Clinical Nurtiution health Case Study Example | Topics and Well Written Essays - 1500 words

Clinical Nurtiution wellbeing - Case Study Example In this article, dietary and healthful appraisal of the patient will be performed and the degree of lack of healthy sustenance will be determined dependent on the assessment. Collaborations with other social insurance experts and techniques to handle ailing health will be examined. Dietary and Nutritional Assessment Dietary appraisal has become a vital piece of clinical assessment and nursing evaluation. Great nourishment isn't just significant for forestalling sickness, yet in addition for thorough administration of a patient (Beerman, 2009). Anita takes delicate white bread and peppermint tea for her morning meal. Peppermint tea really contributes towards weight reduction (Wolinsky, 2010). For lunch she takes white bread, margarine and yogurt, yet the yogurt is low-calorie one and won't contribute towards her calorie admission. For supper, Anita takes crushed potato, prepared white fish and heated beans. In any case, she doesn't generally complete her supper on account of her poor craving, sickness, sorrow and mouth abscesses. Her night diet comprises of semi-skimmed milk, stomach related roll and some horlicks, which have proteins and starches, yet not to a decent degree in light of the fact that in the milk, proteins are evacuated. From what we can see from Anita's’s 24 hour food review, the complete calorie admission is around 1000 kcal, deficiency of her necessity. In view of the age, sex, tallness, weight and way of life, the calorie necessity of Anita is 1581 kcal every day. Her basal metabolic rate dependent on Harris-Benedict recipe is 1318 kcal every day. The protein admission is around 20 grams when she needs around 45 grams (ICMR, 2010). Absolute fat is about 10% and chiefly establishing soaked fat. Dietary fiber is just about 10% (when it ought to be 30%) (ICMR, 2010). With the exception of some iron and calcium in the morning meal and a few nutrients in the tidbits, her eating routine is poor in nutrients and minerals. The eating routine d oesn't contain new organic products or vegetables or bland staple nourishments. Nor does the eating regimen contain sufficient milk. Clinical Signs of Malnutrition Anita shed pounds from 65 kgs to 49 kgs in only 4 months time span. Lack of healthy sustenance happens when a person's eating routine neglects to give nourishment that is required to development, wellbeing and ordinary body work (NHS, 2012). Anita didn't take diet that was adequate to keep up wellbeing and typical working of her body. Lack of healthy sustenance can influence any framework in the body (NHS, 2012). The most noteworthy side effects of ailing health are exhaustion, weight reduction and unsteadiness (NHS, 2012). Anita lost 6 kgs in 4 months. Anita additionally has pallor, misery and mouth ulcer. One of the main sources of weight reduction in grown-ups is discouragement. Anitha likewise has pallor. Her present hemoglobin is 10.4g/dl, substantially less than the ordinary scope of 12-14 g/dl. Sickliness happens b ecause of insufficiency in iron admission and furthermore because of inadequacy in the admission of certain nutrients like B12. Another significant indication of lack of healthy sustenance in Anitha is rehashed mouth abscesses. Ailing health can cause consumption of significant components like zinc, calcium and magnesium which are imperative to fabricate a solid insusceptibility (Beerman, 2009). Lack of healthy sustenance makes the individual helpless against disease, causes delay in wound recuperating, debilitates the capacity of lungs and heart, causes melancholy and diminishes the quality of the muscles (NHS, 2012). In this manner, Anita has a mouth boil recuperating that with just anti-infection agents alone is troublesome. All in all, patients with hunger have higher mortality and dreariness

