Nutrition/ Core Nutritional Science Assignment/no plagiarism/deadline close

PLS CHECK ATTACHMENT

DNT 200 — NUTRITION FOR HEALTH SCIENCES

STUDY GUIDE 6: ENERGY METABOLISM AND WEIGHT CONTROL

Directions. Using Chapters 7, 8, and 9 of your textbook as a reference, answer the following questions. Please include the questions with your answers. Be sure to put your name on your document. Your answers should be thoughtful, complete, and in Standard English. Credit will not be given for answers copied from online sources.

1. Define the following

Acetyl CoA

Adaptive Thermogenesis

Aerobic

Amenorrhea

Anabolism

Anaerobic

Anorexia nervosa

Appetite

ATP (adenosine triphosphate)

Bariatric

Basal Metabolic Rate (BMR)

Basal metabolism

Behavior Modification

Binge eating disorder

Body composition

Body Mass Index

Bomb Calorimeter

Brite adipocytes

Brown Adipose Tissue

Bulimia nervosa

Catabolism

Cathartic

Central Obesity

Clinically severe obesity

CoA

Coenzymes

Cori cycle

Coupled reactions

Disordered eating

Eating disorders

Ectopic fat

Electron transport chain

Emetic

Endoscopic procedures

Energy balance

Enzymes

Fad Diets

Female athlete triad

Fuel

Gastric aspiration

Gene pool

Ghrelin

Gluconeogenisis

Glycolysis

Hunger

Hyperplastic Obesity

Hypertrophic Obesity

Hypothesis

Inflammation

Insulin Resistance

Intragastric balloon

Ketoacid

Ketone bodies

Lactate (in the context of energy metabolism)

Lean Body Mass

Leptin

Leptin resistance

Lipoprotein lipase (LPL)

Metabolic syndrome

Metabolism

Mitochondria

Muscle dysmorphia

Neuropeptide Y

Normal-weight obesity syndrome

Obese

Obesogenic environment

Orthorexia nervosa

Overweight

Photosynthesis

Physiological fuel value

Pyruvate

Relative energy deficiency in sport (RED-S)

Resting Metabolic Rate (RMR)

Satiating

Satiation

Satiety

Set Point

Stress fractures

Subcutaneous Fat

Successful weight-loss maintenance

TCA cycle

Thermic Effect of food (TEF)

Thermogenesis

Underweight

Visceral Fat

Waist circumference

Weight cycling

Weight management

2. Your friend Tiffany is taking a nutrition course at another local community college. She is having difficulty understanding the unit about the energy yielding pathways of carbohydrate, protein, and fat. Help her by discussing how the basic units of carbohydrate, protein, and fat are utilized in energy pathways to produce energy. Be thorough. Include their differences and similarities?

3. Tina W. is a 44 year old white female who has tried a number of weight-loss programs to include very strict diets. She has never exercised in her previous weight loss attempts. She takes several cardiac medications, none of which she can remember. She is 5’9” and weighs 195 pounds. Her lowest body weight was 135 pounds, when she was 30 years old. (She was able to maintain that weight for two years.) Her blood pressure is high, at 160/90. Tina mentioned that she tried numerous diets as a teenager when she weighed 170 pounds for 3 years.

a. Using the formulae  in your text book, calculate Tina’s:

1. BMR (Hint: Be sure to read note b in the BMR column of Table 8-1). What is the meaning of your calculation?

2. Estimated Energy Requirements. Assume a sedentary activity level. What is the meaning of your calculation?

Show your work for both questions.

b. What types of exercise would you be likely to discuss with Tina?

c. What would be the goals of her treatment?

4. Determine your BMI. Is your BMI in a healthy range? If not, why not? Do you believe that measuring body fat percentage may more accurately reflect your body composition? Briefly discuss each body composition measure (e.g. skinfold calipers, bioelectrical impedance analysis, etc.) and discuss why measuring body fat is important in assessing a client’s overall health status.

5. Select one fad diet from any popular publication or online source. Using the ‘How To H9-1’ Box for Identifying a Fad Diet or Other Weight-Loss Scam (Highlight 9, page 291) of your textbook, evaluate the diet.

6. List and briefly explain the four main components of energy expenditure?

7. Kristin B. , like many Americans is overweight. Kristin is 43-year-old and a mother of two. She has gained 40 pounds since the birth of her youngest child five years ago. She is 64 inches tall and weighs 170 pounds with a BMI of 29.2. Her waist circumference is 37 inches. Kristin can’t figure out why it is so hard to lose weight and keep it off.

Kristin decides something must be wrong with her to be such a dieting failure. Maybe she just doesn’t have sufficient willpower or maybe she has abnormal metabolism. She feels tired most of the time and has very little energy. She is very busy with her children and has a demanding job as a middle school teacher. Kristin tries to cook healthy meals for her family but is often too tired or stressed to bother, so she stops to get some fast food on her way home. To make matters worse, her seven year-old son recently came home from school and said the kids were teasing him for being fat.

Kristin’s father recently died from complications of type 2 diabetes. At her last medical checkup, her blood pressure was mildly elevated but all of her laboratory blood tests were normal.

Kristin decides it is time to make some changes for her entire family but she doesn’t know quite where to start. She hopes she can help her son by finding a diet that works for him. Complicating the problem is the fact that Kristin’s husband doesn’t have a weight problem. Knowing that you are studying nutrition, Kristin decides to ask you for advice.

a. Based on her health history and physical measurements, describe how you would determine the seriousness of Kristin’s weight gain in relation to her health.

b. Using the information in chapter 9, what would you estimate to be a reasonable amount of weight for Kristin to lose over the next six months?

c. What are some advantages for Kristin of keeping a food and exercise record? What other habits besides food intake and physical activity may be especially useful for Kristin to record?

d. You advise Kristin to limit her daily caloric intake to 1,400 kcalories. Use Table 9-3 to plan one day of meals and snacks to meet her nutritional needs within this calorie level. Use the chart below (one row is already completed):

Pattern (e.g.    fruit, vegetables, grain, etc.) – from Table 9-2

check attachment for table

As a nurse, you can have a great impact on the success or failure of the adoption of EHRs. It is important for nurses to understand their role as change agents and the ways they can influence others when addressing the challenges of changing to a drastically different way of doing things.

