Assignment: Nutrition Care Plan for COPD Unit outcomes addressed in this Assignm

/in /by

Assignment: Nutrition Care Plan for COPD
Unit outcomes addressed in this Assignment:
· Explain the impact that ventilator support has on a person’s nutritional requirements.
· Explain the role that dietary intake plays in the management of COPD.
Course outcome(s) addressed in this Project:
NS335-3: Create a nutrition care plan for a specific disease state using the nutrition care process.
NS335-6: Choose the appropriate type of nutrition support for a patient who is unable to consume a normal oral diet.
Instructions:
Review the following case study details for a patient with COPD and respiratory failure:
Mr. C is a 72-year-old male who was admitted to the hospital complaining of shortness of breath. Mr. C has a complicated medical history that includes: COPD, HTN, depression, obesity, and sleep apnea. Mr. C has smoked since the time he was a teenager. He is a retired auto-mechanic and is married to his wife, Mrs. C. Mr. C is 5’10″ and 240 pounds. He has been instructed to follow a heart healthy diet and to lose weight, but his wife reports that he is non-compliant with any dietary therapy. He is currently taking a diuretic, a blood pressure medication, and an antidepressant, and he uses an inhaler when SOB (shortness of breath). The patient uses a breathing mask at night due to his sleep apnea history. His wife reports that she recently bought him a special multi-vitamin containing omega 3 fatty acids. It is designed to help older men’s hearts and other medical issues.
Upon admission to the hospital, Mr. C’s respiratory status declines, and the ER physician decides to intubate the patient in order to deliver proper oxygenation. The MD also starts the patient on IV fluids consisting of NS (normal saline) for hydration. While on ventilator support, the patient is sedated and is unable to talk or consume an oral diet. The medical chart notes from the pulmonologist reveal that there are no immediate plans to extubate the patient (wean from the ventilator). Currently, the laboratory lab values of the patient are all within normal limits (WNL). However, upon admission and before vent support was initiated, his labs were abnormal. Some affected lab values were: CO2, BUN/Cr, pH, and Na. The patient has had an NPO (nothing by mouth) diet order status for 4 days and has only received IV fluids for intake. The nursing notes reveal that he has normal urine output and bowel sounds are present and normal.
As a nutrition professional working at this hospital, you are to start the nutrition care process on this patient. Your hospital has a protocol to see all patients that have NPO diet orders and/or are on the ventilator for more than 4 days. You have NOT received a doctor’s consult for a tube feeding (enteral) order; however, it is imperative that this patient is assessed and appropriate nutrition recommendations are made.
For this Assignment, you will write a descriptive essay concerning COPD. The essay will include a detailed definition and explanation of COPD. The patient’s personalized ADIM/E chart note (nutrition care plan) should include an appropriate nutrition intervention based on the patient’s current nutritional problem (nutrition diagnosis). You MAY use the ADIM/E Chart Note TEMPLATE located in Course Resources.
This descriptive essay should include the following:
1. Describe COPD, its risk factors, and its common treatments.
2. Explain Mr. C’s current status. Describe why he was intubated and how vent support can impact a patient.
3. What are the nutrition therapy goals for a patient with COPD receiving vent support?
4. What are your specific nutrition therapy recommendations for Mr. C while he is on ventilator support? Include estimated calorie and protein requirements and the method(s) for how he should receive these nutrients (enteral, parenteral, or oral diet/supplements). You do not need to include details of specific brands, amounts/serving sizes and/or infusion rates.
5. When the condition of the patient improves and he is taken off the vent, what are your recommendations for nutrition therapy for Mr. C upon discharge from the hospital? What are specific diet plans, oral drink supplements, or vitamin/herbal therapies that may benefit Mr. C? Appendix: Write a Nutrition Care Plan/Chart note on this COPD patient, addressing the current clinical situation of the patient. Write this note as though you were the nutrition professional caring for this patient in a hospital setting. See the Nutrition Diagnostic Terminology PDF file in Course Resources along with Box 10-2, Table 10-3 and Table 10-4 for examples of nutrition diagnostic (PES) statements. You may utilize/edit the TEMPLATE for the ADIM/E Chart note TEMPLATE available in Course Resources for this section of the assignment. Then, attach your chart note with assignment essay into the dropbox. 
Requirements:
· Your descriptive essay should be written in paragraph format, including an introduction, body, and conclusion. Refer to the structure provided below. The viewpoint and purpose of this essay should be clearly established and sustained.
Your writing should be well ordered, logical and unified, as well as original and insightful. Your work should display superior content, organization, style, and mechanics.
Your writing should:
·  
o Follow the conventions of Standard American English (correct grammar, punctuation, etc.).
o Include a title page and reference page.
o Follow APA style format and citations guidelines, including Times New Roman 12-point font and double spacing. The minimum page requirement is 2 pages not including the title page, reference page, and appendix.
o Include at least 4 references. References may include your textbook, other textbooks, and scholarly websites and journal articles. Use APA style for all citations, including course materials.
o For additional support, utilize the GEL 1.02 Universal Writing Rubric and the Writing Center resources available in the Academic Success Center: Writing Center.
Please organize your essay in the following paragraph format. Please see the Academic Success Center: Writing Center for more information regarding essay and paragraph format.
Section 1: Introductory paragraph(s) (include your response to question 1)
Section 2: Body paragraph(s) (incorporate your response to question 2)
Section 3: Body paragraph(s) (incorporate your response to question 3)
Section 4: Body paragraph(s) (incorporate your response to question 4)
Section 5: Concluding paragraph(s) (incorporate your response to question 5)
Section 6: Appendix: ADIM/E/Chart note. Utilize/edit the TEMPLATE for the ADIM/E Chart note TEMPLATE available in Course Resources for this section of the assignment See the Nutrition Diagnostic Terminology PDF file in Course Resources along with Box 10-2, Table 10-3 and Table 10-4 for examples of nutrition diagnostic (PES) statements.

