Nutritional Requirements Of Adults Before Transplantation...

The article â€Å"Nutritional Requirements of Adults Before Transplantation† by Hwai-Ding Lam, MD, explains concerns regarding the nutritional management of organ transplant patients both pre and post-operatively. Nutritional assessments are important pre-operatively to determine if the patient is an appropriate candidate, and post-operatively to determine a plan of care. The conditions examined include end-stage liver disease, end-stage renal failure, end-stage heart failure, end-stage pulmonary failure, and irreversible intestinal failure. The article focuses on early assessment of the nutritional status of patients with goals including replenishing malnourished patients, maintaining the muscle and energy of patients with adequate muscle and energy reserve, encouraging weight loss in patients based on body mass index, and managing the patient’s symptoms to maximize their quality of life. The nutritional assessment of a patient is an important aspect of treating organ transplant patients and involves a subjective global assessment, anthropometrics, lab values, and other methodologies. End-stage organ failure is often multi-faceted which makes identifying and assessing nutritional status of patients difficult at times; a combination of both objective and subjective parameters were established to obtain the most accurate assessment. A complex history and physical assessment is done, called the subjective global assessment (SGA). Based on the results, patients are placed intoShow MoreRelatedHeart Failure : A Clinical Syndrome Characterized By Structural Or Functional Impairment Of Ventricular8006 Words   |  33 Pagesmass and lifetime alcohol consumption 15 o Metabolic/endocrine cardiomyopathy o Includes obesity cardiomyopathy, diabetic cardiomyopathy, hyperthyroidism, acromegaly, growth hormone imbalances, hypophosphatemia, hypocalcemia, pheochromocytoma o Nutritional deficiencies (ie thiamine, selenium) can also cause cardiomyopathy; may be seen with chronic alcoholism, anorexia nervosa o Peripartum cardiomyopathy o Left ventricular dysfunction occurs in the third trimester of pregnancy or in the immediate postpartumRead MoreManagement of Fluid Overload in Chronic Renal Failure4584 Words   |  19 Pages(National Kidney Federation (NKF), 2006 suggests that 1 in 10 people have CRF. Compared to young adults, 1 out of 2 in those aged over 75 years are suspected to have Kidney failure . Jassal (2009) also supports that chronic renal failure is increasingly being recognized in elderly individuals’ globally. In UK, between 2 and 3% of the National Health Service budget is spent on dialysis and transplantation and in many cases the patients are elderly (Black, et al 2010, p.25). The concern with fluid overloadRead MoreA Brief Note On Muslims And Healthcare Systems2881 Words   |  12 Pagesshould be made immediately. (Hoke, 2014). Muslims are also very focused on the dynamic of the relationship between the young and elderly. Elders are treated with the utmost respect within this culture and many gestures that might seem okay for young adults to indulge in are considered rude in the presence of elders. Calling elders by their first or last names without the prefix of Mr., Mrs., or Miss is considered rude, so it is always best to clarify what they prefer to be called. Standing up to greetRead MoreChapter 31 Nursing Management Hematologic Problems5788 Words   |  24 Pagesanemia? a. Omelet and whole wheat toast b. Cantaloupe and cottage cheese c. Strawberry and banana fruit plate d. Cornmeal muffin and orange juice ANS: A Eggs and whole grain breads are high in iron. The other choices are appropriate for other nutritional deficiencies but are not the best choice for a patient with iron-deficiency anemia. DIF: Cognitive Level: Apply (application) REF: 637 TOP: Nursing Process: Evaluation MSC: NCLEX: Physiological Integrity 3. A patient who is receiving methotrexateRead MoreIphs Standards for 100 Bedded Hospital16137 Words   |  65 PagesCentres. 3 Setting standards is a dynamic process. This document contains the standards to bring the Sub-district Hospitals to a minimum acceptable functional grade with scope for further improvement in it. These standards are flexible as per the requirements and resources available to the concerned State/UT Government. The timeframe for implementation and achievement of these Standards could be extended for five years and to be done in phases. Most of the existing hospitals below district level (51-100Read MoreCommunity Acquired Pneumonia18251 Words   |  74 Pagesnursing care management a nurse can render to this kind of patient. (Mandell, 2007) Immunization against influenza and increasingly resistant pneumococci can play a critical role in preventing pneumonia, particularly in immunocompromised and older adults, which is administered annually. (Schmitt, 2011) The Prognosis of pneumonia is generally good, with rapid recovery when it is recognized and treated early. (Hockenberry, 2007) According to the National Statistical Coordination Board of the PhilippinesRead More_x000C_Introduction to Statistics and Data Analysis355457 Words   |  1422 PagesDean of the College of Science and Mathematics and Professor of Statistics at California Polytechnic State University, San Luis Obispo. Roxy has been on the faculty at Cal Poly since 1979, serving for six years as Chair of the Statistics Department before becoming Associate Dean. She received an M.S. in Mathematics and a Ph.D. in Applied Statistics from the University of California, Riverside. Roxy is nationally known in the area of statistics education, and in 2003 she received the American Statistical

The Foster Care Systems Lie Under The Jurisdiction Of The...