Everett Rogers, a pioneer in the field of the diffusion of innovations, identified five qualities that determine individual attitudes towards adopting new technology (2003). He theorized that individuals are concerned with:

· Relative advantage: The individual adopting the new innovation must see how it will be an improvement over the old way of doing things.

· Compatibility with existing values and practices: The adopter must understand how the new innovation aligns with current practices.

· Simplicity: The adopter must believe he or she can easily master the new technology; the more difficult learning the new system appears, the greater the resistance that will occur.

· Trialability: The adopter should have the opportunity to “play around’ with the new technology and explore its capabilities.

· Observable results: The adopter must have evidence that the proposed innovation has been successful in other situations.

Note: You are not required to purchase Rogers’ book or pursue further information regarding his list of five qualities. The information provided here is sufficient to complete this Assignment. The full reference for Rogers’ work is provided below the due date on this page.

For this Assignment, you assume the role of a nurse facilitator in a small hospital in upstate New York. You have been part of a team preparing for the implementation of a new electronic health records system. Decisions as to the program that will be used have been finalized, and you are now tasked with preparing the nurses for the new system. There has been an undercurrent of resistance expressed by nurses, and you must respond to their concerns. You have a meeting scheduled with the nurses 1 week prior to the training on the new EHR system. Consider how you can use the five qualities outlined by Rogers (2003) to assist in preparing the nurses for the upcoming implementation.

To prepare

· Review the Learning Resources this week about successful implementations of EHRs.

· Consider how you would present the new EHR system to the nurses to win their approval.

· Reflect on the five qualities outlined by Rogers. How would addressing each of those areas improve the likelihood of success?

Write a 3- to 5-page paper which includes the following:

· Using Rogers’ (2003) theory as a foundation, outline how you would approach the meeting with the nurses. Be specific as to the types of information or activities you could provide to address each area and include how you would respond to resistance.

· Analyze the role of nurses as change agents in facilitating the adoption of new technology.

Translating Evidence into Clinical Practice  Choose one evidence-based practice that you see yourself using as a provider in your clinical practice and discuss how it meets the listed benefits.  Why should we, as healthcare providers, use evidence-based practice?  Evidence-based practice benefits: •Leads to highest quality care and patient outcomes •Reduces health care costs •Reduces geographic variations in the delivery of care •Increases healthcare provider empowerment and role satisfaction •Reduces healthcare provider turnover rate •Increases reimbursement from 3rd party payers •Reduces complications and payment denials •Meets the expectation of an informed public  Include 3 evidence-based articles to support your work that are less than 3 years old.  Before finalizing your work, you should: •be sure to read the Assignment description carefully (as displayed above); •consult the Grading Rubric (under the Course Home) to make sure you have included everything necessary; and •utilize spelling and grammar check to minimize errors.  Your writing Assignment should: •follow the conventions of Standard English (correct grammar, punctuation, etc.); •be well ordered, logical, and unified, as well as original and insightful; •display superior content, organization, style; and •use APA 6th Edition format as outlined in the APA Progression Ladder.

I. JOB DESCRIPTION

•   Describe the care/service provided by the healthcare professional, (used correct APA ciations)
•   Describe the limits of authority and responsibility legislated “scope of practice” for this health care career. (used correct APA citations)
•   Describe the “Code of Ethics” for this health care occupation (used correct APA citations) II. EDUCATION /REGISTRATION/CERTIFICATION
•   Describe the requirements for the profession/occupation (using correct APA citations)
•   Identify at least two different types of educational institutions/schools offering the program. (using correct APA citations)
•   State how much time it takes to complete the program (using correct APA citations)
•   Describe the approximate cost for each of the educational institutions required using correct APA citations) (using correct APA citations)
•   What degree or certification that can be earned for this health care career (using correct APA citations)
•   Identify the professional certification or registration required (using correct APA
•   citations) III. EMPLOYMENT
•   What is the job availability for this profession? (using correct APA citations)
•   Growth trends in the field (using correct APA citations)
•   Number of jobs advertised locally for example in the Sunday Herald or other publication (using correct APA citations)
•   Is experience required? explain (using correct APA citations)
•   Salaries – Entry level and with experience (using correct APA citations)
•   Advancement Opportunities, with or without additional education (using correct APA citations)

3

MIAMI DADE COLLEGE MEDICAL CAMPUS HSC 0003, INTRODUCTION TO HEALTH CARE COURSE PROJECT: HEALTH CARE CAREER WRITTEN PAPER GRADING RUBRIC 20% of overall course grade

HSC 0003, Health Care Career Paper (Rev. 2014, PL)

IV. PROFESSIONAL ACTIVITIES

•   Local/State/National Professional Organizations (cost to join as a student) (using correct APA citations)
•   Professional journals with address and cost. (using correct APA citations)
•   Are Continuing Educational Units (CEUs) required for this profession? If so how many and how often (using correct APA citations)
•   Describe ways that members of a professional organization can gain continuing education requirements and earn CEUs (using correct APA citations) V. REFLECTION / PERSONAL CAREER PLAN
•   Reflect on how you see yourself “fitting” into this profession.
•   Describe a personal career plan for you to enter this field. Include goals, objectives and strategies.