Assessing the nutritional status of individuals.

by | Mar 26, 2018 | Essays

Imagine that you are now working as a nutrition assistant at The Nutrition Center that was introduced during Units 2 and 3. The Nutrition Center is an outpatient nutrition, wellness, and weight loss center. The patient that was initially assessed in Unit 3 has decided to utilize The Nutrition Center’s nutrition and wellness program. Upon joining the comprehensive program, she filled out a questionnaire that included three main health and nutrition related goals.

Client MM’s Three Goals:
•Lose weight (lose 30 pounds in 6 months)
•Improve her cholesterol, blood pressure, and glucose control.
•Improve her energy level, overall mood, and be a positive role model for her three teenage children.

Description of client:
•MM is a 40-year-old Hispanic mother of three teenage children who works as a counselor in a job placement bureau.
•Occasionally smokes a cigarette when she is stressed — maybe five per week
•Uses stairs at work, and is tired at night when she gets home
•The children’s birth weight ranged from 9-1/2 to 11 lbs.
•Family history of heart disease, diabetes, cancer
•Blood pressure was 140/92
•Height 165 cm (5’ 5”)
•Weight 93 kg (205 lbs.)
•Glucose test values (GTT) were 300 mg/dl at 1 hour, 248 mg/dl at 2 hours and 195 mg/dl at 3 hours
•Serum cholesterol was 250 mg, HDL 36, LDL 200
•Triglycerides 200 mg/dl.
•Medications: Glucophage, Lexapro, multivitamin
•Eats 2–3 meals per day, and eats goodies at the office
•Irregular bowel movements
•24-hour recall: •Breakfast: Granola bar and a 12-oz. Diet Coke
•Lunch: Large bowl of cream of broccoli and cheese soup and a sandwich with: luncheon meat turkey (about 3–4 ounces), lettuce, tomato, and 2 Tbsps. of mayonnaise from the cafeteria at work
•Large sweet tea
•Snack : 2 glazed doughnuts in break room
•Snickers Candy bar on the way home
•Dinner: Stouffers Lasagna: about 2 portions
•Small salad with 3 Tbsps. ranch dressing (made from a salad kit)
•1 piece of Texas Toast
•2 cans Diet Coke
•Snack: Bowl of chocolate chip ice cream before bed

Imagine that the supervising dietitian has asked you to help in the comprehensive nutrition assessment process of client “MM.” The Nutrition Center has a nutrition assessment protocol that you will follow to organize your information. Your supervisor asks you to keep the client’s goals in mind at all times during the assessment process.
1.Calculate the client’s BMI and include what weight category the BMI result is. Show the BMI calculation/equation.
2.Summarize the client’s current dietary intake (use the calorie/nutrient totals from the Unit 3 Assignment here) by including: a.Total Calories
b.Total Fat
c.Total Carbohydrates
d.Dietary Fiber
e.Total Protein
f.Sodium

3.Calculate the clients EER (estimated energy requirement). Table 7.9 on page 240 OR Table 7.10 on pages 242 should be referenced. Please note that calculations are based on weight in kilograms and height in meters. If you propose any alterations to the EER’s original answer (adding or subtracting calories based upon her weight/health goals), then include supporting evidence (references). Include the equation with the patient’s data inserted appropriately and the main mathematical calculation steps.
4.Compare the client’s current estimated calorie intake from #2 with the calorie recommendation in #3 and state the difference (if any).
5.The client mentioned improving her cholesterol, blood pressure, and blood glucose. How do her recent lab values compare to the recommended values? (can include a table/chart)
6.What is one diet or lifestyle change that can be recommended to help improve her cholesterol values?
7.What is one diet or lifestyle change that can be recommended to help improve her blood pressure readings?
8.What is one diet or lifestyle change that can be recommended to help improve her blood glucose (sugar) levels?
9.The patient is scheduled for a follow up appointment in 2 weeks. What nutrition assessment tools and methods do you recommend utilizing during her next visit to measure the patient’s progress? Be sure to think about all nutrition assessment areas and include one from each category. Why did you choose each method?

 

 

 

 

Sample Solution

Sample solution

Dante Alighieri played a critical role in the literature world through his poem Divine Comedy that was written in the 14th century. The poem contains Inferno, Purgatorio, and Paradiso. The Inferno is a description of the nine circles of torment that are found on the earth. It depicts the realms of the people that have gone against the spiritual values and who, instead, have chosen bestial appetite, violence, or fraud and malice. The nine circles of hell are limbo, lust, gluttony, greed and wrath. Others are heresy, violence, fraud, and treachery. The purpose of this paper is to examine the Dante’s Inferno in the perspective of its portrayal of God’s image and the justification of hell. 

In this epic poem, God is portrayed as a super being guilty of multiple weaknesses including being egotistic, unjust, and hypocritical. Dante, in this poem, depicts God as being more human than divine by challenging God’s omnipotence. Additionally, the manner in which Dante describes Hell is in full contradiction to the morals of God as written in the Bible. When god arranges Hell to flatter Himself, He commits egotism, a sin that is common among human beings (Cheney, 2016). The weakness is depicted in Limbo and on the Gate of Hell where, for instance, God sends those who do not worship Him to Hell. This implies that failure to worship Him is a sin.


This question has been answered

God is also depicted as lacking justice in His actions thus removing the godly image. The injustice is portrayed by the manner in which the sodomites and opportunists are treated. The opportunists are subjected to banner chasing in their lives after death followed by being stung by insects and maggots. They are known to having done neither good nor bad during their lifetimes and, therefore, justice could have demanded that they be granted a neutral punishment having lived a neutral life. The sodomites are also punished unfairly by God when Brunetto Lattini is condemned to hell despite being a good leader (Babor, T. F., McGovern, T., & Robaina, K. (2017). While he commited sodomy, God chooses to ignore all the other good deeds that Brunetto did.

Finally, God is also portrayed as being hypocritical in His actions, a sin that further diminishes His godliness and makes Him more human. A case in point is when God condemns the sin of egotism and goes ahead to commit it repeatedly. Proverbs 29:23 states that “arrogance will bring your downfall, but if you are humble, you will be respected.” When Slattery condemns Dante’s human state as being weak, doubtful, and limited, he is proving God’s hypocrisy because He is also human (Verdicchio, 2015). The actions of God in Hell as portrayed by Dante are inconsistent with the Biblical literature. Both Dante and God are prone to making mistakes, something common among human beings thus making God more human.

To wrap it up, Dante portrays God is more human since He commits the same sins that humans commit: egotism, hypocrisy, and injustice. Hell is justified as being a destination for victims of the mistakes committed by God. The Hell is presented as being a totally different place as compared to what is written about it in the Bible. As a result, reading through the text gives an image of God who is prone to the very mistakes common to humans thus ripping Him off His lofty status of divine and, instead, making Him a mere human. Whether or not Dante did it intentionally is subject to debate but one thing is clear in the poem: the misconstrued notion of God is revealed to future generations.

 

References

Babor, T. F., McGovern, T., & Robaina, K. (2017). Dante’s inferno: Seven deadly sins in scientific publishing and how to avoid them. Addiction Science: A Guide for the Perplexed, 267.

Cheney, L. D. G. (2016). Illustrations for Dante’s Inferno: A Comparative Study of Sandro Botticelli, Giovanni Stradano, and Federico Zuccaro. Cultural and Religious Studies, 4(8), 487.

Verdicchio, M. (2015). Irony and Desire in Dante’s” Inferno” 27. Italica, 285-297.

This question has been answered.

Get Answer