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$8 for anyone who good in nursing paper can do this discussion response due by 12/18/2020 @5pm on eastern time. Exmple is provided.
Discussion post Week 7
Kaycee-Ann Lachica
RE: Discussion Prompt 1
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Nephrotic syndrome occurs when the glomerulus that are inside the kidney have difficulties in filtering the waste products. This can lead to proteinuria. Every individual has protein in their blood which can help build bones and muscles. It can also help with infections and control the fluid in the blood. When the kidneys aren’t working well, albumin does not get filtered into the urine and can lead to proteinuria (AKF, n.d.). If an individual has nephrotic syndrome, limiting protein is recommended. Intake should be 1-2g/kg/day (Lewis et al., 2017).
Acute kidney disease occurs when there if a rapid loss of function that can lead to deteriorating conditions. Some test is needed to distinguish acute kidney disease. Measuring urine output, blood test, imaging test and biopsy are some test that are recommended. Having loss kidney function can result in an increase of creatinine level and a decrease in urine output. Recommended protein intake for those who have acute kidney disease is 0.6-2g/kg/day (Lewis et al., 2017).
Chronic kidney disease happens when there is a progression of kidney loss and is irreversible. Waste build up can build up and make an individual sick. This may lead to complications like high blood pressure, anemia resulting to higher risk of heart disease. An individual may require dialysis and may require more protein intake. A recommended intake of proteins needed for a person with CKD is 0.6-1g/ kg/day and a person who has dialysis is 1.20- 1.3g/kg/day (Lewis et al., 2017).
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Nerissa Nelson
RE: Discussion Prompt 1
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Nephrotic syndrome is a kidney disorder that causes your body to pass too much protein in your urine. Nephrotic syndrome is usually caused by damage to the clusters of small blood vessels in your kidneys that filter waste and excess water from your blood. Acute kidney failure occurs when your kidneys suddenly become unable to filter waste products from your blood. When your kidneys lose their filtering ability, dangerous levels of wastes may accumulate, and your blood’s chemical makeup may get out of balance. Chronic kidney disease, also called chronic kidney failure, describes the gradual loss of kidney function. Your kidneys filter wastes and excess fluids from your blood, which are then excreted in your urine. When chronic kidney disease reaches an advanced stage, dangerous levels of fluid, electrolytes and wastes can build up in your body. To avoid further damage to the kidneys, patients should have a diet rich in fruits, vegetables, fish, cereals, whole grains, fibers and polyunsaturated fatty acids but low in saturated fatty acids.
The driving force for glomerular filtration is pressure gradient from the glomerulus to the bowman space. that depent on the renal blood flow and is controlled by the combained resistence from theafferent and efferent arteriols.That may be cause the reduction of the red blood cells then that lead to decrease in the GFR (glomerular Filration Rate) so that can causes or depressed by compromised renal perfusion.The tubular and glomerular function remain normal.
Healthy diet for the patient who having nephrotic syndrome patient consist of the low salt diet,low salt,low cholestrol and amount of fluid and the protein intake depents upon the patient condition. Restricted foods should be pickles, canned meat, salted bread, salted chips, popcorn, nuts, dark-colored colas, dairy, brown rice, bananas, whole bread, avacados, orange and orange juice, apricots, potatoes, tomatoes, spinach, dates etc
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Gretell Serra
RE: Discussion Prompt 2
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Human immunodeficiency virus interferes with the body’s ability to fight infections, since there is no cure for aids, providing nutritional support is highly suggest to improve the quality of life. One evidenced base strategy that could be used is by including protein in a patient’s diet. Mangili states that 38.4% of women, and 36.1% of men with HIV are not receiving enough protein in their diet. By increasing protein, energy levels increase by improving nitrogen (Mangili, Murman, Zampini, Wanke, & Mayer, 2006). A second way to improve the nutritional status for a pt with HIV/ Aids is to increase the number of calories by adding extra healthy carbohydrates into patients’ meals. Healthy carbohydrates include sweet potatoes, broccoli, oatmeal. This helps the patient absorb a balance of macro nutrients and prevent anorexia (Sattler et al., 2008). Lastly, the third way to improve nutritional status would be by implementing food safety. Implementing food safety means handwashing fruits and vegetables and avoiding raw foods. Bottled water is usually recommended, checking expiration dates and proper hand hygiene is also a great way to promote food safety for these patients (Sattler et al., 2008). Patients benefit from food safety by decreasing the risk of any food borne illnesses since they are immunocompromised.
