Write a PES statement for each case study assigned. Include the ID a.pdf

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Write a PES statement for each case study assigned. Include the ID as in the IDNT Case #1: Diabetes Mellitus complicated by obesity 25 y/o female, works as a computer programmer, sedentary lifestyle. Ht: 510 Wt. 200#; DM diagnosed 5 years ago. FBS 175 mg/dl, Chol: 240 mg/dl Eats all foods but dislikes fruits and vegetables. Diet Hx reveals frequent snacking on cheese crackers throughout the day and use of sugar sweetened beverages. Admits to not being ready for lifestyle change. Case #2: Chronic Renal Disease complicated with multiple shifts in labs 42 y/o Asian male, teacher at local college, walks 4 miles/day for exercise. Single Ht:58 Wt:140# Skips breakfast, eats at favorite Chinese restaurant for lunch and dinner. Recent labs for BUN, creatinine and phosphorus are high, potassium slightly elevated. Needs help adjusting diet to lifestyle. Interested in staying off dialysis..

Education

This document presents a case study of a 45-year-old Asian male diagnosed with type 2 diabetes mellitus. It discusses the epidemiology, pathophysiology, risk factors, signs and symptoms, diagnostics, and therapeutic interventions for diabetes. It also provides details of the patient's history, medications, physical exam findings, assessment, and treatment plan. The patient was started on metformin and lifestyle changes including diet, exercise, and quitting smoking. Herbal supplements like fenugreek and bitter gourd juice were also recommended. The goal is to control his blood glucose and prevent diabetes complications through proper management.

The diabetes cure

Patrick Garrett, DC

This document summarizes Dr. Patrick Garrett's presentation on reversing type 2 diabetes through lifestyle changes in 2 months. Dr. Garrett has extensive education and experience in functional medicine and clinical nutrition. He outlines how type 2 diabetes has become an epidemic due to changes in diet and lifestyle over the past 30 years. However, type 2 diabetes is reversible by changing one's diet to a low-glycemic, whole foods diet, incorporating regular exercise, managing stress, and optimizing nutrition and inflammation levels in the body. Several case studies are presented showing patients who reversed their diabetes through these lifestyle interventions in as little as 2 months.

The diabetes cure

Patrick Garrett, DC

DM2 and CHD Case Study

Emma Kett

Mrs. Douglas, a 76-year-old female with type 2 diabetes, hypertension, and a history of heart failure and myocardial infarction, was admitted to the hospital for shortness of breath and swelling in her legs. Her lab values show elevated glucose, sodium, cholesterol, and triglycerides. A nutrition assessment found she consumes around 1800 calories daily but could benefit from following a cardiac diet lower in sodium, saturated fat and refined carbohydrates. A 1500 calorie diet is recommended for weight loss and heart health upon discharge.

Presentationnurs789.pptx

KatieOsterritter1

The document describes a case involving a 43-year-old woman, Laura Jones, who presents to the emergency department with vomiting, abdominal pain, fatigue, and loose stools. Her medical history includes fibromyalgia, celiac disease, hypothyroidism, osteopenia, and a history of endometriosis. On examination, she is found to have macrocytic anemia secondary to folate deficiency, as well as acute pancreatitis likely caused by her alcohol consumption of 3-4 glasses of wine per day.

Development of.docx

stirlingvwriters

Kc.pdf

sdfghj21

The document describes several patient cases involving various endocrine disorders: 1) A 67-year-old woman presenting with confusion was diagnosed with SIADH due to antidepressant medication and referred for further evaluation and management. 2) A 43-year-old woman presenting with vomiting and weakness was diagnosed with secondary hypocortisolism due to lack of prednisone intake. 3) A 64-year-old woman with hypercalcemia was diagnosed with primary hyperparathyroidism and referred to an endocrinologist.

Optimal Health for the 21st Century

Donald Shrump

Celiac disease is an autoimmune disorder triggered by ingestion of gluten that causes inflammation and damage to the lining of the small intestine. It affects approximately 1 in 133 people in the US. A lifelong, strict gluten-free diet is the only treatment and can help the small intestine heal, though some patients may have persistent intestinal damage. Proper management requires nutrition counseling and monitoring to ensure the gluten-free diet meets nutritional needs.

