NS335 Nutrition for special populations
Unit 6 Assignment: Medical Nutrition Therapy for an HIV Patient
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:
NS335-3: Explain the use of parenteral and enteral nutrition in special populations.
PC-2.3: Identify opportunities within my profession to demonstrate integrity through relevant codes of conduct and social responsibility.
Assignment Introduction:
Review the following case study patient details:
Mr. W is a 29-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 72 inches, and his weight has dropped from 190 lb to 120 lb. He is also suffering from fever and night sweats.
Physical examination: 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 additional symptoms: anorexia, fever, fatigue, nausea, vomiting, watery diarrhea, and fecal incontinence. His temperature was 102.9°F and was treated with antibiotics, to which he did not respond well. Diarrhea increased markedly, necessitating intravenous hydration. He also developed esophageal candidiasis and a duodenal infection.
- The patient did not tolerate a soft diet nor any oral nutritional supplements, continued to lose weight, and had severe anorexia, abdominal cramping, and bloating. His gastro-intestinal system is not functioning normally per physician notes.
Identify & describe the stage of the patient’s HIV infection while using supporting evidence?
Name and describe 2 major clinical complications in the final stage of AIDS. Explain how these complications impact a patient’s nutritional status by using credible references.
What is the goal of nutritional therapy based on assessment data and the patient’s current status?
Utilize your critical thinking skills to determine the most appropriate route of feeding to administer nutrition support. Defend/support your choice with evidence from the patient description and knowledge about alternative nutrition support methods.
Working with HIV patients can include a number of sensitive issues, including patient confidentiality, social responsibility, integrity, and ethical issues.Provides examples of ideal ways to address: patient confidentiality, ethical decisions & social responsibility with this patient.
Identify several nutritional supplements which may help Mr. W’s symptoms and increase his caloric intake once he is able to tolerate an oral diet again.
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 are a nutrition professional in a hospital setting. For assistance, refer to and use the Unit 6 ADIM/E chart note template available in Course Resources. See the Nutrition Diagnostic Terminology PDF file in Course Resources to help identify the nutrition diagnosis code number which matches the phrase listed in the template. Then, attach the completed chart note/appendix to your assignment essay and submit to the Dropbox.
Instructions:
Paper format: Answer questions 1–6 in a 2- to 3-page paper in APA format. Include a title page, introduction, body, conclusion, and reference page. Answer question 7 as an appendix. (Utilize and edit the ADIM/E chart note template available in Course Resources for this section.) The title page, reference page, and appendix (chart note) do not count towards the 2- to 3-page minimum.
Please organize your paper using a formal paragraph format. Refer to the Writing Center for more information regarding paragraph format and introduction and conclusion paragraph development.
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: ADIM/E chart note: Nutrition care process (question 7). Refer to Chapter 9, the Unit 6 ADIM/E chart note template, and the Nutrition Diagnostic Terminology PDF in Course Resources.
- References: Include a minimum of four quality references. Your textbook may count towards this requirement. Reputable websites, other textbooks, and scientific journal articles may be used as references. Please format your citations and reference page in APA style.
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