The foster care systems lie under the jurisdiction of the Department of Human Services/Child Welfare. Legislation and funding are provided under the â€Å"Safe and Stable Families Act,† which is the primary responsibility of child welfare services. In each state there is an entity for child protection, in the State of Rhode Island it is the department of Children, Youth and Families. According to the Executive Director of Prevent Child Abuse RI, the money is funded from the federal government with the guidelines that each state must abide by. This funding allows the state the ability to do their job and provide services to protect and reunify children who are in out of home placements by providing services. Under the â€Å"Safe and Stable†¦show more content†¦Any help that provides assistance to a parent at risk, to have their children returned to them, is a positive goal for the parent-child relationship. Although the federal government controls the funding t hat will enhance the family relationship by supplying services, this unfortunately does not always rectify the family situation. If the system in place doesn’t work and the parent isn’t ready to have the child returned, this will leave a negative impact on the parent-child relationship. The parent may become frustrated and resort to behaviors such as substance abuse, physical abuse, and verbal abuse jeopardizing the parent-child relationship. As stated in Foster Care at issue, by Debra Bloom, family reunification is less likely to occur when parents are involved in the correctional system. Reporting that 16 % of mothers with children in foster care are arrested within 18 months, with the arrest occurring after the child has been placed in foster care. Suggesting that child welfare look beyond the system when developing potential outcomes. Positive effects on the child in the foster care may be the ability to

A Fusion of Past and Present Free Essays

Vacations are always a treat for everybody. For families, it means spending more than the usual time with each other, creating memories, having fun and blocking the rest of society out. It is in these rare times, when everybody is relaxed and optimistic that family members get to know the real people behind their Dads, Moms, Brothers and Sisters. We will write a custom essay sample on A Fusion of Past and Present or any similar topic only for you Order Now Not everyone can indulge in vacations and others may see it as an irrelevant expense, instead of a necessity. We often take it for granted but it is amazing how much good a simple vacation could do to a family who is under stress, and is caught up in their everyday routines. In fact, according to several independent studies published at Stress.About.com, vacations help one become more creative, as vacations are usually a time to get to know one’s self better. These studies also suggest that people who take more vacations are less likely to experience burnouts from little everyday stresses from work, marital life, and family life which could ultimately lead to a better way of life and an increase in the quality of work in one’s job. According to Barbara Fiese, a professor of Psychology at Syracruse University, vacations actually make you and your children healthier because they alleviate stress that builds up every day. Fiese also suggests that the amount of money you spend on vacations is not directly proportional to the health benefits you get, and adds that the silly songs you sing in the car, or those funny accidents you experience during a trip out of town are the things that make your vacation more unique, enjoyable and ultimately a lighter, happier experience. I think vacations are to be encouraged to everyone who has growing children, because they not only make for great memories, relieve the stress brought about by everyday life, and give a chance for family members to bond; but they also give you a place to find your inner child, which is definitely one of the best stress busters one could have. How to cite A Fusion of Past and Present, Papers

Famous People in During the Harlem Renaissance Example For Students

Famous People in During the Harlem Renaissance Jacob Lawrence A painter who detailed the experiences of the Great Migration north through art. One of the centurys greatest painters. Langston Hughes A Poet who blended or combine the experiences of African and American cultural roots Duke Ellington A jazz composer, bandleader, and pianist was born on April 29, 1899 in Washington D.C. He was recognized as one of the greats just composers and was awarded are countries high civilian honor, the presidential medal of freedom. Louis Armstrong A jazz composer was born in one of the poorest sections of New Orleans on August 4, 1901. Trumpet solos and scat singing transformed the American music scene. Bessie Smith When in the late 1890s Chattanooga, Tennessee, was one of the greatest blue singers of The 1920s. She was the highest paid African-American entertainer in the country. Georgia OKeeffe Was born on Wisconsin dairy farm on November 15, 1887. She is best known for her urban scenes and, later, paintings of the Southwest. F Scott Fitzgerald Was born in St. Paul, Minnesota September 24th, 1896. Novelist, he is known for his novels and short stories about Americas Jazz age during the 1920s. John Steinbeck As a novelist, he portrayed the strength of poor migrant workers during the 1930s. Aaron Copeland Born on November 14th, 1900 in New York City. A composer who wrote a unique or new kind of American music. George Gershwin Born on September 26, 1898 in New York to Russian immigrant parents. A composer who wrote a unique, or new kind of American music. In 1924, he did the jazz-influenced, Rhapsody in blue.