Skills Module: Nutrition Discussion Paper

Skills Module: Nutrition Discussion Paper

Skills Module: Nutrition Discussion Paper

Nutrition is the process by which the body metabolizes and utilizes nutrients, affecting every body system. Nutritional status refers to a person’s health condition as influenced by an individual’s nutrient consumption and use. An ideal nutritional status is achieved by consuming adequate, but moderate, energy-giving foods, vital nutrients, and other dietary components that are void of not toxins and contaminants (Reber et al., 2019). The purpose of this paper is to discuss methods employed in assessing nutritional status.

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Methods Used To Assess Nutritional Status

The nutritional status reflects the body’s satisfaction with nutritive substances and the reflection of this to the physical characteristics, physiological characteristics, biochemical composition, functional capability, and the overall health status. Nutritional assessment is used in assessing nutritional status. It is a methodical approach of obtaining and interpreting findings to determine the type and basis of nutrition-associated illnesses affecting a person (Gbareen et al., 2021). The methods used in the nutritional assessment are based on dietary, laboratory-biochemical, anthropometric, and clinical evaluation.

Anthropometric assessment is one of the approaches used in assessment of nutritional status. It allows the provider to assess different components of the human body. Anthropometric measures used include Weight and percentage of weight change, Body mass index (BMI), Mid upper arm circumference (MUAC), Skin fold thickness, waist-to-hip ratio, and Mid arm muscle circumference (MAMC) (Bhattacharya et al., 2019). A BMI <18.5kg/m2 patient is considered underweight, while >25kg/m2 is overweight. Besides, A MUAC <23.5cm shows that the patient is at risk of malnutrition. Laboratory-biochemical tests are conducted in a nutrition assessment and are interpreted together with clinical examination findings.

Lab tests include Hematocrit (Hct), Hemoglobin (Hb), Albumin, Cholesterol, Glucose, Glycated Haemoglobin (HbA1c), Calcium, Phosphate, and micronutrients (vitamins and trace elements). Hct and Hb reflect the body’s iron supply, determined by nutritional intake. Besides, decreased levels of Albumin indicate malnutrition and decreased amounts of protein stored in body organs (Reber et al., 2019). The glucose levels reflect the body’s ability to metabolize glucose, while the HbA1c indicates a person’s average blood sugar level over several months. The levels of calcium and phosphate are used as a basis in assessment of the risk of refeeding syndrome.

Clinical evaluation involves taking a medical history and physical exam. The provider assesses the patient’s symptoms or present illnesses that may impact their nutritional status by decreasing nutritional intake or increasing nutritional losses. The conditions include cancer, GI disorders, depression, heart failure, COPD, and neurological disorders (Reber et al., 2019). Physical assessment involves examining the individual’s general appearance, skin, nails, hair, eyes, abdomen, and musculoskeletal. The physical exam helps in identifying signs of undernutrition. A dietary assessment is also used in assessing nutritional status. It involves estimating an individual’s total daily calorie intake and assessing the overall diet quality (Bhattacharya et al., 2019). The provider asks the patient or the caregiver about their daily dietary intake to help understand portion sizes, eating patterns, food preparation methods, and types of food and drink taken.  

 Conclusion

Various nutritional assessment methods are used in determining nutritional status. When conducting a nutritional assessment, the dietary, anthropometric, laboratory, and clinical findings are used to establish a patient’s nutritional status. The methods include anthropometric measurements, laboratory and biochemical tests, medical history, physical exam, and dietary assessment.

References

Bhattacharya, A., Pal, B., Mukherjee, S., & Roy, S. K. (2019). Assessment of nutritional status using anthropometric variables by multivariate analysis. BMC public health, 19(1), 1-9. https://doi.org/10.1186/s12889-019-7372-2

Gbareen, M., Barnoy, S., & Theilla, M. (2021). Subjective and objective nutritional assessment: nurses’ role and the effect of cultural differences. BMC nursing, 20(1), 157. https://doi.org/10.1186/s12912-021-00683-3

Reber, E., Gomes, F., Vasiloglou, M. F., Schuetz, P., & Stanga, Z. (2019). Nutritional Risk Screening and Assessment. Journal of clinical medicine, 8(7), 1065. https://doi.org/10.3390/jcm8071065

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NR341 Complex Adult Health

RUA Interdisciplinary Management of Healthcare Technology Guidelines

Purpose

This purpose of this assignment is for the student to present a complete picture of interdisciplinary care using specific therapeutic modalities in the care of a complex adult health client. The student will demonstrate clinical reasoning skills and will discuss interdisciplinary care that had been incorporated and/or anticipated using a healthcare technology or therapeutic modality for the care of the complex health client.

