Introduction to The Measuring Dietetic Practice StudyMelanie Voevodin
This document discusses the development of data reporting tools for dietitians. It presents background on performance reporting in health and the problem of obesity in Australia. The study aims to determine a minimum dataset for dietitians providing weight loss services, examine how standard practices support this dataset, and identify variations in dietetic practices. It outlines research questions around developing a data collection system and its effects. The study had low survey response and shifted to a national online survey distributed via social media and a dedicated website.
Breastfeeding is recommended for infants for the first year of life and provides health benefits for both mother and baby. While sulfonylureas like glipizide were previously discouraged during breastfeeding due to transfer into breastmilk, recent studies found negligible levels of glyburide and glipizide in breastmilk. Metformin is also considered safe during breastfeeding as studies found low levels in breastmilk below 10% of the maternal dose, with no adverse effects seen in infants. Therefore, sulfonylureas and metformin appear to be compatible with breastfeeding for diabetic mothers.
A 62-year old man presented with cerebrovascular accident secondary to hypertension. He had a history of non-compliance with antihypertensive medications and alcohol and tobacco use. He was initially unresponsive but regained consciousness after treatment. His blood pressure fluctuated above normal levels during treatment. He received nutritional counseling and was placed on an oral fluid diet, which along with medications helped control his blood pressure and recovery. At follow-up two weeks later, his health status was satisfactory with normal vital signs and anthropometric measurements. Medical nutrition therapy played an important role in his recovery from cerebrovascular accident.
This document is a case study submitted by Reynel Dan L. Galicinao to their professor Prof. Maricar M. Mutia at Misamis University's Graduate School. It discusses diabetes mellitus-II with chronic kidney disease-IV, covering topics like insulin secretion and function, classifications of diabetes, diagnostic tests, and general procedures and treatment modalities. Key points include the different types of diabetes, factors that affect insulin and blood glucose levels, laboratory tests used to diagnose and monitor diabetes, and nursing considerations for administering those tests.
A soape note on uncontrolled hypertensionRomit Subba
This was our SOAPE note on Uncontrolled HTN. SOAPE S Stands for Subjective O stands for Objective A for Assessment P for Plan and E for Education . Patient have Uncontrolled HTN for which we being a pharmacist giving our rationale depending upon his/her SOAPE. Suggestions and comments are appreciated.
Introduction to The Measuring Dietetic Practice StudyMelanie Voevodin
This document discusses the development of data reporting tools for dietitians. It presents background on performance reporting in health and the problem of obesity in Australia. The study aims to determine a minimum dataset for dietitians providing weight loss services, examine how standard practices support this dataset, and identify variations in dietetic practices. It outlines research questions around developing a data collection system and its effects. The study had low survey response and shifted to a national online survey distributed via social media and a dedicated website.
Breastfeeding is recommended for infants for the first year of life and provides health benefits for both mother and baby. While sulfonylureas like glipizide were previously discouraged during breastfeeding due to transfer into breastmilk, recent studies found negligible levels of glyburide and glipizide in breastmilk. Metformin is also considered safe during breastfeeding as studies found low levels in breastmilk below 10% of the maternal dose, with no adverse effects seen in infants. Therefore, sulfonylureas and metformin appear to be compatible with breastfeeding for diabetic mothers.
A 62-year old man presented with cerebrovascular accident secondary to hypertension. He had a history of non-compliance with antihypertensive medications and alcohol and tobacco use. He was initially unresponsive but regained consciousness after treatment. His blood pressure fluctuated above normal levels during treatment. He received nutritional counseling and was placed on an oral fluid diet, which along with medications helped control his blood pressure and recovery. At follow-up two weeks later, his health status was satisfactory with normal vital signs and anthropometric measurements. Medical nutrition therapy played an important role in his recovery from cerebrovascular accident.
This document is a case study submitted by Reynel Dan L. Galicinao to their professor Prof. Maricar M. Mutia at Misamis University's Graduate School. It discusses diabetes mellitus-II with chronic kidney disease-IV, covering topics like insulin secretion and function, classifications of diabetes, diagnostic tests, and general procedures and treatment modalities. Key points include the different types of diabetes, factors that affect insulin and blood glucose levels, laboratory tests used to diagnose and monitor diabetes, and nursing considerations for administering those tests.
A soape note on uncontrolled hypertensionRomit Subba
This was our SOAPE note on Uncontrolled HTN. SOAPE S Stands for Subjective O stands for Objective A for Assessment P for Plan and E for Education . Patient have Uncontrolled HTN for which we being a pharmacist giving our rationale depending upon his/her SOAPE. Suggestions and comments are appreciated.
Mr. AH is a 70-year-old man who was diagnosed with T2DM 10 years ago. He was initially treated with lifestyle management and metformin.
3 years later, his doctors advised him to add long acting basal insulin analogue to metformin, reached to 40U/day .
Other current medical conditions include: hypertension, hypothyroidism, and mild osteoporosis without fracture history.
Current medications; Metformin 1000 mg bid, long acting basal insulin analogue 40U/day , Candesartan 16 mg qd, Alendronate 70 mg once weekly, Levothyroxine 100 mg qd.