Angela Thompson
RE: Discussion Prompt 2
Patients with cancer or AIDS are frequently bothered by anorexia, decreased food intake, fatigue, weight loss, muscle wasting, and a decline in functional status. Anorexia and weight loss are very common in patients with cancer  and AIDS patients. In these patients, weight loss is more prominent during periods of intercurrent secondary infections. The loss of weight is almost always associated with anorexia and decline in caloric intake, with a reduced frequency and amount of food intake. The cause of anorexia and weight loss may be related to the action of various cytokines, such as tumor necrosis factor, gamma interferon, and interleukins one and six, which have effects both on the central nervous system and peripheral sites, such as liver, adipose tissue, and muscle (Tchekmedyian, 1995).
Three evidence-based strategies the nurse can incorporate into the patient care plan to improve the nutritional status for HIV and Cancer  patients.  Incorporate a greater protein and micronutrient intake to support a weakened immune system and evaluate food insecurity and medication side effects such as loss of appetite, depression, or abdominal pain. Teach the patient and family about the prescribed diet, such as a neutropenic diet (no fresh fruits or vegetables, well-cooked meats) during certain phases of active chemotherapy regimen. Assess the patient’s neurologic status, dentition, and functional status to determine whether oral feeding is appropriate. Collaborate with the patient and family to determine the patient’s food preferences (including ethnic foods). Use assessment tools to determine nutritional status; these include anthropometric methods example skinfold measurement and mid-upper-arm circumference, BMI, and bioelectrical impedance analysis (BIA). BIA allows researchers to determine the specific component of weight loss example fat-free mass , body cell mass or fat mass (Evans, 2013).
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You must use an outside scholarly resource in addition to your text or ATI book when formulating the posts. All information from any source must be cited in APA format!! If you take information from a source without giving credit that is considered plagiarism. I am attaching an APA resource to help you format your resources.
Please contact me with any questions or concerns regarding about the discussion.
Example of an initial post
Hello Class,
Sarah’s attitude is not appropriate towards supplements. Supplements to help people meet their nutritional requirements, but it is still important to eat foods that will offer nutrients for her and the baby. They should not be taken instead of eating the foods that are recommended. Since she is pregnant, her caloric needs have increased. If she were to meet those caloric requirements, it will increase the absorption and efficiency of the supplements that she takes (Dudek, 2018). Supplements do not have any calories and will not contribute to the 2400 calories that she needs (Dudek, 2018). It is good that she is taking supplements, but she needs to try and consume healthy foods that will not agitate her heartburn
I would inform Sarah that her weight gain is within the normal range. With her BMI, her total pregnancy weight gain should be between 25-35 pounds (Dudek, 2018). I would tell Sarah that she should start eating healthy now, and incorporate foods that offer a high nutritional value to continue that habit after pregnancy. In order for her to lose weight, she should implement weight loss strategies in the early postpartum period in order for it to be the most effective (Dudek, 2018). She should start slowly and include exercise into her weight loss plan (Mayo Clinic, 2018). Breast feeding burns many calories and can aid with the reduction of weight after giving birth because it uses the fat that was stored during pregnancy to produce the milk to feed the baby (Mayo Clinic, 2018). If she is breastfeeding, she should remember that it is important to drink a lot of water especially if she is exercising to reduce the risk of dehydration. If she is having trouble finding ways to exercise because she has two younger children as well, she could join a group for mom’s for exercising (Mayo Clinic, 2018). There are several ways that she can regain her healthy weight, and it all starts with her willingness to improve and a healthy and balanced diet.
Dudek, S. (2018). Nutrition essentials for nursing (Eighth ed.). Philadelphia: Wolters Kluwer.
Mayo Clinic. (2018, July 13). How to get back in your pre-pregnancy jeans. Retrieved from https://www.mayoclinic.org/healthy-lifestyle/labor-and-delivery/in-depth/weight-loss-after-pregnancy/art-20047813

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