week 10 project
I attached the week 10 project. I have attached my week 5 Project. around 5-6 pages i need.
This week, you will complete work on the course project you began in Week 5, by submitting a nutritional care plan for the client associated with your case to the Submissions Area by the due date assigned.
NTR2050 Course Project
Nutritional Care Plan
For this project, you will identify a case study and then develop a nutritional care plan for the client associated with that case. You should begin working on your project in advance of Week 5 as you construct the details of your case. The completed nutritional care plan for your client is due in Week 10.
Please read this entire document to gain understanding of the project scope and those tasks you will complete. This project will take you several weeks to complete. Do not delay beginning the work on this project. When you have completed each part of the project, please submit to the appropriate drop box as a Word document.
Project tasks to be completed in Week: 5
Task 1:
Choose from one of the following stages: pregnancy, infancy and childhood, adolescence, adulthood, and old age.
List the specific nutrition issues affecting individuals in your selected stage.
Task 2:
Choose a disease or medical condition that could possibly, or commonly, affect your individual. This could be anything ranging from diabetes to cirrhosis.
Using the ABCDs of nutritional assessment, create a case study based on an actual client or patient. You can also make one up. Include the following in your case study:
Anthropometrics, relevant biochemical tests, clinical assessment, and dietary intake analysis.
Be sure to include a list of common medications that may be used to treat your patient’s condition and identify potential herb/nutrient/drug interactions that may be relevant.
Identify your client’s cultural background and give clues as to their socioeconomic status and psychosocial variables. For example, your patient may be a senior living alone on a fixed income or might be living in a nursing facility with reputed staff.
Project tasks to be completed during Weeks 610 (due during Week 10):
Task 1:
Create a nutritional care plan for your client. This will include an evaluation of nutritional risk, a list of interventions, and a list of expected outcomes.
List the goals of medical nutrition therapy for your patient and suggest an appropriate diet. Does your patient/client require a dietary modification of their regular diet? Are enteral feedings by tube necessary? If so, what formula will you use and why? Describe your recommended method of administration.
Task 2:
Describe your nutrition education teaching session with your patient and/or their family. What teaching methods will you use (explanation, discussion, demonstration, handouts, etc.)? In your own words, write a paragraph detailing three specific points that you will need to teach your patient about his/her new diet. In addition, give at least one tip to avoid potential herb/nutrient/drug interactions.
Submission Details:
Name your document SU_NTR2050_W10A2_LastName_FirstInitial.doc.
Submit this assignment to the Submissions Area by the due date assigned.
Running head: NUTRITIONAL CARE PLAN 1
NUTRITIONAL CARE PLAN 2
Nutritional Care Plan
NTR2050 Nutrition SU01:
Pregnancy stages form the basis for this paper. Pregnancy is a period between baby formation and delivery and is a crucial period because it demands a lot of observation from the pregnant woman. The expectant mother goes through some challenges more so in her first trimester. Some of these challenges can be managed locally at home, while others demand medical attention (Beckhaus et al. 2015). Pregnant mothers also face nutritional related problems, some of which tend to be mild, yet others are acute. These problems, however, vary from one mother to another. It is therefore of importance that mothers have a guided diet by a doctor or nutritionist. The typical nutritional issue affecting pregnant mothers include the following.
Frequent heartburn
It is a burning feeling at the stomach part. The condition mainly happens due to the release of placenta hormones reclined at the sphincter of esophageal and which hinders food from entering the esophagus (Beckhaus et al. 2015).
Morning sickness
It mostly happens at the end of the second trimester of pregnancy and is triggered by eating habits. In efforts to control this condition, Many clinicians recommended frequent meals within a day but in small portions.
Pica
The lack of a proper diet causes the condition. It is the craving for unfood staffs (Ho et al. 2016). Though the situation is not known well, it affects a lot of people.
Constipation
It mostly occurs in the third trimester and occurs due to the decrease in muscle activities (Ho et al. 2016). To manage the condition, the patient needs to increase the intake of high fiber food, vegetables, and fruits.
