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Title of Paper

PATIENT PROFILE: 

Name: S. W. 35-year-old Asian female, Buddhist. 5’2, 95 pounds. Single, light activity. She has history of HIV/AIDS, malnutrition, poor dentition. She has fixed income with limited family. Current diet: National institute of Health: 1200 calorie diet. She currently takes Antiretroviral therapy: Prezcobix (Darunabir 800mg and cobicistat 150mg) 1 tab daily, and Calcium 1000mg daily. 

Part 1:

Criterion One

In this section, you will discuss his/her current diet (1200 calorie diet) and how they are in excess or deficient in carbs, protein, and fats. Be specific and provide examples for each macronutrient (carbs, protein and fats). Look up basic diets for the type of diet mentioned. For example, if talking about a fast food diet, lookup a common meal at Burger King, MacDonald’s or your favorite fast food restaurant 

Please add: The five vegetables Onions, Garlic, Scallions, Chives and Leeks, are avoided by some Buddhists. 

Criterion Two

In this section, you want to discuss at least 5 micronutrients your patient is either deficient in or in excess of. Explain the micronutrient (what it is, why important and RDA) and provide examples on how they are deficient or in excess of the micronutrient. Give examples, again look at the nutrition guidelines for the diet you looked up in criterion one.

Micronutrients in HIV-positive persons receiving highly active antiretroviral therapy

https://academic.oup.com/ajcn/article/85/2/333/4649551

Part 2:

Criterion One:

In this section discuss the pathophysiology of the patient’s disease processes (ex. HIV/AIDS, malnutrition and poor dentition). After the pathophysiology discuss how the foods the patient is consuming will affect these disorders. Provide at least 3 examples of the foods this patient should avoid and foods they should consume to prevent further problems. Explain why.

Criterion Two

In this section discuss the patient’s medications: Prezcobix (Darunabir 800mg and cobicistat 150mg) and Calcium. Discuss what the meds are and what foods should be avoided or any other patient education regarding the patient’s medications and diet. 

Part 3:

Criterion One:

Based on the information in the patient profile calculate the patients: BMI (17.4), BMR (1,079), CHO, Protein (38 grams of protein X 4 calories per gram = 152 calories from protein) and fat needs. These are not RDA %, they are actual specific client needs to be based on their weight and height. Include all of the actual calculations for each section.

Please see the website below and it will give you the formulas on how to calculate carbohydrates, proteins, and fats. Determine the fat intake based on your patient’s comorbidities. In the assignment directions, you will also find out how to calculate each calculation.

You can find how to calculate the BMR and your BMI in your textbook.

http://mybodymykitchen.com/calculate-your-macronutrients-protein-fats-carbs/ 

Criterion Two:

Develop a nutritional educational plan based on the nutritional needs of this patient. Include three SMART goals and provide 2-3 specific nursing strategies for this patient to help him/her reach the goals. Give rationales for the strategies.

SMART goal:

S-specific

M-measurable

A-attainable

R-realistic

T-timed

Example of a SMART goal

 By December 12, 2018(timed), the client will write three diet (measurable and specific) modifications to decrease the amount of sodium he consumes (specific,  realistic and attainable)

Then you will provide 3 nursing strategies to help this patient achieve his goal.

References: 

Delelegn Yilma Gebremichael, Kokeb Tesfamariam Hadush, Ermiyas Mulu Kebede, and Robel Tezera Zegeye, “Food Insecurity, Nutritional Status, and Factors Associated with Malnutrition among People Living with HIV/AIDS Attending Antiretroviral Therapy at Public Health Facilities in West Shewa Zone, Central Ethiopia,” BioMed Research International, vol. 2018, Article ID 1913534, 9 pages, 2018. https://doi.org/10.1155/2018/1913534.

John R. Koethe, Benjamin H. Chi, Karen M. Megazzini, Douglas C. Heimburger, Jeffrey S. A. Stringer; Macronutrient Supplementation for Malnourished HIV-Infected Adults: A Review of the Evidence in Resource-Adequate and Resource-Constrained Settings, Clinical Infectious Diseases, Volume 49, Issue 5, 1 September 2009, Pages 787–798, https://doi.org/10.1086/605285

Louise C. Ivers, Kimberly A. Cullen, Kenneth A. Freedberg, Steven Block, Jennifer Coates, Patrick Webb, Kenneth H. Mayer; HIV/AIDS, Undernutrition, and Food Insecurity, Clinical Infectious Diseases, Volume 49, Issue 7, 1 October 2009, Pages 1096–1102, https://doi.org/10.1086/605573

Micronutrients in HIV-positive person receiving highly active antiretroviral therapy

https://academic.oup.com/ajcn/article/85/2/222/4649551

http://mybodymykitchen.com/calculate-your-macronutrients-protein-fats-carbs/ 

· Source(s) should be integrated into the paragraphs. Use in-text citations pointing to evidence in the literature and supporting your ideas.

· Incorporate a minimum of two peer-reviewed sources into your paper (included).

Use current APA format to style your paper and to cite your sources. 

 

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APA 250-280 words, at least 3 references, in-text citations. 

Describe a patient case from your experiences, observations, and/or clinical practice. (ex. patients with kidney failure, liver disease, pancreatitis, opioid addict)

Then, describe factors that might have influenced pharmacokinetic and pharmacodynamic processes of the patient you identified. 

Finally, explain details of the personalized plan of care that you would develop based on influencing factors and patient history in your case. 

Be specific and provide examples.

FYI Pharmacokinetics describes what the body does to the drug through absorption, distribution, metabolism, and excretion, whereas Pharmacodynamics describes what the drug does to the body.

 

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