Course outcomes: This assignment enables the student to meet the following course outcomes:

1. Provide patient and family centered nursing care to adults with complex health needs using theories and principles of nursing and related (PO 1)
2. Initiate the use of appropriate resources in direct care responsibilities within complex adult health (PO 2)
3. Demonstrate effective therapeutic communication and relationship skills in family centered nursing care to adults with complex health (PO 3)
4. Demonstrate effective clinical decision making based on critical thinking skills and legal, ethical, and professional standards and principles when caring for patients and families with complex adult health (POs 4 and 6)
5. Implement a plan of care for continued personal, professional, and educational development related to nursing practice with complex adult health (PO 5)
6. Use evidence including research findings from nursing and related disciplines to answer clinical questions related to nursing care of patients with complex adult health (PO 8)

Due date: Your faculty member will inform you when this assignment is due. The Late Assignment Policy applies to this assignment.

Total points possible: 100 points

Preparing the assignment

Follow these guidelines when completing this assignment. Speak with your faculty member if you have questions.

• Choose a therapeutic modality or healthcare
• Examples of a therapeutic modality include Extracorporeal Membrane Oxygenation, Automatic rotating pronation beds, right and/or left ventricular assist devices, nontraditional ventilator
• Examples of healthcare technology can include regional O2 saturation monitoring (NIRS).
• Refer to your faculty member if your selection requires prior
• Write a 4-5 page paper (not including the title page or reference page) using APA
• For APA, formatting, or grammar assistance visit the APA Citation and Writing page in the online
• Include the following sections (detailed criteria listed below and in the Grading Rubric):
  1. Introduction – 5 points/5%
     • The chosen therapeutic modality or healthcare technology meets one of the following criteria:
       • Has been introduced recently at the bedside for care of the complex adult
       • Is a non-traditional modality for very ill patients in special circumstances.
       • Is being used in a new way to treat a patient with complex
       • Requires specific training above and beyond general entry-level nursing
     • Introduce the therapeutic modality or healthcare

NR341 Complex Adult Health

RUA Interdisciplinary Management of Healthcare Technology Guidelines

• Name the therapeutic modality or healthcare technology.
• A brief fictional case is used to illustrate the therapeutic modality or healthcare

1. Explanation and Background– 15 points/15%
   • Include a clear description of the therapeutic modality or healthcare
   • Discuss how the therapeutic modality or healthcare technology works.
   • Describe the patient population it is used
   • Include medication, safety, and cost considerations as
2. Risks and Benefits– 15 points/15%
   • Describe how the therapeutic modality or healthcare technology can benefit the
   • Discuss ways to promote positive
   • Explain the complications that may
   • Discuss considerations for preventing
3. Interdisciplinary team’s Roles and Responsibilities– 20 points/20%
   • Identify all interdisciplinary team members caring for the patient, such as respiratory therapy, assistive personnel, providers, case managers, clinical nurse specialists, and
   • Describe the roles and responsibilities of each member of the healthcare team that is involved in the use of the therapeutic modality or healthcare
   • Discuss the roles and responsibilities of the nurse as a member of the interdisciplinary team caring for the
4. Nursing Scope of Practice – 15 points/15%
   • Discuss the knowledge needed for the Registered Nurse to provide care for the patient using the therapeutic modality or healthcare technology.
   • Describe skills needed for the Registered Nurse to provide care for the patient using therapeutic modality or healthcare
   • Discuss attitudes needed for the Registered Nurse to provide care for the patient using therapeutic modality or healthcare technology.
5. Patient Education – 20 points/20%
   • Describe the information to be taught to the patient and/or
   • Discuss how information will be
   • Explain how the effectiveness of the teaching will be
6. Conclusion – 5 points/5%
   • Provide a summary of the
   • No new information is
   • Include additional resources for further
7. APA Style and Organization – 5 points/5%
   • References are submitted with
   • Uses current APA format and is free of
   • Grammar and mechanics are free of
   • At least three (3), nursing, scholarly, peer reviewed, primary sources from the last 5 years, excluding the textbook, are provided.

Please note that your instructor may provide you with additional assessments in any form to determine that you fully understand the concepts learned.

Grading Rubric

Criteria are met when the student’s application of knowledge within the paper demonstrates achievement of the outcomes for this assignment.

Assignment Section and Required Criteria (Points possible/% of total points available)	Highest Level of Performance	High Level of Performance	Satisfactory Level of Performance	Unsatisfactory Level of Performance	Section not present in paper
Introduction (5 points/5%)	5 points	4 points	3 points	2 points	0 points
Required criteria 1.       The chosen therapeutic modality or healthcare technology meets one of the following criteria: ·         Has been introduced recently at the bedside for care of the complex adult patient. ·         Is a non-traditional modality for very ill patients in special circumstances. ·         Is being used in a new way to treat a patient with complex needs. ·         Requires specific training above and beyond general entry-level nursing education. 2.       Introduce the therapeutic modality or healthcare technology. 3.       Name the therapeutic modality or healthcare technology. 4.       A brief fictional case is used to illustrate the therapeutic modality or healthcare technology.	Includes no fewer than 4 requirements for section.	Includes no fewer than 3 requirements for section.	Includes no less than 2 requirements for section.	Includes no less than 1 requirement for section.	No requirements for this section presented.
Explanation and Background (15 points/15%)	15 points	13 points	11 points	6 points	0 points
Required criteria 1.       Include a clear description of the therapeutic modality or healthcare technology. 2.       Discuss how the therapeutic modality or healthcare technology works. 3.       Describe the patient population it is used for. 4.       Include medication, safety, and cost considerations as applicable.	Includes no fewer than 4 requirements for section.	Includes no fewer than 3 requirements for section.	Includes no fewer than 2 requirements for section.	Includes no less than 1 requirement for section.	No requirements for this section presented.

Risks and Benefits (15 points/15%)	15 points	13 points	11 points	6 points	0 points
Required criteria 1.       Describe how the therapeutic modality or healthcare technology can benefit the patient. 2.       Discuss ways to promote positive outcomes. 3.       Explain the complications that may arise. 4.       Discuss considerations for preventing complications.	Includes no fewer than 4 requirements for section.	Includes no fewer than 3 requirements for section.	Includes no less than 2 requirements for section.	Includes no less than 1 requirement for section.	No requirements for this section presented.
Interdisciplinary Team’s Roles and Responsibilities (20 points/20%)	20 points	18 points	16 points	8 points	0 points
Required criteria 1.       Identify all interdisciplinary team members caring for the patient, such as respiratory therapy, assistive personnel, providers, case managers, clinical nurse specialists, and researchers. 2.       Describe the roles and responsibilities of each member of the healthcare team that is involved in the use of the therapeutic modality or healthcare technology. 3.       Discuss the roles and responsibilities of the nurse as a member of the interdisciplinary team caring for the patient. 4.       Discuss one challenge in working with an interdisciplinary team.	Includes no fewer than 4 requirements for section.	Includes no fewer than 3 requirements for section.	Includes no less than 2 requirements for section.	Includes no less than 1 requirement for section.	No requirements for this section presented.
Nursing Scope of Practice (15 points/15%)	15 points		13 points	6 points	0 points
Required criteria 1.       Discuss the knowledge needed for the Registered Nurse to provide care for the patient using the therapeutic modality or healthcare technology. 2.       Describe skills needed for the Registered Nurse to provide care for the patient using therapeutic modality or healthcare technology. 3.       Discuss attitudes needed for the Registered Nurse to	Includes no fewer than 3 requirements for section.		Includes no fewer than 2 requirements for section.	Includes no less than 1 requirement for section.	No requirements for this section presented.

 

provide care for the patient using therapeutic modality or healthcare technology.
Patient Education (20 points/20%)	20 points	18 points	16 points	8 points	0 points
Required criteria 1.       Describe the information to be taught to the patient and/or family. 2.       Discuss how information will be taught. 3.       Discuss potential cultural considerations to teaching 4.       Explain how the effectiveness of the teaching will be evaluated.	Includes no fewer than 4 requirements for section.	Includes no fewer than 3 requirements for section.	Includes no less than 2 requirements for section.	Includes no less than 1 requirement for section.	No requirements were met for this section.
Conclusion (5 points/5%)	5 points		3 points	2 points	0 points
Required criteria 1.       Provide a summary of the paper. 2.       No new information is introduced. 3.       Include additional resources for further learning.	Includes no fewer than 3 requirements for section.		Includes no fewer than 2 requirements for section.	Includes no less than 1 requirement for section.	No requirements for this section presented.
APA Style and Organization (5 points/5%)	5 points	4 points	3 points	2 points	0 points
Required criteria 1.       References are submitted with paper. 2.       Uses current APA format and is free of errors. 3.       Grammar and mechanics are free of errors. 4.       At least three (3), nursing, scholarly, peer reviewed, primary sources from the last 5 years, excluding the textbook, are provided.	Includes no fewer than 4 requirements for section.	Includes no fewer than 3 requirements for section.	Includes no less than 2 requirements for section.	Includes no less than 1 requirement for section.	No requirements for this section presented.
Total Points Possible = 100 points