Nutritional rationale

Quest. #1: If you were planning to run a marathon, give an example of a day’s food intake on one of your 21 mile training days. Let’s say you were going to do this training run around 5:30 p.m. at the end of your work day.

Include DETAILED protein, carbohydrate, fat and fluid recommendations and timing of meal/snacks. 

Base these recommendations on your current height and weight.  Explain the nutritional rationale for all your suggestions.

Question #2:

What do you think are some of the reasons for the high incidence of eating disorders…bulimia, anorexia, binge-eating disorder, purging disorder, night time eating syndrome?

Internal fixation of the left femur

Case Study: Jimmy, ten years old, was admitted to the pediatric intensive care unit after a fall from the second-story townhome were sustained a fractured left femur and mild head injury. Currently, Jimmy is two days post open reduction internal fixation of the left femur. Orders were updated to transfer Jimmy out of Intensive Care Unit (ICU) after being cleared by the neurologist. He has a long leg cast, indwelling foley catheter and will require neuro checks every two hours.

• What are two priority nursing diagnoses for this child?
• What are the priority nursing interventions for this patient after being transferred from the ICU?
• What are the risks of foley catheter placement?
• Does the patient still require an indwelling foley catheter? Provide a rationale to support your answer.

Respiratory infection

An 8-year-old girl comes to your ambulatory care clinic with complaints of left ear pain for the past 3 days. She had a respiratory infection a week ago. On physical examination, the tympanic membrane is bulging.

Answer the following questions:

1. What else should you ask the client?
2. What teaching would you reinforce to prevent the recurrence of otitis media?
3. What expected outcomes would be specific to this situation?

Needs at least one citation and reference

Interventions should have at LEAST:

3 things you would monitor/reassess,

3 things you would do or action

3 things you would teach your patient

The medication you would administer

Social Determinants of health (SDOH)

Please write a response to the article below using the guidelines-(Using 200-300 words APA format with at least two references. Sources must be published within the last 5 years. There should be a mix between research and your reflections. Add critical thinking in the posts along with research. Apply the material in a substantial way.)

Note: Please do not use material from Course Hero as my instructor checks it. Original material needed please.

Article:

Social Determinants of health (SDOH) impact every human’s quality of life. These include things that are in their environments such as where they live, work, worship, and play. Things such as their economic stability, access to education, access to healthcare, their neighborhood, and their social circle and community will all effect their health outcomes (WHO, 2021). SDOH contributes to disease by hindering a healthy environment such as unsafe housing, transportation, or an unsafe neighborhood. Lack of access to nutritional foods and physical activities can also lead to disease (Khalloug, Schellhammer, 2021).

To have a good health promotion plan one must understand how the chain of infection works and how it is broken. Humans and animals are very common reservoirs for infection. By encouraging a person infected to quarantine we can prevent spread of an infection. This is the best way to break the cycle of infection. Washing hands, covering coughs and sneezes, and practicing good hygiene can also help to decrease infection spread and break the chain of infection (GCU, 2018).

References:

Grand Canyon University (Ed). (2018). Community & public health: The future of health care. Retrieved from: https://lc.gcumedia.com/nrs427vn/community-and-public-health-the- future-of-health-care/v1.1/chapter 2 

Khallouq, B. A. B., & Schellhammer, S. S. (2021). Expanding Medical Findings to Include an Explanation of Social Determinants of Health. Respiratory Care, 66(12), 1924–1926. https://doi-org.lopes.idm.oclc.org/10.4187/respcare.09711

WHO. (2021). World Health Organization; WHO. Social Determinants of Health. Retrieved from: https://www.who.int/health-topics/social-determinants-of-health#tab=tab_1

Myasthenia Gravis

MSN570 Week 8 Case Studies

A 30-year-old female presents with muscle weakness and fatigue. Abnormal electromyography testing and a positive acetylcholine receptor antibodies test is reported. Her final diagnosis is Myasthenia Gravis.

1. Describe the normal synaptic transmission at the Neuromuscular Junction (NMJ).

2. Why is the ACh level increased?

3. Explain why the patient with myasthenia gravis cannot generate consistent action potentials in the muscle fiber.

4. Treatment for the patient involves pyridostigmine—what does this drug do and how would it benefit our patient?

An 80-year-old male presents with resolving decubitus, that is now oozing and red. The wound team has been involved. His daughter wants information regarding his skin condition.

1. Describe the phases of wound healing.

2. What is resolution, regeneration and replacement?

3. What is the significance of the oozing and discoloration?

4. What factors impede the healing process and why?

A 65-year-old male presents with a painful left finger, he is unable to bend it and it is significantly swollen. He has a history of osteoarthritis.

1. OA is a disease of articular cartilage and subchondral bone in diarthrodial joints. Explain this.

2. What is the role of osteophytes in OA?

3. How do NSAIDS affect OA?

4. How does weight loss affect OA?

A 6-year-old male fell out of a tree and broke his left ulna.

1. What is the significance of a growth plate?

2. How is bone formed?

3. What is the role of the following bone formation: hormones (GH + sex hormones), Ca2+, stress; low Ca2+ increases PTH.

4. Compare and contrast the various types of fractures.