestyle factor that affects the development of many chronic conditions and even some neurological diseases.

After studying 

Module 6: Lecture Materials & Resources
, read the case study and answer the following:

Lenora is a 57-year-old Jamaican American female who works as a desk clerk. Her job requires her to sit all day from 9 a.m. to 5 p.m., then she drives for one hour to go home. She lives alone in a studio apartment. By the time she gets home, she is tired and barely has time to pick up some fast food. She was recently diagnosed with hypertension and diabetes type 2. She is 5’ 5” tall and weighs 180 pounds with a BMI of 30.1. Her blood pressure was 150/105 and her HbA1C of 7.5%. The healthcare team starts Lenora on atenolol (Tenormin) for her hypertension and metformin (Glucophage) for her diabetes.

References: Centers of Disease Control and Prevention. (2023). 
About chronic diseases. https://www.cdc.gov/chronicdisease/about/index.htm#risks

In paragraph form:

1. Provide at least two (2) complications of uncontrolled hypertension and diabetes.

2. Provide at least two (2) risk factors that may contribute to Lenora’s development of hypertension (see Appendix J: Body Mass Index (BMI) of your textbook)

3. Describe what is HbA1C and how is it used to monitor diabetes? (see Chapter 20, page 564 of your textbook).

4. Discuss what dietary counseling will Lenora need to control her hypertension and diabetes? Provide at least two (2) examples.

 

Discussion 7 (Cancers & HIV)

While cancers and human immunodeficiency virus (HIV) are different diseases, they both have debilitating effects that influence nutritional needs – and if nutritional needs are not met, both advanced stages of cancer and HIV can lead to severe body wasting. Cancer and HIV require highly individualized nutrition therapy.

After studying 

Module 7: Lecture Materials & Resources
, answer the following:

Navigate to HIVinfo by the NIH.gov: 

https://hivinfo.nih.gov/understanding-hiv/fact-sheets/hiv-and-nutrition-and-food-safetyLinks to an external site.
 – read the webpage and scroll to Healthy Living with HIV.

1. Describe how foods may affect HIV treatment (provide at least 2 examples).

2. Explain how to prevent opportunistic infections through their diet in people living with HIV.

3. Describe the type of cancer frequently associated with HIV and explain how this cancer’s symptoms may cause anorexia on those with HIV (see page 663 in your textbook).

   

Address the following Short Answer prompts questions:- 

1. In 4 or 5 sentences, describe the anatomy of the basic unit of the nervous system, the neuron. Include each part of the neuron and a general overview of electrical impulse conduction, the pathway it travels, and the net result at the termination of the impulse. Be specific and provide examples.

2. Answer the following (listing is acceptable for these questions):

o What are the major components that make up the subcortical structures?

o Which component plays a role in learning, memory, and addiction?

o What are the two key neurotransmitters located in the nigra striatal region of the brain that play a major role in motor control?

3. In 3 or 4 sentences, explain how glia cells function in the central nervous system. Be specific and provide examples.

4. The synapse is an area between two neurons that allows for chemical communication. In 3 or 4 sentences, explain what part of the neurons are communicating with each other and in which direction does this communication occur? Be specific.

5. In 3–5 sentences, explain the concept of “neuroplasticity.” Be specific and provide examples.

References:

 

• Stahl, S. M. (2021). Stahl’s essential psychopharmacology: Neuroscientific basis and practical applications (5th Ed.) Cambridge University Press.
  • Chapter 1, “Chemical Neurotransmission”  (pp. 1-28)

HUM 1050 – Introduction to Literature

Unit 4 Discussion (9/25-10/1) Evaluating Film

For this discussion, you should view the film 
Away from her (Egoyan et al., 2006). This week we will use the Munro short story “The bear came over the mountain? (2013) as the criteria against which to evaluate the film 
Away from her (Egoyan et al., 2006). You will be making a judgment based on the evidence from the story and the film to evaluate how well the film depicts the story and how well the story and the film depict Alzheimer's. 

· Do you think the film accurately depicts the characters in the short story?

· Do you think that the film justifies the themes of the story?

· Does the film accurately depict Alzheimer's?

· Does the film present as overly sentimental?

· Do you prefer the film or the short story? 

You should DO THREE SEPARATE POSTS ON THIS CONTENT ACTIVITY

References

Egoyan, A. Hirst, V., Iron, D. Mankoff, D. Urdl, S. Weiss, J. (Producers), & Polley, S. (Director). (2006).