The post Assignment: Nutrition Care Plan for COPD
Unit outcomes addressed in this Assignm appeared first on homework handlers.

Instructions International trade can have big effects on domestic markets. For b

/in /by

Instructions
International trade can have big effects on domestic markets. For both an import good and an export good (in other words, address each bulleted item below twice—once for import and once for export), describe how opening up to international trade affects the following: 
supply or demand for the particular good, 
the competitiveness of that good’s market, and 
how the change in competitiveness affects equilibrium price and quantity. 
Stepping away from the import/export examples, describe how opening up to trade specifically affects a domestic monopoly. Include an explanation, using game theory, of how even a single additional competitor can lead to a market outcome similar to perfect competition. 
Your essay must be at least three pages in length (not counting the title and references pages) and include at least three peer-reviewed resources. Adhere to APA Style when writing your essay, including citations and references for sources used. Be sure to include an introduction. Please note that no abstract is needed.

The post Instructions
International trade can have big effects on domestic markets. For b appeared first on homework handlers.

The Early Western History

/in /by

(Study Guide)

Section I

Directions: Be able to identify each of the people/objects/places/terms/events below. In a short answer, explain why are they significant and how they influenced Early Western History?

  1. The Epic of Gilgamesh
  2. The Valley of the Kings
  3. Chauvet Caves
  4. Cuneiform
  5. Hammurapi
  6. Lucy
  7. Akhenaten
  8. Neolithic Period
  9. Assyrians
  10. Ur
  11. The Tanakh
  12. Cyrus the Great
  13. Fertile Crescent
  14. Thera
  15. Ötzi
  16. The Phoenicians
  17. Solomon’s Temple
  18. The Stepped Pyramid of Djoser
  19. Zoroastrianism
  20. The Battle of Kadesh

Section II

Directions: Be prepared to answer the following questions. Answer the question completely and include some discussion of primary sources, where appropriate, to support your answer.

  1. What factors spurred the development of written scripts? How did the development of written scripts affect the societies that developed them?
  2. Compare the Neo-Assyrian state and Persian Empire. How did they form different types of states? How did each try to integrate its realms?
  3. Why was the Nile ‘central’ to life in Egypt?
  4. How did the cultures of the Minoans and Mycenaeans contribute to the development of Greece?
  5. Describe the reforms of Akhenaten and discuss his role as a ‘revolutionary’.
  6. Compare the Minoan and Egyptian cultures, particularly in terms of art, architecture, and world view.
  7. Discuss the problems of interpreting Neolithic culture.
  8. Discuss the agricultural and technological revolutions of early humans and their impact on the development of early societies.

Sample Solution

The post The Early Western History appeared first on homework handlers.

The Google Merchandise Store’s quarterly performance

/in /by

It’s the Google Merchandise Store’s quarterly performance meeting, and you’re charged with presenting the website’s Q3 performance to the entire company. To do so, you need to answer the following questions: Is the site meeting its audience’s needs? Is it helping the company sell more Google products? What is it doing well? What is it doing poorly? What recommendations do you have for how the website can improve?
To answer these questions, open
https://datastudio.google.com/reporting/cf2b48dd-8f6b-44fe-a741-cd85c98c72a3
in Google Data Studio. (you can access it by logging in with a Gmail account)
This is a two-page report: The first page is focuses on the site’s content and performance, and the second page focuses on the audience itself. You have three objectives:

  1. Convert this monthly template into a quarterly report. To do that, change the wording and the dates. You should set the date range to July1 to September 30, 2019. (I’ve already done this)
  2. Change at least four metrics/visualizations. Some of the metrics/data visualizations you see aren’t useful for a quarterly performance report. Change at least two metrics/charts/graphs/visualizations per page (so four in total) to ones that are more appropriate for your quarterly performance presentation. This is more about common sense than it is about right or wrong. Think about what you think Google managers need to see in order to understand how their site has been performing for the past three months, and go from there. Do not just change the color or font size/style.
  3. Provide three actionable insights on each page (six total). These should be data-driven recommendations focused on what to change or how to move forward knowing what we know about the site, its content, its performance and its audience.
    Directions
  4. To browse and change metrics, simply click on any chart. To the right, you can edit the metrics the chart displays as well as how it looks. This data pulls directly from Google Analytics, so play around until you find the metrics you want.
  5. Use the data in the report you’ve made to fill in the Insights sections. Again, you must offer three insights on each page. Your insights should be data-driven, clear, specific and actionable. For example: “The products that earn the most revenue earn traffic from Twitter and not very much from Facebook, so we should increase our marketing campaign budget in Twitter and decrease it in Facebook.”
  6. To submit the report and respond to this question, share the link to your report in the field below. To get the report link, click the “Share” button in the top right, then click “Get link.” “Anyone with the link”. Now, click “Copy link”. That’s the link you need to paste below. Make sure the report is set so that it can be accessed by anyone. If I cannot load it, you will not get credit for it.
  7. In your response, write down which metrics/visualizations you changed.

Ientify one audience attribute for which a metric does not currently exist. Why do you think this attribute is important? Why isn’t it currently being measured? How much the lack of an existing metric be affecting our understanding of the media environment?
Important: Draw on topics and/or readings from the previous modules to support your answer.

Sample Solution

The post The Google Merchandise Store’s quarterly performance appeared first on homework handlers.