The Role of Stress, Anxiety, and Depression Essays

The Role of Stress, Anxiety, and Depression Essays The Role of Stress, Anxiety, and Depression Paper The Role of Stress, Anxiety, and Depression Paper Human cells are the littlest structures equipped for keeping up life and duplicating. They create every single living thing, from single-celled plants to multibillion-celled creatures. The human body, which is comprised of various cells, starts as a solitary recently prepared cell. Practically all human cells are minuscule in size. To give you a thought of how little a cell is, one normal measured grown-up body, as indicated by one gauge, comprises of 100 trillion cells. The synapses that make mind movement are called neurons. â€Å"The neuron (nerve cell) is the data preparing and data transmitting component of the anxious system† (Carlson, 2007 p. 30). The cerebrum and spinal string are comprised of numerous phones, including neurons and glial cells. Neurons are cells that impart and get electro-compound signs to and from the cerebrum and sensory system. There are around 100 billion neurons in the cerebrum. There are a lot progressively glial cells; they offer help capacities for the neurons, and are definitely more various than neurons. Structure of Brain Cells Each of the neurons has a cell body. â€Å"The soma (cell body) contains the core and a great part of the apparatus that accommodates the existence procedures of the cell and its shape changes impressively in various types of neurons† (Carlson, 2007 p. 30). Be that as it may, there are two sorts of strands: axons and dendrites. Axons are â€Å"the long, slight round and hollow structure that passes on data from the soma of a neuron to its terminal buttons† (Carlson, 2007 p. 30). Dendrites are â€Å"a spread, treelike structure joined to the soma of a neuron; gets data from the terminal catches of other neurons† (Carlson, 2007 p. 30). Every neuron has one axon along The Role of Stress, Anxiety, and Depression 4 which it sends electrical driving forces to different neurons. Every neuron has a variable number of dendrites which have numerous branches. The axon from one neuron is joined to the dendrites of different neurons. Where they connect is known as the neural connection. The neurotransmitter is the â€Å"junction between the terminal catch of an axon and the layer of another neuron† (Carlson, 2007 p. 30). Besides, dendrites carry data to the cell body and axons remove data from the cell body. This is the way toward speculation (Cohen, Kessler Gordon, 1988). A Map of the Brain Corpus callosum †Band of nerves between two sides of the equator of the mind. Thalamus †Switching station for data going into the mind Basal ganglia †Control development and psychological capacities Hypothalamus †Regulates sex hormones, circulatory strain and internal heat level Pituitary organ †Produces hormones; impacts hormone creation in different organs Amygdala †Regulates heartbeat; orders flight-or-flight responses Hippocampus †Critical to long haul memory work Cerebellum †Coordinates development How Nerve Signals Travel Carlson, (2007) states nerve signal continues in the accompanying way: 1. An electrical drive is created in the body of a neuron (nerve cell). The Role of Stress, Anxiety, and Depression 5 2. The motivation makes a trip down the axon to an axon terminal (nerve finishing). 3. At the axon terminal the motivation triggers the arrival of synapses. 4. Synapses are synthetic compounds that empower a nerve motivation to hop over the neural connection (the hole between nerve cells) at the axon terminal. 5. Once over the neurotransmitter, a few synapses trigger the beneficiary cell; others keep it from terminating. Job of Brain in Mental Illness The conviction that the psyche assumes a significant job in physical disease returns to the most punctual long periods of medication. From the hour of the antiquated Greeks to the start of the twentieth century, it was commonly acknowledged by both doctor and patient that the psyche can influence the course of ailment, and it appeared to be normal to apply this idea in clinical medications of illness. Synthetic concoctions delivered by insusceptible cells signal the cerebrum, and the mind thusly imparts compound signs to limit the safe framework. These equivalent substance flags additionally influence conduct and the reaction to push. Interruption of this correspondence arrange in any capacity, regardless of whether acquired or through medications, harmful substances or medical procedure fuels the illnesses that these frameworks guard against: irresistible, fiery, immune system, and related mind-set issue (Robert Sapolsky, 1998). The brain’s stress reaction framework is actuated in undermining circumstances. The invulnerable framework reacts consequently to pathogens and outside atoms. These two reaction frameworks are the body’s standard methods for keeping up an interior consistent state called homeostasis. A generous extent of human cell hardware