Physical exam: BMI 26 kg/m2, BP 140/80 mmHg, otherwise unremarkable.
His current FPG 140 mg/dL and HbA1c 8.5%. Kidney and liver functions are normal.
Mrs. Noraisyah is a 46-year-old Malaysian woman diagnosed with primary hypertension 3 years ago. Her blood pressure was consistently elevated at 150/100 mmHg. She developed hypertension due to stress from her divorce and unhealthy lifestyle habits like a high-salt diet and lack of exercise. Her symptoms included headaches when stressed. To manage her condition, she was advised to make lifestyle changes like regular exercise, a low-sodium diet, and stress management. She was also prescribed medications including methyldopa to control her blood pressure.
This document discusses a case study of a 19-year-old woman who was admitted to the hospital for pregnancy induced hypertension and experienced two episodes of seizures after giving birth. It provides background information on eclampsia, details of the patient's symptoms, diagnostic tests performed, and treatment involving magnesium sulfate, anti-convulsants, and anti-hypertensive drugs. It also discusses the anatomy and physiology of relevant body systems including the reproductive, cardiovascular, and nervous systems as they relate to the condition.
This document outlines the main components of a computer system including both hardware and software. It discusses the memory unit for data storage, the central processing unit for computations, various input units like keyboards and mice, storage units such as hard disks and CDs, and output units like monitors and printers that display or present the results of computations.
This document presents case presentations for hypertension, diabetes mellitus, and community acquired pneumonia for a patient named Pooja. It summarizes the subjective and objective findings, assessments, diagnoses, etiologies, need for therapy, and current medications for each condition. It also provides information on common electrolyte solutions, assessments of current antihypertensive, antidiabetic, antibiotic, and other supportive care therapies including generic and brand names, mechanisms of action, administrations, adverse effects and contraindications.
This document discusses a 74-year-old female patient with severe hypertension, heart failure, and prior renal failure who was treated with CRRT and vasodilators. Measuring the patient's cardiac output, stroke volume, and systemic vascular resistance revealed that the vasodilator was actually raising her blood pressure by lowering her SVR and increasing her CO. Stopping the vasodilator and CRRT lowered her CO and SVR, reducing her blood pressure. The case demonstrates that identifying abnormalities in CO, SV, and SVR is important for determining the appropriate hypertension treatment, as the relationship between hypertension, heart failure, and renal disease can be complex.
The document discusses the key components of computers. It describes that computers have both hardware and software components that work together. The major hardware components include the central processing unit (CPU), memory, storage devices, input/output devices, motherboard, and cables. Important software components are operating systems like DOS and Windows, which allow users to interact with the computer and its hardware. Overall, the document provides an overview of the main internal parts and programs that make up a basic computer system.
This document discusses medical nutrition therapy for diabetes mellitus using a case study. It provides an overview of diabetes, outlines the nutrition care process used for a patient with uncontrolled type 2 diabetes and a foot infection. Key interventions included education on carbohydrate counting and menu planning. Evaluation found improved intake and understanding of carbohydrate counting concepts. The summary emphasizes uncontrolled diabetes can lead to complications and the importance of nutrition therapy like carbohydrate counting to help manage blood glucose levels.
Case study hypertension presentation showKern Rocke
The group members are reviewing a 50-year-old African American male patient with stage 2 hypertension. His chief complaint is difficulty adhering to a low sodium diet. His medical history, lifestyle factors, and lab results indicate issues including overweight status, high cholesterol, family history of hypertension, and high sodium intake. The group developed a nutrition care plan to address his problems through goals of weight loss, improved lab values, normalized blood pressure, and increased adherence to a low sodium diet. A sample menu was created meeting his nutritional needs through a low sodium, low fat diet.
JJ is a 76-year-old female with depression, anxiety, bipolar disorder and chronic sciatica pain who owns a gun shop, lives independently with her husband and attends support groups daily. She has motor, emotional regulation, cognitive, and social dysfunction impacting her activities of daily living. The occupational therapy treatment plan focuses on relaxation techniques, thought journaling, visual imagery, task analysis and strengthening activities to help JJ better manage her depression and chronic pain.
This document summarizes a medical case involving a 27-year-old African American female patient who presents with migraines, fatigue, and dysmennorhea. Her medical history and lab results are presented. The assistant recommends switching the patient's migraine medication from oral tablets to nasal spray, adjusting a pain medication, treating her anemia with iron supplements, addressing her obesity through diet and exercise, and considering preventative migraine treatments.
The document summarizes the production of x-rays, including:
- Atomic structure and the forces that maintain electrons in orbit
- Types of electromagnetic radiation including x-rays
- Characteristics of x-rays such as short wavelength and ability to penetrate materials
- Components of an x-ray machine including the tube, support arms, and control panel
- How x-rays are generated when electrons from a heated filament strike a metal target in the tube
Mr. AH is a 70-year-old man who was diagnosed with T2DM 10 years ago. He was initially treated with lifestyle management and metformin.
3 years later, his doctors advised him to add long acting basal insulin analogue to metformin, reached to 40U/day .