Nutritional asssessment with dm and hypertension

Lyca Mae

Nehemias Medrano, a 54-year-old male cooperative manager, presented with fluctuating physical activity, excessive stress, slight appetite loss, and lack of adherence to his diabetes management. He has a family history of diabetes, hypertension, COPD, and leukemia. He was diagnosed with diabetes and hypertension at ages 48 and 44 respectively. A physical assessment found diabetic dermopathy, blurred vision, and sensory loss in his lower extremities. The nursing care plan focused on educating him about balancing diet, activity, medication, and monitoring to stabilize his blood glucose levels and prevent complications.

ckd case.f15 (2)

Ashtin Spies

This case study describes a 41-year-old male patient with chronic kidney disease who is undergoing hemodialysis treatment. His medical history, social history, physical exam findings, laboratory results, medications, and dietary intake are presented. The patient's lab results show abnormalities including high phosphorus and potassium levels. His current diet does not meet the nutritional recommendations for dialysis patients. The case study involves assessing the patient's diet, creating a sample meal plan meeting his needs, and addressing risks such as secondary hyperparathyroidism resulting from his chronic kidney disease.

Animal Model Selection, Study Design and Current Trends in Preclinical Obesit...

InsideScientific

During this presentation, Dr. Fred Beasley gives a broad-level overview of the factors to consider when deciding on an appropriate preclinical rodent model for studying obesity and its treatments. It features an overview of trends in obesity and associated illnesses, and the role of pharmacological intervention. Dr. Beasley discusses criteria for establishing a study’s aims and review commonly used rodent models obesity, addressing both genetically inherited and diet-induced obesity. The webinar concludes with additional considerations for improving your study design. Key topics include… - An introduction to the role of pharmacological intervention in treating obesity - A guide to establishing study aims for obesity research - An overview of commonly used rodent obesity models (diet and genetic) - Additional considerations for obesity research study design Key methods reviewed include… Pharmacotherapy, diet induced obesity, Western-style diet, monogenic obese rodents, polygenic obese rodents, NAFLD activity score

Feeding difficulties in young children

Khaled Saad

This document discusses feeding difficulties in young children. It begins with definitions of feeding versus eating and what is considered a feeding difficulty. Feeding difficulties can include behaviors like picky eating, food fussiness, food refusal, and more. The prevalence of feeding difficulties is estimated to be as high as 20-50% in typical children and 80-90% in children with developmental delays or chronic illness. Feeding difficulties can impact a child's nutrition, growth, development, and family relationships if they are severe and prolonged. The document explores reasons why feeding difficulties may develop, including medical conditions, disrupted parent-child interactions, sensory issues, and more.

feedingdifficultiesinyoungchildrenaugust2020-200828144417.pdf

ayansamosisa

This document discusses feeding difficulties in young children. It begins with definitions of feeding versus eating and defines what is considered a feeding difficulty. It notes the prevalence of feeding difficulties can be as high as 20-50% in typical children and 80-90% in children with developmental delays or chronic illness. The consequences of feeding difficulties are outlined, including risks of nutritional deficiencies, poor growth, cognitive impairments, and in severe cases, death. A variety of reasons for why feeding difficulties may develop are then explored, including social/emotional, physical/sensory, oral motor, cognitive, and environmental factors.

Diabetes Mellitus:casepre

Rad King

This document provides a case study of an 18-year-old female patient, Ms. A, who was admitted to the hospital with uncontrolled Type 1 diabetes mellitus. It discusses her medical history and family history of diabetes. It also defines key terms related to diabetes like glucose, insulin, and symptoms of uncontrolled diabetes like polyuria and polydipsia. Additionally, it provides background on the anatomy and physiology of the endocrine system, pancreas and processes involved in gluconeogenesis.