is devoted to looking after it. At the point when The Role of Stress, Anxiety, and Depression 6 homeostasis is upset or undermined, a collection of sub-atomic, cell and conduct reactions becomes possibly the most important factor. These reactions endeavor to check the upsetting powers so as to restore a consistent state. They can be explicit to the outside trespasser or a specific pressure, or they can be summed up and vague when the danger to homeostasis surpasses a specific limit. The versatile reactions may themselves transform into stressors equipped for creating illness. The invulnerable system’s work is to ban outside pathogens from the body and to perceive and decimate those that enter its shield (Rubin Staddon, 1999). The insusceptible framework should likewise kill possibly risky poisons; encourage fix of harmed or worn tissues, and discard anomalous cells. Its reactions are amazing to such an extent that they require consistent guideline to guarantee that they are neither over the top nor unpredictable but then stay viable. At the point when the invulnerable framework gets away from guideline, immune system and incendiary maladies or safe lack conditions result. The focal apprehensive and resistant frameworks, be that as it may, are more comparable than various in their methods of accepting, perceiving and coordinating different signs and in their basic structure for achieving these assignments. Both the focal sensory system and the safe framework have â€Å"sensory† components (Rubin Staddon, 1999), which get data from nature and different pieces of the body; and engine components, which do a proper reaction. The two frameworks additionally depend on substance go betweens for correspondence. Electrical signals along nerve pathways, for example, are changed over to substance signals at the neurotransmitters between neurons. The compound emissaries created by invulnerable cells convey not just with other The Role of Stress, Anxiety, and Depression 7 pieces of the insusceptible framework yet additionally with the cerebrum and nerves (Robert Sapolsky, 1998). Synthetics discharged by nerve cells can go about as signs to insusceptible cells. Hormones from the body travel to the mind in the circulatory system, and the cerebrum itself makes hormones. For sure, the cerebrum is maybe the most productive endocrine organ in the body and creates numerous hormones that demonstration both on the mind and on the tissues all through the body. A key hormone shared by the focal anxious and safe frameworks is corticotrophin-discharging hormone (CRH); created in the nerve center and a few other cerebrum areas, it joins the pressure and safe reactions (Science, 2001). The nerve center discharges CRH into a particular circulatory system circuit that passes on the hormone to the pituitary organ, which lies just underneath the mind. CRH makes the pituitary discharge adrenocorticotropin hormone (ACTH into the circulation system, which animates the adrenal organs to deliver cortisol, the most popular pressure hormone. Cortisol is a steroid hormone that expands the rate and quality of heart withdrawals, sharpens veins to the activities of norepinephrine, an adrenaline like hormone, and influences numerous metabolic capacities just as activities that help the body meet an unpleasant circumstance (Gerrig Zimbardo, 2002). Likewise, cortisol is an intense immunoregulator and mitigating operator. It assumes a pivotal job in keeping the invulnerable framework from blowing up to wounds and harming tissues. Moreover, cortisol represses the arrival of CRH by the nerve center which additionally monitors this part of stress reaction (Rubin Staddon, 1999). In this way, CRH and cortisol straightforwardly connect the body’s mind managed pressure reaction and its resistant reaction. The Role of Stress, Anxiety, and Depression 8 CRH-emitting neurons of the nerve center send filaments to locales in the mind stem that help to direct the thoughtful sensory system, just as to another cerebrum stem zone called the locus ceruleus. The thoughtful sensory system, which activates the body during pressure, additionally innervates resistant organs, for example, the thymus, lymph hubs and spleen, and assists with controlling fiery reactions all through the body. Incitement of the locus ceruleus prompts social excitement, dread and improved carefulness (Rubin Staddon, 1999). Maybe much progressively significant for the acceptance of dread related practices is, where contributions from the tangible districts of the mind are charged as unpleasant or not. CRH-emitting neurons in the focal core of the amygdala send strands to the nerve center, the locus ceruleus, and to different pieces of the cerebrum stem. These CRH-emitting neurons are focuses of delivery people discharged by safe cells during an insusceptible reaction (Rubin Staddon, 1999). Cytokines is the more broad term for natural atoms that various sorts of cells use to impart. Every cytokine is a particular prote

