Kaplan University School of Health Sciences NS335 Unit 6 Assignment Unit 6 Assignment Unit outcomes addressed in this Assignment: • Describe common nutritional side effects from cancer and HIV. • Name nutritional goals for cancer and HIV treatment. Course outcomes addressed in this Assignment: NS335-2: Explain the use of parenteral and enteral nutrition in special populations. Professional Competency Outcome(s) addressed in this Assignment: PC 2.3:
Identify opportunities within my profession to demonstrate integrity through relevant codes of conduct and social responsibility. Instructions: Review the following case study patient details Mr. W is a 25-year-old male who was in a drug rehabilitation program last year. He has been admitted to the hospital with a history of weight loss, weakness, and intractable diarrhea. His height is 70 inches and his weight has dropped from 180 lbs. to 110 lbs. He is also suffering from fever and night sweats. Physical examination reveals swollen lymph glands, tongue lesions of herpes simplex and ulcers in the perianal region. Further tests indicated depressed T-cell levels and the presence of Pneumocystis carinii. He was tested for HIV infection and the blood test for HIV infection antibodies was positive. While in the hospital he developed several other symptoms: anorexia, fever, fatigue, nausea, vomiting, watery diarrhea, and fecal incontinence. His temperature was 103°F (39.8°C) and was treated with antibiotics to which he did not respond. The amount of diarrhea increased markedly, necessitating intravenous hydration. He developed esophageal candiasis and a duodenal infection. The patient did not tolerate a soft diet or nutritional supplements, continued to lose weight, and had severe anorexia, abdominal cramping, and bloating. Nutritional assessment was deficient in all aspects, showing a decreased BMI, decreased muscle mass, and depleted total protein and serum albumin. 1. In which stage of HIV infection would you categorize Mr. W? 2. Name and describe the major clinical complications in the final stage of AIDS and explain how these complications profoundly compromise a patient’s nutritional status. 3. What should be the goal of nutritional therapy based on assessment data and the patient’s history? Kaplan University School of Health Sciences NS335 Unit 6 Assignment 4. Utilize your critical thinking skills to determine the most appropriate route of feeding to administer nutrition support. Defend your choice with evidence from the patient description and the knowledge you have gained regarding alternative feeding routes. 5. Working with patients who have HIV can include a number of sensitive issues, including patient confidentiality, integrity and ethical issues, and social responsibility. Explain how you would deal with these issues as you attend to Mr. W. 6. List several nutritional supplements that might be used to alleviate some of Mr. W’s symptoms and increase his caloric intake when he is able to tolerate a diet again. 7. Write a Nutrition Care Plan/Chart note on the HIV patient that addresses the patient’s current clinical situation. Write this note as though you were a nutrition professional caring for this patient in a hospital setting. Please refer to Table 11-3 and 11-4 in your textbook for information on the ADIME chart note process. Requirements Paper format: Answer questions numbers 1–5 in a 2–3 page paper using APA format and citation guidelines. Include a title page, introduction, body, conclusion, and reference page. Include number 6, the Nutrition Care Plan/ Chart note, as an appendix. Be aware that the title page, reference page, and appendix/chart note DO NOT count towards the 2–3 page minimum. Please organize your paper in the following paragraph format. Please see KUs Writing Center for more information regarding essay and paragraph format. Section 1: Introductory paragraph (incorporate your answer to question 1) Section 2: Body paragraph(s) (incorporate your answer to question 2) Section 3: Body paragraph(s) (incorporate your answer to question 3) Section 4: Body paragraph(s) (incorporate your answer to questions 4-5) Section 5: Concluding paragraph (incorporate your answer to question 6) Appendix: Nutrition Care Plan/Chart note (question 7) References: Include a minimum of 4 quality references. Your textbook may count towards this requirement. You can use reputable websites or other textbooks/ scientific or medical journal articles. Please use APA style citations within the paper itself and also on the reference page. See Writing Center Resources found in Doc Sharing and the Kaplan University Writing Center for complete details and examples regarding APA style references. Submitting your work: Kaplan University School of Health Sciences NS335 Unit 6 Assignment Submit your Assignment to the appropriate Dropbox. For instructions on submitting your work, view the Dropbox Guide located under Academic Tools at the top of your unit page. Please be sure to download the file “Writing Center Resources” from Doc Sharing to assist you with meeting APA expectations for written Assignments. To view your graded work, come back to the Dropbox or go to the Gradebook after your instructor has evaluated it. Make sure that you save a copy of your submitted work. Unit 6 Assignment Grading Rubric = 200 points Assignment Requirements Points possible Points earned by student Adequately identifies the stage of the patient’s HIV infection (question 1) 0-20 Describes the complications of HIV and how they impact the nutritional status (question 2) 0-20 Develops a realistic nutrition goal for the patient (question 3) 0-20 Chooses the most appropriate nutrition support route and supports their choice with relevant information (question 4) 0-25 Explains how to deal with patient confidentiality, integrity and ethical issues, and social responsibility as relates to Mr. W. 0-20 Identifies nutritional supplements once the patient can tolerate an oral diet (question 6) 0-20 Designs an accurate Nutrition Care Plan Chart note using the ADIME style. 0-60 Effectively supports ideas and answers with specific references. 0-15 Total (Sum of points earned) 200 The Proposal is written in the most current version of APA format with no grammatical, spelling, copyright, plagiarism or proof reading errors. Points deducted for spelling, grammar, and/or APA errors. Adjusted total points earned Kaplan University School of Health Sciences NS335 Unit 6 Assignment Instructor Feedback*: *Instructor may also leave feedback comments within Assignment submission.
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