Away from her. [Motion picture]. Canada: Foundry Film

Munro, A. (2013, Oct 21). The bear came over the mountain. 
The New Yorker.

https://www.newyorker.com/magazine/2013/10/21/the-bear-came-over-the-mountain-2

All citations from the film should be: (Egoyan et al., 2006).

Add timestamp number to citations with direct quotes from the film.

Add a para. number to citations with direct quotes from the story. 

All students are expected to contribute meaningful discussion related to the discussion topic of cultural diversity.  The term “cultural diversity” can also refer to having different cultures respect each other’s differences. Please answer and discuss the following questions.

• What is culturally sensitive nursing care?
• How do you assess culture in nursing?
• How can nurses improve/nurture diversity?

On-line etiquette and respect is expected! Plagiarism will not be tolerated. The student must document the use of sources per APA 7th edition guidelines. See Discussion Rubric under DQ content tab for grading requirements. I have also attached a link with the Rubric directly in the discussion question. 

1 Initial post due: 11/3/23 9:00pm 

• Initial post 300 word minimum; 2 scholarly reference minimum within 5 yrs

REGULATION FOR NURSING PRACTICE STAFF DEVELOPMENT MEETING

Nursing is a very highly regulated profession. There are over 100 boards of nursing and national nursing associations throughout the United States and its territories. Their existence helps regulate, inform, and promote the nursing profession. With such numbers, it can be difficult to distinguish between BONs and nursing associations, and overwhelming to consider various benefits and options offered by each.

Both boards of nursing and national nursing associations have significant impacts on the nurse practitioner profession and scope of practice. Understanding these differences helps lend credence to your expertise as a professional. In this Assignment, you will practice the application of such expertise by communicating a comparison of boards of nursing and professional nurse associations. You will also share an analysis of your state board of nursing.

Resources:

· Milstead, J. A., & Short, N. M. (2019). 
Health policy and politics: A nurse's guide (6th ed.). Jones & Bartlett Learning.

· Chapter 4, “Government Response: Regulation” (pp. 57–84)

· American Nurses Association. (n.d.). 


ANA enterprise

Links to an external site.
. Retrieved September 20, 2018, from http://www.nursingworld.org

· Bosse, J., Simmonds, K., Hanson, C., Pulcini, J., Dunphy, L., Vanhook, P., & Poghosyan, L. (2017). 

Position statement: Full practice authority for advanced practice registered nurses is necessary to transform primary careLinks to an external site.
. 
Nursing Outlook, 65(6), 761–765.

· Halm, M. A. (2018). 

Evaluating the impact of EBP education: Development of a modified Fresno test for acute care nursing


 Download Evaluating the impact of EBP education: Development of a modified Fresno test for acute care nursing
. 
Worldviews on Evidence-Based Nursing, 15(4), 272–280. doi:10.1111/wvn.12291

·

National Council of State Boards of Nursing (NCSBN)Links to an external site.
. (n.d.). Retrieved September 20, 2018, from https://www.ncsbn.org/index.htm

· Neff, D. F., Yoon, S. H., Steiner, R. L., Bumbach, M. D., Everhart, D., & Harman J. S. (2018). 

The impact of nurse practitioner regulations on population access to careLinks to an external site.
. 
Nursing Outlook, 66(4), 379–385.

· Peterson, C., Adams, S. A., & DeMuro, P. R. (2015). 

mHealth: Don’t forget all the stakeholders in the business caseLinks to an external site.
. 
Medicine 2.0, 4(2), e4.

To Prepare:

· Assume that you are leading a staff development meeting on regulation for nursing practice at your healthcare organization or agency.

· Review the NCSBN and ANA websites to prepare for your presentation.

The Assignment: (8- to 9-slide PowerPoint presentation)

Develop a 8- to 9-slide PowerPoint Presentation that addresses the following:

· Describe the differences between a board of nursing and a professional nurse association.

· Describe the board for your specific region/area.

· Who is on the board?

· How does one become a member of the board?

· Describe at least one state regulation related to general nurse scope of practice.

· How does this regulation influence the nurse’s role?

· How does this regulation influence delivery, cost, and access to healthcare?

· If a patient is from another culture, how would this regulation impact the nurse's care/education?

· Describe at least one state regulation related to Advanced Practice Registered Nurses (APRNs).

· How does this regulation influence the nurse’s role?

· How does this regulation influence delivery, cost, and access to healthcare?

· Has there been any change to the regulation within the past 5 years? Explain.  

· Include Speaker Notes on Each Slide (except on the title page and reference page)

Submit your Regulation for Nursing Practice Staff Development Meeting Presentation.