The Connection Between Asthma and PTSD

The Connection Between Asthma and PTSD PTSD Related Conditions Print The Connection Between Asthma and PTSD By Matthew Tull, PhD twitter Matthew Tull, PhD is a professor of psychology at the University of Toledo, specializing in post-traumatic stress disorder. Learn about our editorial policy Matthew Tull, PhD Medically reviewed by Medically reviewed by Steven Gans, MD on August 05, 2016 Steven Gans, MD is board-certified in psychiatry and is an active supervisor, teacher, and mentor at Massachusetts General Hospital. Learn about our Medical Review Board Steven Gans, MD Updated on June 24, 2019 Post-Traumatic Stress Disorder Overview Symptoms & Diagnosis Causes & Risk Factors Treatment Living With In Children PhotoAlto/James Hardy/Getty Images Asthma and posttraumatic stress disorder (PTSD) are often linked. There are a number of different types of traumatic events that can lead to the development of PTSD, and one such type is the experience of a life-threatening illness, such as asthma. Asthma is very common in the general population, and because of this, many people might think that asthma really isnt life-threatening.  However, asthma is one of the most common childhood chronic illnesses, and it can have a tremendous negative impact on a childs life and may even result in death. In fact, asthma accounts for one-fourth of all emergency room visits in the United States per year and is the third-ranking cause of hospitalization for children. There are more than 4,000 deaths each year that can be attributed to asthma, and asthma can be considered a contributing factor for an additional 7,000 deaths per year.? Asthma attacks definitely meet criteria for a traumatic event according to the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders. First, asthma attacks may be life-threatening or cause physical harm. In addition, the unexpected nature of an asthma attack, as well as the physical symptoms that accompany an asthma attack, may bring about feelings of fear, helpless, and horror. Given this, asthma can definitely be considered a potentially life-threatening illness that could lead to the development of PTSD symptoms. Asthma and PTSD Symptoms Researchers found that adolescents who had a life-threatening asthma episode were more than twice as likely to meet criteria for PTSD as compared to adolescents without asthma. In a study, 20 percent of adolescents who had a life-threatening asthma episode was experiencing PTSD symptoms at a high enough level that they could be diagnosed with PTSD. The parents of adolescents who had a life-threatening asthma episode were also showing signs of PTSD. Almost 30 percent of the parents of adolescents who had a life-threatening asthma episode met criteria for PTSD due to the asthma episode compared to only 2 percent of parents of adolescents without asthma. Understanding Your Risk for PTSD The high rates of PTSD symptoms found among adolescents and parents of adolescents with a life-threatening asthma episode are alarming. Study findings suggest the importance of teaching families to be aware of the potential psychological effect of experiencing a life-threatening asthma attack. This is particularly important when you consider that the experience of anxiety and stress that occur in PTSD may exacerbate chronic illnesses such as asthma.

How to Help the Poor in During Natural Disasters in the...

Natural disasters can severely damage communities and must be properly prepared for. Minority groups in the low income population generally held a greater risk in suffering from natural disasters than other groups. This was largely due to the fact that low income populations do not trust the government and traditional methods using social media were ineffective on them. To solve this problem the authors applied the grassroots approach and created the Guide to Enhance Risk Communication Among Low-Income Populations. The Grassroots System utilizes community, faith, and business organizations that serve low income minority populations. The Maryland Department of Health and Mental Hygiene and Morgan State University’s School of Community†¦show more content†¦The answers of the participants were already biased. Also, even though the research group was assessed on their views of the avian flu pandemic there was a lack of response and finding published in the article. That l ack of response makes the authors appear to have had their own empathetic attitudes towards the treatment of low-income African Americans in natural disasters. This may be attributed to the fact that the study was made in collaboration with Morgan State University, a historically black college. A quote that I found particularly interesting was from a participant that said I don’t have a plan. There isn’t too much happening around here.† I thought this quote described the average citizen well. Most people believe that nothing is going to happen to them until it actually does. This further reinforces the fact that people need to still be properly educated on disaster preparedness. Another example of this would be the snow disaster that happened in Georgia a couple weeks ago. A statement that I also found surprising was â€Å"More than half (52%) of study participants felt that both racism and classism were the primary reasons for the inadequate provision of emergency management services.† One may think that the United States has moved on from dealing with racism. But there appears to still be many individuals who feel that racial attitudes still exist today. I thought this was very interesting because most people don’t usuallyShow MoreRelated Community Health Nursing Final Exam Study Guide Essay15874 Words   |  64 Pagesneed to be treated. Being brought to the ED is extremely expensive. Critical interventions are very costly, and so are all the diagnostic tests that must be done. They usually don’t have insurance. High mental heath issues in the homeless population. High risk for infections, trauma, violence. Don’t age very well. Where do they seek health care services? 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The Five Case Studies A Pre Knowledge And Skills Needs...