adime_-_1_415_b.docx

JakePadua

Henry is a 70yearold African American male with endstage .pdf

geetakannupillai1

Henry is a 70-year-old African American male with end-stage renal disease (ESRD) started recently on hemodialysis 3 times per week and is having trouble with the diet changes. He dislikes the taste of his binders (Tums 8/ /calcium carbonate) and reports often forgetting to take them with meals. His nephrologist referred him for help implementing a renal diet. He went through a class but is having trouble remembering what he leamed. He is present at the appointment with his adult daughter. Henry was diagnosed with type 2 diabetes 10 years ago. The doctor said it was likely that he had DM for several years prior to diagnosis. Henry lives alone but his daughter lives a few miles away and takes him to his dialysis appointments or else he takes medical transportation. Henry is mostly homebound, and his daughter brings groceries. She describes him as "set in his ways." He often eats canned and frozen meals because they are easy to prepare, and he likes them. He feels fatigued and doesn't have energy to cook but will heat things up and his daughter will sometimes make food for him and bring it over. His ankles appear swollen. "I sleep a lot at dialysis so I can't sleep at night very well - plus I get a lot of muscle cramps which keeps me awake." His urine output is 240mL/ day and he has chronic constipation with a BM every 2 to 3 days. Anthropometrics: Height: 70 inches /178cm Weight: 153lbs/69.5kg BMI: Weight 1 year ago: 170lbs, Weight 3 months ago: 159lbs, Weight before last dialysis session: 165 lbs, Weight after last dialysis session: 160 tbs Here Is Henry's 24 Hour Recall: B: Often skips as he sleeps late and doesn't have much of an appetite lately. Drinks 1 cup coffee with 2 tbs half and half when he wakes up. 5: (11 am) 12 oz orange juice and 1 slice white toast with butter, small handful of M&M's L (1:00 pm): 2 cups canned tomato soup (tomato is his favorite) 12 saltine crackers and 8 oz 2% milk. 5: 1 large banana D (8 pm): Salisbury steak with mashed potatoes frozen dinner and 12 oz sweetened iced tea. S: (10 pm) 1 cup chocolate ice cream Medications and Supplements: atenolol, erythropoietin (EPO), ferrlecit, insulin (lantus basil insulin), zemplar, sertraline, miralax, calcium carbonate tablets Nutrition Physical Exam: Evidence of moderate wasting in the orbital, buccal, temporal and clavicular regions. Patient moves slowly and dentures appear to fit loosely. He falls asleep briefly during the nutrition intake. Ankles have evidence of edema.Nutrition Physical Exam: Evidence of moderate wasting in the orbital, buccal, temporal and clavicular regions. Patient moves slowly and dentures appear to fit loosely. He falls asleep briefly during the nutrition intake. Ankles have evidence of edema. Recent Labs and Blood Pressure: Blood Pressure (BP): 143/92 Question 1 Assess Henry's anthropometrics. Has he lost weight? Gained weight? Has he gained more than the recommended amount between dialysis sessions? Calculate his calorie, protein, and fluid ne.

Changing trend in diabetes mellitus

Dr. Avinash shankar

The document discusses changing trends in diabetes mellitus, noting that it is increasingly affecting lower income groups and daily wage earners due to toxic non-nutrients in diets from fertilizers, chemicals, and processed foods. A study of over 1200 people in rural Bihar found that most had elevated blood sugar levels and liver enzymes. Treating hepatic dysfunction with hepatoprotective drugs in addition to antidiabetic medications resulted in better blood sugar regulation and control without circadian variation, suggesting hyperglycemia has hepatic and pancreatic causes. Dietary changes and limiting toxic non-nutrients in food are recommended to curb the rising diabetes epidemic in India.

