What causes high cholesterol and what are its symptoms?

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Find a dietary assessment tool that can be used either generally or for a specific alteration in health.

describe a nutrition assessment tool

When you have found your assessment tool, answer the following questions:

• What is the purpose of this tool?
• Do you believe that the purpose is fulfilled based on the questions being asked? Why?
• In what ways does the tool account for the individual perceptions and needs of the client?
• Is there a nutritional history included? What does it cover?
• Is the tool easy to use? Why or why not?
• Does the tool provide enough information to determine next steps or interventions? Explain.

• What factors support the delivery of quality health care?
• What factors interfere with the delivery of quality health care?
• How does cultural competence impact health care delivery?
• Provide an example that you have witnessed in your practice in which someone’s lack of cultural competence interfered with the delivery of quality health care.

Instructions: All questions apply to this case study. Your response should be brief and to the point. When asked to provide several answers, they should be listed in order of priority or significance. Do not assume information that is not provided.

R. B. is an 80-year old English woman who is visiting a friend in the United States. One morning her friend noticed that upon awakening, R. B. had slurred speech, a R-facial droop, and was disoriented. She was transported to the hospital where a CT scan confirmed the diagnosis of intracranial hemorrhage. Because of the location of the bleed, surgery was not possible and over the next couple days R. B.’s R-facial droop progressed to a totally flaccid R-side. R. B. was transferred to your rehabilitation facility for therapy. Ten days after the initial insult, R. B. still has some confusion, memory problems, difficulty swallowing, slurred speech, and profound R-sided weakness. She is hoping to be able to return to England soon.

1. Define CVA.

2. List 3 main causes of a CVA and describe how they disrupt the O₂ supply.

3. List 10 factors that increase the risk of a CVA.

4. What is the overall goal of rehabilitation?

5. List 12 potential members of the rehabilitation health care team.

6. Why is positioning with proper body alignment so important for a patient like R. B.

7. An aggressive exercise program must be part of the rehabilitation process to maintain and improve muscle tone and function and to prevent further disability. Describe the following exercise classifications: passive, active, active assistive, active resistive, and isometric.

8. What are some nursing interventions for R. B. related to the patient problem of weight loss related to continued swallowing problems and risk for aspiration related to swallowing difficulty.

9. Discharge planning begins upon admission to any facility. What special discharge needs does R. B. have and who needs to be involved?

Once the family is located and contacted, the nurse and the physician should talk to them. Offer to have a physician from the receiving facility in England call and talk to the discharging physician from your institution. FAXes are a common way of communicating from the United Kingdom to the U. S.

10. R. B. seems to be homesick. What nursing interventions could