The five case studies focus on different needs which, as the following analysis indicates, can be grouped under four broad categories;Learning needs, operational or tactical needs and strategic needs. Learning needs:These are gaps in knowledge and skills between the current and the desired conditions. An example is the needs assessment conducted at the Newport,California hospital . The author, Judy conducted a pre Knowledge and skills needs assessment to analyse the areas to be focussed . She also reviewed the past and current survey results on patient knowledge about herbal products .She benchmarked the survey results against industry standards and identified units that might require greater attention. During the preassessment phase†¦show more content†¦Satyam’s strategic needs analysis to improve the profitability of resource utilization unit is an example of this need. Another example of strategic need assessment is the community health assessment conducted by Kaiser . The Patient Protection and Affordable Care Act ACA, requires nonprofit hospitals to conduct a Community Health Needs Assessment (CHNA) at least once every three years. Kaiser Permanente has been conducting such assessment for many years to identify needs and resources in the communities and to guide the Community Benefit plans, The new legislation provides an opportunity to conduct such needs assessment and strategic planning processes on an ongoing process. One may also note that the needs assessment can address strategic issues pertaining to a large number of companies like the one conducted by Electricity Sector Council . Phase 2: Identifying the appropriate method to gather data for the needs assessment The needs assessment process relies on obtaining relevant data from the key stakeholders.Data collection and analysis are a critical part of the needs assessment process . As the five case studies illustrate, organizations use either one or a combination of more than one of the following methods to gather data: Interviews , focus groups, surveys,archival records,photographs and videos observation .The data collected by using one of these methods can either be qualitative or quantitative

Due Process Model Free Essays

I believe that the due process model (which puts emphasis on an individuals rights) is essential and should constantly be our primary focus of this criminal justice system, although under the due process model there is a probability of criminals being set free or acquitted due to some technicality where individuals rights had been violated. As humans, we make mistakes and as we grow, we will learn from such mistakes. To affirm that those rights would not be violated again, but to allow a persons to be wrongfully convicted and sent to prison is a mistake that is unforgivable, one that can not be held to the standard â€Å"we live and we learn† and in my opinion, shows our justice system at it’s weakest. We will write a custom essay sample on Due Process Model or any similar topic only for you Order Now The Fourth Amendment posses the right against unreasonable search and seizure and probable cause is set forth so that law enforcement cannot conduct searches without proper evidence. The combination of the due process model and the right against illegal search and seizures will allow for authorities to rightfully obtain the information and evidence required for a conviction without the problem of the direct violation of an individuals rights. The Fifth Amendment declares that, †¦nor shall any person†¦ be compelled in any criminal case to be a witness against himself†¦ â€Å"The right to remain silent. † The accused should not have to testify or say anything that would incriminate them. Under the due process model the accused is â€Å"innocent until proven guilty. If believed to be â€Å"in fact† guilty of a crime, it is law enforcement duty to collect any evidence that would affirm that belief. No person should be forced to self incriminate or to the confession of guild. The Sixth Amendment allows the right to a speedy trial. Unfortunately, this is not usually the case. The system is often under very heavy workloads and the proper preparation of cases. Therefore the accused is unfairly made to wait weeks sometimes months for their trial. Meanwhile the suffering of that individual and their family member increases by the day. With the due process model, those individuals would immediately be brought to trial. The Eighth Amendment apposes the use of cruel and unusual punishment. Once again, and individual is innocent until proven guilty. However, once accused of a crime the stigma is imposed and one will be â€Å"guilty† in some eyes regardless of what has or has not been proven and sometimes, I fear, one would be treated in a cruel and unusual manner. With the due process model, no persons accused would ever be harmed, physical or otherwise in any way. How to cite Due Process Model, Essay examples

