Answered: Address at least three teaching areas…

Science

Nursing

Address at least three teaching areas that are a priority for Mr. Shaw and his health status?

Nutrition Now

8th Edition

ISBN:9781337415408

Author:Brown

Publisher:Brown

Chapter12: Useful Facts About Sugars, Starches, And Fiber

Section: Chapter Questions

Problem 18RQ

See similar textbooks

Similar questions

Eugene Shaw, 87-years-old, is a retired illustrator and former Marine who served in the Korean War. He and Nancy, his wife of 59 years, live in the city. Gene has had cold sensitization and nocturnal pain in his lower limbs and hands since trench foot, acquired in Korea, required amputation of several toes. He has hypertension, osteoarthritis, and Type 2 Diabetes. He is overweight, and he smokes and drinks. Chronic leg pain and ulcerations brought Eugene to the hospital. How would you apply the concept of oxygenation to Mr. Shaw, considering his health history?
Your patient is a 2-year-old male named Justin. He is suffering from hypotonia (decreased muscle tone), weakness and growth failure, and is unable to walk. His mother has just brought him into the emergency room from the family beach house, where they have been spending the summer, because he has had a seizure. X-rays indicate that the toddler is suffering from rickets, which is a result of a nutritional deficiency of Vitamin D. But his mother insists that her son’s diet is not Vitamin D-deficient. He drinks three glasses of milk a day, and his diet also includes meat and eggs. A simplified scheme of Vitamin D metabolism is shown to the left. The chemical name of active Vitamin D is 1α, 25-dihydroxycholecalciferol, and it is synthesized via the pathway shown. Catalysts, both in the form of enzymes and ultraviolet light, are required for Vitamin D synthesis. The two main sources of active Vitamin D are diet and sunlight. Food supplemented with “Vitamin D” usually contains…
Topic: Fred Davis is a 52 - year old overweight male who is complaining of tiredness and blurred vision. He says that for the last two weeks, he's been very hungry and very thirsty, but despite eating more, he has lost 8 pounds. He also mentions that he has been urinating more frequently. When asked, he mentions that his paternal grandfather suffered from heart disease and diabetes. Blood tests show blood glucose of 190 mg / dL. Question: Treatments and / or cures: (include frequency, duration, amounts, etc.)
Scenario Mr. and Mrs. Barnum is a retired couple living in a large house in an affluent neighborhood in central Minnesota. Mr. Barnum, 86 years old, is a retired naval officer who is orderly, controlling, and very "set in his ways." He suffers from hearing loss and severe back pain for which he takes strong pain medication. Mrs. Barnum, 80 years old, always has been a housewife and caregiver for the family. After several bouts of cancer she is weak and frail. Though quite well off financially, Mr. and Mrs. Barnum have always lived a very private and isolated life with no real support network. They have had a long-standing dispute with their immediate neighbor and are suspicious of the "newcomers" on the block. No family members live nearby except their grandson Bob. Bob is a 37 year old divorcee and always "between jobs." He is estranged from his parents and siblings. He used to occasionally stop by and do odd jobs around his grandparent’s home, but he spends most of his free time…
What are some signs and symptoms of the following picture?... Absolutely answer fast.
Scenario: You are working in an outpatient clinic where you meet a 34-year-old married mother of two small children who is seeing the doctor for numbness and tingling in her right leg. Over the next 6 months, she has critically high glucose levels, she doesn't take her medication, and the provider is significantly concerned. She continues to have numbness and tingling that migrate from her left hip, leg, and foot. The physician orders scans of her leg and lower spine. Each scan is negative. She continues to have pain and numbness and tingling in her neck, back, and legs. During her most recent visit, the provider orders a scan of her thoracic spine and right knee. One week later, the patient e-mails the provider that while the knee scan was completed, no one has contacted her about the other scan. The nurse checks the record and responds, "My bad.... I missed it.... I'll order it now." The next day the patient unexpectedly appears at the clinic, where you observe her staggering at the…
"My daughter, Hannah, has been pestering me about changing the way we eat and getting more exercise. She says she is just trying to lose weight, but ever since I learned I have type 2 diabetes I know she's been worried about me. What I didn't realize until last night is that she is worried about herself, too. All through dinner she was really quiet: then suddenly she says, 'Mom, I had my fasting blood sugar tested at the health center, and guess what? They said I have pre-diabetes since my glucose level was 188 mg/dl. They told me that's the first step towards diabetes and that, if I didn't make some serious changes, I would end up just like my mom. I am not sure why but, it made me nervous.’ (Judy takes a deep breath and then tells the nutritionist) “So, I guess we both need to change some things when it comes to eating and exercising. Trouble is, I don't really know where to start." Due to the pandemic, they stay home and are mostly eating canned or frozen foods. Judy primarily cooks…
