The school nurse has just completed the height-and-weight assessment of the students in the forth grade class. When tracking these data, she recognized that 60% of the students were normal body weight; however, 25\% were overweight and 15% were obese. She has recognized that she needs to implement a nutrition and physical activity program for this population. (Learning Objective:
a. What resources does the school nurse have to identify best practice principles that will guide this work of the school nurse?
b. What strategies might the school nurse recommend to the school wellness committee to address the problem of childhood obesity?
c. How can the school nurse evaluate whether the school-based programs are working?
1.How does a patient’s protein and overall hydration status influence the health status of their skin? What roles do protein, zinc, vitamin C, and any other nutrients play in the promotion of wound healing? Include supporting evidence.
2. Identify several oral nutrition supplements (ex: protein drinks) and enteral (tube feeding) formulas that can help a person meet the increased protein and micro-nutrient needs associated with wound healing.
A celebrity is scheduled to have a liver transplant. He is known to have abused drugs, and alcohol throughout his career even to the point of attending multiple treatment options to get clean. The transplant team have required that he is free of drugs and alcohol for 6 months to be placed on the list for a new liver. He agrees. He has just been informed a match has been found. has been without drugs and alcohol for 6 months. He was 2nd on the list. But is ready to travel now to secure the liver. One member of the team agrees since he is accessible and can maintain the required medications etc due to his financial status. One member of the team disagrees to this as he is not first on the list. The client first is still securing the finances to maintain the medication requirements after the transplant and is very ill. What should the nurse do?
A 65 year old female has had a debilitating stroke that has left her with no ability to communicate or understand. She is being kept alive on life support. She has two children and no spouse. Neither has power of attorney for medical decisions. They are in conflict as to what to do even though the medical team and 2 attending physicians have advised them to remove life support. Daughter feels there is always a chance she will wake up, son is ready to comply with medical advice. How do you speak to the family?
An 18-year-old is pregnant and has a diagnosis of Down syndrome. Her boyfriend also has a learning disability.The fetus (baby) does not have Down syndrome. The parents of the boyfriend are encouraging the young woman to have an abortion – her parents disagree. She is coming to your health care office to identify her options and ask what she should do? How do you advise her?
Nature deals with anything that is determined by the genes and hereditary factors. What are some examples of characteristics that are influenced by nature? Explain how they are manifested in humans and how they adopt to them.
As the Facilities Director for a small community hospital, you have been told that your hospital will be acquired by a larger conglomerate hospital in the coming months. Orders from above suggests that you will be asked to look at cost reduction ideas, opportunities to leverage existing resources between both hospitals, and prepare your team for the change to come. You have a mixed roster of employees, from longer service (less then five years to retirement), to recent trade school grads, and in between. Feedback over the years suggests you are a trusted and respected leader overall. Given these realities, what approaches would you consider leveraging in going forward?
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