Gestational diabetes
The issue occurs when pregnancy hormones open parking at the front. The condition calls for balanced diet feeding behavior and close monitoring of sugary foods such as carbohydrates.
Mary’s case study
The history of the patient revealed previously developed heartburn commonly associated with a poor diet. She had continuous cravings for the fatty and fried foods which she consumed in large amounts leading to the failure of the digestion system (Ho et al. 2016). The patient was Mary, a 29-year-old first-time expectant mother who stayed in the marriage for only two years. This was the perfect time for Mary and her husband to have a baby, but the excitement made her develop cravings for some abnormal food staff. The foods, mainly craved are fries and fatty foods. Mary’s BMI before pregnancy ranged between 18.5-24.9 after pregnancy, she recorded a gain of 40 pounds and a height of 163.3 cm. Something was wrong as there was evidence of variations that suggested that she was gaining more weight (Beckhaus et al. 2015). The lab tests were as follows:
Test
Nonpregnant (mg/dL)
Pregnancy Effect
Fibrinogen
260 mg/dL
1.5x increase
plasma
3.5mEq/L
0.2mEq/L decrease
Glucose, fasting
72 mg/dL
10% decrease
Ttotal Protein
68.5 g/dL
1 g/dL decrease
The skin of this expectant mother showed a high number of fat deposits, and there existed an imbalance in her waist to hips ratio. Although biochemical test results revealed no significant abnormality, the results of the clinical assessment showed blocking of her vital blood arteries, which form the basis for her heart complications. Lifestyle is the central cause of her.
Basic heart prescription will be the best treatment for Mary, but due to her status, most drugs could negatively affect the baby hence leading to a more severe effect. Therefore, beta-blockers remained the only drug to treat her condition. This is because pregnancy affects how liver and kidney process medicines. After Consultation with pediatricians, cardiac doctors, general doctors, and nutritionists, It was agreed that her solution to her problem is lifestyle change (Beckhaus et al. 2015). It consisted of enrollment into exercise programs and a change of diet. Joining the two triggered some positive change within two weeks. Three months later, her health significantly improved, and she was now ready to go to labour. After successful delivery, Mary began heart medication to completely solve her problem (Vrijkotte et al. 2015). Among the prescribed drugs for her condition include; Warfarin sodium, Clopidogrel bisulfate (Plavix), and Clopidogrel bisulfate (Plavix) (Vrijkotte et al. 2015).
Although the husband of Mary remained supportive throughout her pregnancy live, she still experienced stress triggered by physical body change. Being a child born in a middle class and grown up in the same environment, this played a significant part in shaping her attitude and character. It forms the main reason why she developed nervousness mostly by interacting with other children in her childhood. This problem extended to the time she was taking care of her pregnancy.
Reference
Ho, A., Flynn, A. C., & Pasupathy, D. (2016). Nutrition in pregnancy.Obstetrics, Gynaecology & Reproductive Medicine,26(9), 259-264.
Beckhaus, A. A., GarciaMarcos, L., Forno, E., PachecoGonzalez, R. M., Celedn, J. C., & CastroRodriguez, J. A. (2015). Maternal nutrition during pregnancy and risk of asthma, wheeze, and atopic diseases during childhood: a systematic review and metaanalysis.Allergy,70(12), 1588-1604.
Oostvogels, A. J., Busschers, W. B., Spierings, E. J., Roseboom, T. J., Gademan, M. G., & Vrijkotte, T. G. (2017). Pre-pregnancy weight status, early pregnancy lipid profile and blood pressure course during pregnancy: The ABCD study.PloS one,12(5), e0177554. (Oostvogels et al. 2017
Vrijkotte, T. G., van den Born, B. J. H., Hoekstra, C. M., Gademan, M. G., van Eijsden, M., de Rooij, S. R., & Twickler, M. T. (2015). Cardiac autonomic nervous system activation and metabolic profile in young children: the ABCD study.PLoS One,10(9), e0138302.