1. Madame. BA 62 years, premenopausal, does not smoke and never drinks alcohol. Since being diagnosed with hypertension, Mrs. BA started a diet and aerobic routine and managed to lose 10 kg in 18 months. His current weight is 72 kg with a height of 165 cm. Blood pressure 150/94 mmHg. All laboratory tests were normal except for the lipid profile. Mrs. BA has a problem with her medical expenses. Mrs.BA started buying over-the-counter medications like Vitamin D, and wanted to start taking Hydrochlorothiazide 25 mg/day. A. Hydrochlorothiazide should be given to Mrs. BA? Explain your answer! After 4 weeks of taking Hydrochlorothiazide 25 mg/day, there were no complaints from Mrs. BA and always on a diet. The results of the current blood pressure examination are 142/86 mmHg with the result laboratory: Serum potassium 3.8 mEq/L (last month 4.0 mEq/L) urate 7.3 mg/dl (last month 6.8 mEq/L) Glucose 99 mg/dl (last month 95 mg/dl) B. Your assessment regarding the efficacy and toxicity of…
SCENARIO: ST, is a 23-year old man with a 10 year history of type 1 diabetes presents to the hospital Emergency Medical Department with symptoms of nausea, vomiting, myalgia, polydipsia, and polyuria for almost 2 days. 3 days ago, he went to a party and drank an excessive amount of alcohol. He woke up the next day and complains “sick to his stomach”. He vomited 6 times since then, and is unable to keep any food or drink down. He stopped taking insulin. Currently he has headache. He denies chest pain, cough, fever, upper respiratory symptoms, and abdominal pain. ST has been hospitalized due to DKA. He was also diagnosed with depression for 3 years and allergic rhinitis for 5 years. He doesn’t have a family history of diabetes. His mother committed suicide. He smokes approximately 1/2 pack per day and drinks alcohol socially. He denies IV drug abuse. He works for his father. He stated that he does not follow a diabetic diet. Medications: Humulin 70/30 insulin, 30 U SC q AM…
Samuel Dexter is a 52-year-old African-American man who is both a husband and father. He is moderately obese (BMI of 32), and has smoked two packs of cigarettes a day for the past years. He awakes one morning with weakness on his right side. He is a bit confused, sees double, and his speech is slurred. When he attempts to walk to the bathroom, he stumbles a few times and falls once. His wife suspects that he has suffered a stroke and calls 911. Emergency personnel arrive within minutes of her call and transport Samuel to the emergency room of the nearest hospital. Upon examination by the emergency room physician, Samuel is found to have right hemiparesis and diminished pinprick and two-point discrimination on the right side of his head and arm. His deep tendon reflexes are brisk on the right and there is a positive Babinski reflex on the right. He has difficulty articulating answers to the questions he is asked, speaking only a few words and frequently responding with just a verb or…
Samuel Dexter is a 52-year-old African-American man who is both a husband and father. He is moderately obese (BMI of 32), and has smoked two packs of cigarettes a day for the past years. He awakes one morning with weakness on his right side. He is a bit confused, sees double, and his speech is slurred. When he attempts to walk to the bathroom, he stumbles a few times and falls once. His wife suspects that he has suffered a stroke and calls 911. Emergency personnel arrive within minutes of her call and transport Samuel to the emergency room of the nearest hospital. Upon examination by the emergency room physician, Samuel is found to have right hemiparesis and diminished pinprick and two-point discrimination on the right side of his head and arm. His deep tendon reflexes are brisk on the right and there is a positive Babinski reflex on the right. He has difficulty articulating answers to the questions he is asked, speaking only a few words and frequently responding with just a verb or…
What are Bruces options at this point? Bruce and his parents moved to a semi-tropical region of the United States when he was about 3 years old. He loved to be outside year-round and swim, surf, snorkel, and play baseball. Bruce was fair-skinned, and in his childhood years, was sunburned quite often. In his teen years, he began using sunscreens, and although he never tanned very much, he did not have the painful sunburns of his younger years. After graduation from the local community college, Bruce wanted an outdoor job and was hired at a dive shop. He took people out to one of the local reefs to snorkel and scuba dive. He didnt give a second thought to sun exposure because he used sunscreen. His employer did not provide health insurance, so Bruce did not go for annual checkups, and tried to stay in good health. In his late 20s, Bruce was injured trying to keep a tourist from getting caught between the dive boat and the dock. He went to an internist, who treated his injury and told Bruce he was going to give him a complete physical exam. During the exam, the internist noticed a discolored patch of skin on Bruces back. She told him that she suspected Bruce had skin cancer and referred him to a dermatologist, who biopsied the patch. At a follow-up visit, Bruce was told that he had melanoma, a deadly form of skin cancer. Further testing revealed that the melanoma had spread to his liver and his lungs. The dermatologist explained that treatment options at this stage are limited. The drugs available for chemotherapy have only temporary effects, and surgery is not effective for melanoma at this stage. The dermatologist recommended that Bruce consider entering a clinical trial that was testing a DNA vaccine for melanoma treatment. These vaccines deliver DNA encoding a gene expressed by the cancer cells to the immune system. This primes the immune system to respond by producing large quantities of antibodies that destroy melanoma cells wherever they occur in the body. A clinical trial using one such DNA vaccine was being conducted at a nearby medical center, and Bruce decided to participate. At the study clinic, Bruce learned that he would be in a Phase Ill trial, comparing the DNA vaccine against the standard treatment, which is chemotherapy, and that he would be randomly assigned to receive either the DNA vaccine or the chemotherapy. He was disappointed to learn this. He thought he would be receiving the DNA vaccine.