Nutrition Therapy For CKD: A Case Study Approach

kiolinski

Type 2 diabetes undone.pdf

Ashokan Kannarath

The number of people with diabetes rose from 108 million in 1980 to 422 million in 2014. Prevalence has been rising more rapidly in low and middle-income countries than in high-income countries. Diabetes is a major cause of blindness, kidney failure, heart attacks, stroke, and lower limb amputation. Between 2000 and 2016, there was a 5% increase in premature mortality from diabetes. In 2019, an estimated 1.5 million deaths were directly caused by diabetes. Another 2.2 million deaths were attributable to high blood glucose in 2012. A healthy diet, regular physical activity, maintaining a normal body weight, and avoiding tobacco use are ways to prevent or delay the onset of type 2 diabetes. Diabetes can be treated and its consequences avoided or delayed with diet, physical activity, medication, and regular screening and treatment for complications

DIABETES MELLITUS IN CHILDREN

Arifa T N

This document discusses diabetes mellitus (DM), specifically in children. It defines DM as a chronic metabolic disorder characterized by hyperglycemia resulting from defects in insulin secretion or action. Type 1 DM is described as an autoimmune disease resulting in absolute insulin deficiency, while Type 2 DM is associated with insulin resistance. Signs and symptoms, classification, incidence rates, diagnosis, treatment involving insulin therapy, nutrition management, and exercise are covered. Nursing care focuses on education, emotional support, and ensuring safety.

2-Failure-to-Thrive (1).ppt

Hamna Al-Musalhi

This document discusses failure to thrive in children. It begins by defining failure to thrive as inadequate nutrition leading to abnormal growth. Growth charts are then reviewed as tools to identify failure to thrive. The causes of failure to thrive are categorized as inadequate calories, inability to utilize calories, and increased caloric needs. Child abuse, including neglect, medical child abuse, and physical/sexual abuse, are also discussed as potential causes. The evaluation, treatment, and multidisciplinary management of failure to thrive are outlined.

31TO 35 Impact of fast food and healthy life .pdf

JoyMukkolayikal

Fast food consumption has been linked to negative health impacts according to the document. The CARDIA study found those who ate fast food 2 or more times per week had a higher risk of heart disease than those who ate it less than once a week. Additionally, frequent fast food consumption is associated with weight gain and increased risk of obesity over time. In contrast, a healthy diet with fruits, vegetables, whole grains, lean protein and healthy fats can lower risks of chronic diseases. The document emphasizes that regularly eating fast food should be avoided in favor of whole, nutrient-dense foods for good health.

Best OncoRx Testing Company In Hyderabad - GenepoweRx

Genepowerx

We are a specialized genome clinic of Hyderabad, providing personalized healthcare to individuals to lead healthy and effective lives. We understand how important it is for you to have appropriate advice about the medicines prescribed for you and for your benefit. Our experts will give you individualized, comprehensive health advice and consultation to meet your specific needs. Visit: https://genepowerx.com/oncorx/

Diabetes

Sachin kumar

This document discusses diabetes, including types, symptoms, treatments, and recent advances. It covers type 1 and type 2 diabetes, gestational diabetes, and pre-diabetes. Insulin and oral hypoglycemic agents are described as standard treatments. Recent advances discussed include islet cell transplantation using the Edmonton protocol, the bio-artificial pancreas called Beta-O2, transplanting islets into the omentum rather than liver, and research into using the BCG vaccine to eliminate disease-causing T-cells and restore insulin production.

SBS Presentation - Dr. DiBaise.pdf

Devi Seal

CME Spark and the American Gastroenterological Association developed a Case Closed CME program for gastroenterologists and other healthcare providers involved in the care of patients with short bowel syndrome (SBS) to have a case-based learning experience that focuses on guidelines and best practices. John K. DiBaise, MD Professor of Medicine, Division of Gastroenterology and Hepatology Mayo Clinic Scottsdale, AZ

Combating malnutrition in ckd

Vishal Bagchi

RichardsonCaseStudy1

Stephanie Richardson

This document summarizes the case of a 58-year-old female patient admitted to the hospital for heart failure and uncontrolled diabetes. She has a history of obesity, noncompliance with medications, and frequent hospital admissions. Her labs show poor glucose and cholesterol control. The document discusses how obesity can lead to diabetes and heart conditions through inflammation and altered hormone secretion from fat tissue. It also reviews studies finding associations between high added sugar intake and risk of cardiovascular disease mortality and conditions like hypertension and diabetes.

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Write a PES statement for each case study assigned. Include the ID a.pdf

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Write a PES statement for each case study assigned. Include the ID a.pdf