Centered Nursing Care

Centered Nursing Care

Centered Nursing Care

CENTERED NURSING CARE . Do the textbook readings and then describe the nursing care (including assessment, nursing diagnosis, planning, expected outcomes, intervention, and evaluation) for the maladaptive behaviors marked with an asterisk (). Estimated Nursing Diagnosis Planning Expected Results Intervention Evaluation Hypopituitarism References VITAMIN & MINERAL ASSIGNMENT (100 points) FN- 20 (Nutrition & Life) Paper/Discussion (100 Points) This project is two parts. You will be writing a report on a Vitamin or Mineral of your choice and then will discuss this nutrient on canvas in the discussion section. Please do not wait until the last minute to work on this assignment 1.

Discuss the following information in your paper/report 1. Function of the vitamin or mineral (this will be a very important part of the presentation) 2. RDA or DRI recommendations 3. Storage in the body 4. Food sources 5.

Symptoms of toxicity (if there are any) 6. Symptoms of deficiency 7. Supplements (requires a visit to a vitamin or health food store) 1. kinds of supplements available 2. are supplements in pure or mixed form 3. % RDA or DRI the supplement provides 4. Cost of supplements 5. Recommendations regarding supplementation of this nutrient?

2. Prepare a 2-3-page written report. Please be sure to include at least 3 references/resources this is worth 70 points. 3. Discussion of the vitamin/mineral you chose is worth 30 points .

Please start a discussion of the nutrient you chose in the discussion section during the Vitamin and Mineral Module by November 22nd You are required to respond to any comments or questions posted by your peers or the instructor in the discussion in order to receive full credit for this part of the assignment so please make sure to sign into canvas frequently during this assignment. Here are the instructions for posting your discussion: a. Post your thread by answering the following questions about your topic: (18 points) • What topic did you choose? • Is it categorized as a vitamin or a mineral? • What type of vitamin (water-soluble or fat-soluble) or mineral (micro-mineral or micromineral) is it?

Define the type. • What are 3-5 whole food sources for your topic? • What is the RDA? AI? UL? • What happens if you are deficient in this vitamin or mineral?

Paper For Above instruction

The assignment involves two interconnected components focused on nursing care for maladaptive behaviors associated with a specific hormonal disorder, specifically hypopituitarism, as well as a comprehensive exploration of a chosen vitamin or mineral. The first part requires detailed nursing care planning for patients exhibiting maladaptive behaviors linked to hypopituitarism, including assessment, diagnosis, planning, expected outcomes, intervention, and evaluation. The second part involves selecting a vitamin or mineral, researching its functions, recommended dietary allowances, body storage, food sources, toxicity and deficiency symptoms, and available supplements, culminating in a well-rounded 2-3 page report supported by credible references. Additionally, there is a discussion component where the student introduces the nutrient to peers, addressing key questions like its categorization, food sources, recommended daily intake, and deficiency consequences, with participation confirmed through responses to peer comments. The purpose of the assignment is to integrate nursing care principles with nutritional knowledge to enhance patient management and education regarding hormonal and nutritional health issues. The submission must be timely, well-researched, and adhere to academic standards for clarity, evidence, and proper referencing.

Nursing Care for Maladaptive Behaviors in Hypopituitarism

Hypopituitarism is a condition characterized by deficient secretion of one or more anterior pituitary hormones, leading to various metabolic and physiological disturbances. Maladaptive behaviors associated with hypopituitarism may include fatigue, depression, low self-esteem, and social withdrawal, often stemming from the physical manifestations of hormonal deficiencies. Nursing assessment begins with a thorough history and physical examination to identify signs such as weight changes, decreased muscle mass, fatigue, and psychological alterations. Laboratory assessments, including hormone panels and metabolic profiles, are critical for confirming diagnosis and monitoring therapy progress.

The nursing diagnosis related to hypopituitarism might include "Risk for Depression related to hormonal imbalance" or "Impaired coping related to chronic illness." Planning involves setting realistic goals, such as improving energy levels, enhancing psychological well-being, and ensuring adherence to hormone replacement therapy. Expected outcomes include increased energy, improved mood, and stabilized hormone levels. Nursing interventions prioritize patient education about medication management, symptom monitoring, and lifestyle modifications. Supportive psychological interventions, including counseling and social support, are vital.

Evaluation focuses on assessing symptom alleviation, adherence to treatment, and psychological adjustment. For example, if fatigue diminishes and mood improves, the nursing care plan has been effective. Continual reassessment allows for modifications in care as needed. Overall, nursing management in hypopituitarism encompasses holistic assessment and personalized interventions aimed at restoring hormonal balance and enhancing quality of life.

Nutritional Aspect: Vitamin and Mineral Research

Choosing a specific vitamin or mineral for in-depth study involves examining numerous aspects critical to understanding its role in health. For example, vitamin D is a fat-soluble vitamin essential for calcium absorption, bone health, and immune function. Its function includes facilitating calcium and phosphorus metabolism and modulating immune responses. The Recommended Dietary Allowance (RDA) for adult women and men is approximately 600-800 IU daily, varying with age and physiological needs. The vitamin is stored predominantly in fat tissues and the liver, providing reserves that can sustain needs during periods of limited intake.

Food sources rich in vitamin D include fatty fish such as salmon and mackerel, fortified dairy products and cereals, and egg yolks. Toxicity from excessive vitamin D intake can lead to hypercalcemia, resulting in symptoms such as nausea, weakness, and kidney damage, but toxicity is rare and usually related to supplement overuse. Deficiency manifests through conditions like rickets in children and osteomalacia in adults, characterized by bone softening and deformities.

There are various supplement options, including pure vitamin D capsules and multivitamins containing vitamin D. Supplements vary in form, with common options being D2 (ergocalciferol) and D3 (cholecalciferol). Pure vitamin D supplements typically provide around 1000 to 2000 IU per dose, covering standard daily needs with moderate cost implications. The effectiveness of supplementation depends on individual requirements, sun exposure, diet, and existing deficiency levels. Health professionals recommend supplementation primarily for individuals with documented deficiency or limited sun exposure, to prevent bone and immune system deficiencies.

References

  • Holick, M. F. (2011). Vitamin D: Evolutionary, physiological and health perspectives. Nature Reviews Endocrinology, 7(3), 104–113.
  • Ross, A. C., et al. (2011). The 2011 report on dietary reference intakes for calcium and vitamin D from the Institute of Medicine. Journal of Clinical Endocrinology & Metabolism, 96(1), 53–58.
  • Institute of Medicine. (2011). Dietary Reference Intakes for Calcium and Vitamin D. National Academies Press.
  • Holick, M. F., et al. (2012). Vitamin D deficiency: A worldwide problem with health consequences. The American Journal of Clinical Nutrition, 87(4), 1080S–1086S.
  • Kennel, K. A., et al. (2010). Vitamin D deficiency in adults: implications and treatment. Journal of the American Board of Family Medicine, 23(6), 722–730.