Mormonism Essays - Smith Family, Joseph Smith,

Mormonism The summer of 1830, following the organization of the Church, brought further persecution and trials, particularly for the Smith family. Joseph Smith, Sr., father of the Prophet, was one of his most loyal defenders. On one occasion that fall, he was at home with his wife Lucy, and had been "rather ill." A number of neighbors came to call, mostly critical of the reputation of the Smith family. One "Quaker gentleman" came with a note for a fourteen-dollar debt owed him by Joseph Sr., demanding payment, though he apparently was not in great need of the money. Father Smith offered to pay the man six dollars, which was all he had, and arrange to get the rest as soon as possible. According to Lucy, the Quaker man responded, "No, I will not wait one hour; and if thou dost not pay me immediately, thou shalt go forthwith to the jail, unless (running to the fireplace and making violent gestures with his hands towards the fire) thou wilt burn up those Books of Mormon; but if thou wilt burn them up, then I will forgive thee the whole debt." Mr. Smith emphatically declined the offer to free himself of the debt by destroying the books. Instead, Lucy offered the creditor a gold bead necklace, which he also refused. Lucy bore a testimony in reply: "Now, here, sir," I replied, "just look at yourself as you are. Because God has raised up my son to bring forth a book, which was written for the salvation of the souls of men, for the salvation of your soul as well as mine, you have come here to distress me by taking my husband to jail; and you think, by this, that you will compel us to deny the work of God and destroy a book which was translated by the gift and power of God. But, sir, we shall not burn the Book of Mormon, nor deny the inspiration of the Almighty." A constable was waiting outside the door, and though he was quite sick, the father of the Prophet was ordered into a wagon to be taken to jail. To add insult to injury, while Joseph waited in the hot sun, "faint and sick," the constable came back to the house and ate the food Lucy had prepared for her weakened husband. They then departed for Canadaigua, a nearby city, leaving Lucy alone with a small daughter, as all her sons were absent on business or missions. Joseph was verbally abused the whole way, told that if he would only deny his testimony of the Book of Mormon, he would be freed and have the debt excused. He made no reply. When they arrived at Canadaigua he was confined in a dungeon with a convicted murderer. Joseph said later, "I shuddered when I first heard these heavy doors creaking upon their hinges; but then I thought to myself, I was not the first man who had been imprisoned for the truth's sake; and when I should meet Paul in the Paradise of God, I could tell him that I, too, had been in bonds for the Gospel which he had preached. And this has been my only consolation." He was confined for four days with only a bowl of weak broth to eat before his son Samuel returned to plead for his release. He was forced to remain in the city for a month working at a coopering shop to repay the debt. During that month, he took time off to preach on Sundays, and baptized two persons at the end of his term. (See Lucy Mack Smith, _History of Joseph Smith_, pp. 179-186) ----------------------------------------------------------------- Copyright 1998, David Kenison and LDS-Gems, [emailprotected] Distributed on the Internet via the LDS-Gems listserver; for more information, see: http://www.xmission.com/~dkenison/lds/ch_hist/ ALL PROPHETS KNEW, TESTIFIED OF HIM - Vivian M. Adams is a gospel doctrine teacher in the Monument Park 16th Ward, Salt Lake Monument Park Stake. - This is the first in a series of articles, to be published weekly through July 2, marking the 150th anniversary of the martyrdom of the Prophet Joseph Smith and his brother, Hyrum. The two were killed by a mob at Carthage Jail in Carthage, Ill., on June 27, 1844. By Vivian M. Adams When I was a child my father, Bruce R. McConkie, directed that our Sunday School and sacrament meeting talks center on the restoration of the gospel through the Prophet Joseph Smith. I remember well how many times he recited to us the words: