...High Risk Nutritional Practice Rosemary Gutierrez Grand Canyon University: HLT 324 V November 15, 2014 Abstract The importance of knowing your culture and where you come from can help you understand other people’s culture. This can also aid in improving how you work and what you can do. Being aware of what you are will also help prevent chaos between the patient and healthcare staffs. Being aware and mind sufficient will help one to open one’s eyes to see things in a different perspective such area where nutrition is at a high-risk. Researching the different cultural problems and identifying solutions will assist the writer to comprehend their way of life and lifestyles. High Risk Nutritional Practice There are many health care risks that we are unaware of. We need to research and figure out what we need to do. How do we prepare others in a high-risk nutrition situation? The healthcare physicians will continue to look forward to discuss the cultures that are identified and the solutions to their various problems. Chinese Heritage The Chinese heritage is a culture that is difficult to determine their health risk factors. One case the writer believes to be a high health risk among the Chinese heritage is smoking in the men and teenagers. Smoking has killed millions of people each year and yet these numbers are still rising. The second high risk factor known to the Chinese culture is drinking alcohol. Alcohol consumption has known...
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...standing or sometimes sitting. Sometimes, it is in front of a computer while charting. On my days off, I try to have a scheduled time to eat, such as breakfast around 8 am, lunch around 12 pm and dinner around 5-6 pm. My activity level has really dropped this winter. I did exercise at the YMCA 3-4 times per week, lately, I haven’t been at all, but I do want to get back to it. What vitamins or other supplements do you take? Include dosages. I currently don’t take any vitamins or supplements. What kind of dietary restrictions do you have? Are they self-imposed or medically imposed? Discuss how these impact your daily routine. I currently have no dietary restrictions either medically or self-imposed. Have you had any weight gain/loss within the last month? Please discuss. Over the past 6 months, I’ve had a slow weight loss and in the past month, I’ve probably lost about three pounds. I’ve had a lot of stress in my life and don’t always eat as I should and because of nerves, I think my metabolism may have risen a slight bit. Complete a 24 hour recall of food and fluid intake. Include any snakes that you consume. Determine fat, protein, carbohydrate, sodium content. 3:00 pm March 13 – Tuna Salad Sandwich, Diet coke Fat=7 grams, Protein...
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...qwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmrtyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmrtyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmrtyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmrtyuiopasdfghjklzxcvbnmqwer...
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...Phoenix. The second largest Arizona city is Tucson, which is then followed in size by eight Phoenix metropolitan area cities: Mesa, Glendale, Chandler, Scottsdale, Gilbert, Tempe, Peoria and Yuma. Arizona is the 48th state and last of the contiguous states admitted to the Union, achieving statehood on February 14, 1912. It is one of the four corner states, which borders Utah, Nevada, and California. It also has a 389-mile (626 km) international border with the states of Sonora and Baja California in Mexico. Arizona is noted for its desert climate; exceptionally hot summers, and mild winters, and it also features pine forests and mountain ranges in the northern high country with much cooler weather than in the lower deserts. The state is covered with beautiful desert landscape. There is also the less known pine-covered high country of the Colorado Plateau in the north-central portion of the state which contrasts with the desert Basin and Range region in the southern portions of the state. It is known for being home to one of the natural wonders of the world, the Grand Canyon, and its colorful, steep-sided gorge, carved by the Colorado River. In addition to the Grand Canyon, many other national forests, parks, and monuments are located in the state. More than a quarter of its territory is Federal Trust Land which serves as the home of the Navajo Nation, the Hopi tribe, the Tohono O'odham, Apache and Yaqui people and various Yuma tribes,...
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...Asian Indian Culture and Tradition NURS236: Transcultural Nursing March 29, 2016 According to the U.S. census, there are over 1.6 million people of Asian Indian origin in the United States. Asian Indians began immigrating to the U.S. as early as the turn of the 20th century. Most found work in agriculture working on farms. Between 1980 and 1990, the population of Asian Indians in the U.S. increased by 125%. Due to family reunification laws, the number of Asian Indian elders who followed their offspring to this country has also risen (India, 2015). There are now two major groups of Asian Indians, those who came to U.S. in the late 1960’s and early 70’s, and the group who came much later. According to the 1990 Census data, there were approximately 23,000 Asian Indian elders over the age of 65; 83% are foreign born and 51% do not speak English very well. Only 12%, however are classified as linguistically isolated (without an adult who speaks English in the household) – the smallest of any Asian ethnic group (India, 2015). Older Asian Indian immigrants are often financially dependent on their children. They face the challenges of a culturally different society, such as a language barrier, culture mismatch, new lifestyle factors, and role reversal. In traditional Indian society, extended family members usually live together as a single-family unit. Often, the husband's parents will join the family after they have retired or when help is needed. The grandparents' role in raising...
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...Anorexia Nervosa Anorexia nervosa (AN) is an eating disorder that is characterized by the refusal to sustain a healthy weight (Kumar, Tung, & Iqbai, 2010). Many believe that anorexia is more common amongst Caucasian women, but anorexia occurs throughout all cultures and races. AN has the highest mortality rate of an psychiatric disorder (Kumar, Tung, & Iqbai, 2010). Every major organ system is affected because of the malnutrition that anorexia causes. People with anorexia look in the mirror and see a distorted image rather than what is reality. Victims of anorexia see someone that is huge when in actuality they may be average size and weight. Once a person is diagnosed with anorexia it is hard for them to recover. Not only is it hard for a person with AN to recover, it is also extremely easy to relapse. It takes intense therapy and treatment to cure someone with anorexia. AN exists in every culture and race; it varies amongst African Americans differently as opposed to other cultures. Symptoms of anorexia include an intense fear of gaining weight, refusal to keep body weight up, and amenorrhea for 3 consecutive months (Kumar, Tung, & Iqbai, 2010). Amenorrhea is the abnormal absence of menstruation. Some other symptoms of AN are lanugo, joint swelling, dental cavities, tooth loss, and abdominal distension (Kumar, Tung, & Iqbai, 2010). Lanugo is the growth of fine white hair that grows when anorexics have no body fat left to keep themselves warm (Morrisey, 2010). There also...
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...and more behind the expectations of her team at each practice. What is wrong? She does some research and is quickly taken by surprise. A diet comprised of an increased intake of sugars, sodium, and additives has numerous repercussions. “However, the potential negative psychosocial aspects of obesity, such as poor body image (BI), social isolation, and stigmatization, are also relevant in the lives of youth” (Martin, 2011, p.245). Parents and other youth leaders are strongly encouraged to be the defense against such harsh ramifications. It is up to the adults to guide their children along to journey of a healthier future. Parents and youth leaders need to beware of the negative effects of fast food and junk food. These foods hold no nutritional value at all and can cause ill effects such as obesity, health disorders, and even death. With so much influence from outside sources such as advertisements and the media,...
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...Access to Care Despite the insurmountable cardiovascular risk burden, it is important to note that healthcare systems in many parts of Africa are designed to treat acute communicable diseases, rather than preventable NCDs [5] in part due to resources [22]. As a result, equity in terms of access to health care is constrained by the fact that patients with cardiovascular risk burden make significant demands on already scarce health resources. The healthcare system in SSA is often challenged by lack of sufficient resources to provide adequate patient care. Both lack of institutional resources and up-to-date practical information for healthcare providers often jeopardizes patient care [99]. A review by Motala (2002) [100] noted that the increasing diabetes trends in Africa are influenced by inadequate health care infrastructure, inadequate supply of medications, and lack of available healthcare facilities and providers. Issues such as lack of protocols for diabetic complication evaluation and monitoring, little or non-existent referral systems, inadequate health facilities, and absence of multidisciplinary diabetic care teams also make diabetes care difficult [101]. Among diabetes patients in Mozambique and Zambia, patients in need of insulin were faced with the high cost of the medication when available but were also faced with lack of availability of insulin when needed [102]. Similarly, Whiting and colleagues (2003) [101] noted that the contextual, clinical, and health systems...
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...Immigrant Minority Health: Disparities in Self-Reported Diabetes Mellitus among Arab, Chaldean, and Black Americans in Southeast Michigan. Hikmet Jamil, Monty Fakhouri, Florence Dallo, Thomas Templin, Radwan Khoury, Haifa Fakhouri Wayne State University, University of Texas Immigrant Minority Health: Disparities in Self-Reported Diabetes Mellitus among Arab, Chaldean, and Black Americans in Southeast Michigan Abstract This study shows a disproportionately amount of minorities are affected by diabetes mellitus in the medical community. This study reveals statistic facts as well as documented facts. Research has consistently documented that on almost any measure, minorities have poorer health than do other groups. Not many minorities report to their primary care physician for some signs and symptoms due to diabetes mellitus. The United States population has become increasingly diverse, making it a reliable source of information on the reports of this disease. This research will show facts as to why immigrant minorities have disparities among minorities. Social, economic, and environmental factors are research to find the disparities of this deadly disease. This study examines the effects it has on three ethnic groups: Arabs, Chaldean, and Blacks. Using...
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...first U.S. milk processing plant to install pasteurization equipment was the Sheffield Farms Dairy in Bloomfield, New Jersey. They used a German-made pasteurizer. In 1908, Chicago became the first major American city to pass a law requiring commercial milk to be pasteurized milk. A cup of today's cow's milk on average already contains 29.7 percent of the daily value for calcium and 23.2 percent of the daily value for phosphorus recommended requirements. The former is important for building bones, as well as physiological activities such as blood clotting, muscle contraction and even blood pressure regulation. Vitamin D is also present in Cow's milk. You can see the nutritional facts of one cup of Cow's Milk in Figure 1. | 1 Cup Cow's Milk | |Nutritional Facts: | |Calories |147 | |Total Fats...
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...Chapter I THE PROBLEM Introduction Nutritional status is a measurement of how well the nutrients in your diet are meeting the physiologic needs of your body. Health care professionals like registered dietitians, nurse and physicians are trained to review and assess many different parameters to assess a persons nutritional status. They do this through the use of medical tests and other tools that provide dietary information. Nutritional status is the balance between the intake of nutrients by an organism and the expenditure of these in the process of growth, reproduction, and health maintenance. Because this process in highly complex and quite individualized, nutritional status assessment can be directed at a wide variety of aspects of nurtures. These ranges from nutrient levels in the body, to the products of their metabolism, and to the functional processes they regulate. Nutritional status can be measured for individuals as well as for populations. http://www.answers.com/topic/assessment-of-nutritional-status#ixzz1zFO5MZFB/06-30-12 In children, growth charts have been developed to allow researches and clinicians to assess weight-and-height-for-age. For children, low height-for-age considered stunting, while low weight-for-height indicates wasting. Accurate measurement of individual nutritional status is required in clinical practice. Population measures are more important in research...
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...With Hispanics making up almost half the population, the remaining Whites, Asians and African Americans, as well as other cultures, lend to a very diverse community. You can be in a very affluent area and drive only a few short miles and be now surrounded by run-down buildings, homeless people on the streets and poverty-stricken neighborhoods. Because of this, our community has many different health concerns that will be addressed in this paper. B.) Assessment of Needs and Risks B1. Population Economic Status In Los Angeles County, of the 10 million residents, 18.9% of households are at or below the poverty level (Los Angeles County, 2015). With the national average being 14.8%, LA County is a community that has to take care of a greater amount of people that are in need (U.S. Census Bureau, 2015). The average household income sits at $54,529 with African Americans being at the lowest median, around $36,609. Concurrently, they are also the population who has the highest percentage of poor, 38.1% (U.S. Census Bureau, 2000-2013). LA County also has a high rate of homeless, which you can commonly see on the streets spread out among different areas of the community. An estimated 254,000 people are homeless at some point during the year and “African Americans make up approximately half of the Los Angeles County homeless population - disproportionately high compared to the percentage of African Americans in the county overall (about 9 percent)” (Institute...
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...Value/Belief Pattern • Predominant ethnic and cultural groups along with beliefs related to health. • Predominant spiritual beliefs in the community that may influence health. • Availability of spiritual resources within or near the community (churches/chapels, synagogues, chaplains, Bible studies, sacraments, self-help groups, support groups, etc.). • Do the community members value health promotion measures? What is the evidence that they do or do not (e.g., involvement in education, fundraising events, etc.)? • What does the community value? How is this evident? • On what do the community members spend their money? Are funds adequate? Health Perception/Management • Predominant health problems: Compare at least one health problem to a credible statistic (CDC, county, or state). • Immunization rates (age appropriate). • Appropriate death rates and causes, if applicable. • Prevention programs (dental, fire, fitness, safety, etc.): Does the community think these are sufficient? • Available health professionals, health resources within the community, and usage. • Common referrals to outside agencies. Nutrition/Metabolic • Indicators of nutrient deficiencies. • Obesity rates or percentages: Compare to CDC statistics. • Affordability of food/available discounts or food programs and usage (e.g., WIC, food boxes, soup kitchens, meals-on-wheels, food stamps, senior discounts, employee discounts, etc.)...
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...Hispanics in the city of Los Angeles are at especially high risk. This high-risk minority population requires extra efforts on the part of providers to decrease the rate of diabetes and related complications. The focus of this project is to educate nurses about cultural competency, barriers that Hispanics face, and how to improve their quality of life by making a lifestyle change. Experience at the Workplace Working with Hispanic immigrants and Hispanic nationals at my facility has given me firsthand exposure to their struggles and barriers that they face in the healthcare system. Working with other nurses has exposed me to the sad reality that the majority of them lack cultural competency, sensitivity and understanding for this particular vulnerable group. In my experience, most of my co- workers view Hispanic clients as a burden to the system rather than as a person that needs support, understanding and guidance to overcome the health disparities and barriers they face in our healthcare system. During this project, I interviewed and shared with two of my co-workers a brochure I developed, designed to increase awareness about the vulnerability of Hispanics, based on their culture and illness. Concepts were covered about the importance of health literacy, culture and its influence on patient’s disease management, barriers that they face, and techniques that ultimately motivate clients to make a lifestyle change. The risk for Hispanics in the United States to develop type...
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...1.|A nurse has been working with Mrs. Griffin, a 71-year-old patient whose poorly controlled type 1 diabetes has led to numerous health problems. Over the past several years Mrs. Griffin has had several admissions to the hospital medical unit, and the nurse has often carried out health promotion interventions. Who is ultimately responsible for maintaining and promoting Mrs. Griffin's health?| A)|The medical nurse| B)|The community health nurse who has also worked with Mrs. Griffin| C)|Mrs. Griffin's primary care provider| D)|Mrs. Griffin| Ans:|D| |Feedback:| |American society places a great importance on health and the responsibility that each of us has to maintain and promote our own health. Therefore, the other options are incorrect.| 2.|An elderly female patient has come to the clinic for a scheduled follow-up appointment. The nurse learns from the patient's daughter that the patient is not following the instructions she received upon discharge from the hospital last month. What is the most likely factor causing the patient not to adhere to her therapeutic regimen?| A)|Ethnic background of health care provider| B)|Costs of the prescribed regimen| C)|Presence of a learning disability| D)|Personality of the physician| Ans:|B| |Feedback:| |Variables that appear to influence the degree of adherence to a prescribed therapeutic regimen include gender, race, education, illness, complexity of the regimen, and the cost of treatments. The ethnic background of the health care provider...
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