Other current medical conditions include: hypertension, hypothyroidism, and mild osteoporosis without fracture history.
Current medications; Metformin 1000 mg bid, long acting basal insulin analogue 40U/day , Candesartan 16 mg qd, Alendronate 70 mg once weekly, Levothyroxine 100 mg qd.
Physical exam: BMI 26 kg/m2, BP 140/80 mmHg, otherwise unremarkable.
His current FPG 140 mg/dL and HbA1c 8.5%. Kidney and liver functions are normal.
Mrs. Noraisyah is a 46-year-old Malaysian woman diagnosed with primary hypertension 3 years ago. Her blood pressure was consistently elevated at 150/100 mmHg. She developed hypertension due to stress from her divorce and unhealthy lifestyle habits like a high-salt diet and lack of exercise. Her symptoms included headaches when stressed. To manage her condition, she was advised to make lifestyle changes like regular exercise, a low-sodium diet, and stress management. She was also prescribed medications including methyldopa to control her blood pressure.
This document discusses a case study of a 19-year-old woman who was admitted to the hospital for pregnancy induced hypertension and experienced two episodes of seizures after giving birth. It provides background information on eclampsia, details of the patient's symptoms, diagnostic tests performed, and treatment involving magnesium sulfate, anti-convulsants, and anti-hypertensive drugs. It also discusses the anatomy and physiology of relevant body systems including the reproductive, cardiovascular, and nervous systems as they relate to the condition.
This document outlines the main components of a computer system including both hardware and software. It discusses the memory unit for data storage, the central processing unit for computations, various input units like keyboards and mice, storage units such as hard disks and CDs, and output units like monitors and printers that display or present the results of computations.
This document presents case presentations for hypertension, diabetes mellitus, and community acquired pneumonia for a patient named Pooja. It summarizes the subjective and objective findings, assessments, diagnoses, etiologies, need for therapy, and current medications for each condition. It also provides information on common electrolyte solutions, assessments of current antihypertensive, antidiabetic, antibiotic, and other supportive care therapies including generic and brand names, mechanisms of action, administrations, adverse effects and contraindications.
This document discusses a 74-year-old female patient with severe hypertension, heart failure, and prior renal failure who was treated with CRRT and vasodilators. Measuring the patient's cardiac output, stroke volume, and systemic vascular resistance revealed that the vasodilator was actually raising her blood pressure by lowering her SVR and increasing her CO. Stopping the vasodilator and CRRT lowered her CO and SVR, reducing her blood pressure. The case demonstrates that identifying abnormalities in CO, SV, and SVR is important for determining the appropriate hypertension treatment, as the relationship between hypertension, heart failure, and renal disease can be complex.
The document discusses the key components of computers. It describes that computers have both hardware and software components that work together. The major hardware components include the central processing unit (CPU), memory, storage devices, input/output devices, motherboard, and cables. Important software components are operating systems like DOS and Windows, which allow users to interact with the computer and its hardware. Overall, the document provides an overview of the main internal parts and programs that make up a basic computer system.
This document discusses medical nutrition therapy for diabetes mellitus using a case study. It provides an overview of diabetes, outlines the nutrition care process used for a patient with uncontrolled type 2 diabetes and a foot infection. Key interventions included education on carbohydrate counting and menu planning. Evaluation found improved intake and understanding of carbohydrate counting concepts. The summary emphasizes uncontrolled diabetes can lead to complications and the importance of nutrition therapy like carbohydrate counting to help manage blood glucose levels.
Case study hypertension presentation showKern Rocke
The group members are reviewing a 50-year-old African American male patient with stage 2 hypertension. His chief complaint is difficulty adhering to a low sodium diet. His medical history, lifestyle factors, and lab results indicate issues including overweight status, high cholesterol, family history of hypertension, and high sodium intake. The group developed a nutrition care plan to address his problems through goals of weight loss, improved lab values, normalized blood pressure, and increased adherence to a low sodium diet. A sample menu was created meeting his nutritional needs through a low sodium, low fat diet.
JJ is a 76-year-old female with depression, anxiety, bipolar disorder and chronic sciatica pain who owns a gun shop, lives independently with her husband and attends support groups daily. She has motor, emotional regulation, cognitive, and social dysfunction impacting her activities of daily living. The occupational therapy treatment plan focuses on relaxation techniques, thought journaling, visual imagery, task analysis and strengthening activities to help JJ better manage her depression and chronic pain.
This document summarizes a medical case involving a 27-year-old African American female patient who presents with migraines, fatigue, and dysmennorhea. Her medical history and lab results are presented. The assistant recommends switching the patient's migraine medication from oral tablets to nasal spray, adjusting a pain medication, treating her anemia with iron supplements, addressing her obesity through diet and exercise, and considering preventative migraine treatments.
The document summarizes the production of x-rays, including:
- Atomic structure and the forces that maintain electrons in orbit
- Types of electromagnetic radiation including x-rays
- Characteristics of x-rays such as short wavelength and ability to penetrate materials
- Components of an x-ray machine including the tube, support arms, and control panel
- How x-rays are generated when electrons from a heated filament strike a metal target in the tube