DNP-810 Topic 5 DQ 1 Health issues in a clinical setting can be influenced by nutrition

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Topic 5 DQ 1

Jul 7-9, 2022

Health issues in a clinical setting can be influenced by nutrition. Identify a health issue that has been positively influenced by nutrition in your clinic. How does nutrition improve health? How can the doctoral-prepared nurse apply this information in practice? Explain. Support your rationale with a minimum of two scholarly sources.

REPLY TO DISCUSSION

Carolyn Smith

Jul 9, 2022, 10:29 PM

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Replies to Carolyn Smith

Nutrition has significantly impacted hypertension in patients at our healthcare facility. Patients diagnosed with hypertension in the clinic are referred to the clinical nutritionist who educates them about the DASH diet, which effectively lowers hypertension. The DASH diet encourages a high consumption of fruits, vegetables, and whole grains and moderate amounts of low-fat dairy products, lean meat, nuts, seeds, dry beans, fats, and oils. Patients are advised to have low consumption of red meat, salt, cholesterol and saturated fat, sweets, and sweetened drinks (Koehler & Drenowatz, 2019). The DASH diet has significantly reduced the number of patients with pre-hypertension who advance to stages 1 and 2 hypertension. Furthermore, it has helped maintain patients’ blood pressure below 140/90 and promoted weight loss, lowering the incidence of hypertension complications and comorbidities.

Nutrition plays a major role in health and development. Good nutrition is associated with strong immunity and a low risk of malnutrition and non-communicable diseases (NCDs) (Shahid & Bishop, 2019). Malnutrition occurs in two forms, undernutrition (due to inadequate intake of nutrients) and overweight (excessive caloric intake). Individuals who observe healthy nutritional practices have a low risk of developing NCDs like hypertension, diabetes, heart disease, and some cancers.

The DNP-nurse can utilize this information in practice by educating patients and their families about healthy dietary practices to promote good nutrition. The nurse can assess patients with malnutrition and offer nutritional counseling on the nutrients they should increase or reduce in their diet to attain healthy nutrition (Koehler & Drenowatz, 2019). Besides, the nurse can apply the information in managing patients with lifestyle diseases by educating them on dietary habits they need to adopt to promote weight loss and achieve optimal blood pressure and blood glucose levels.

References

Koehler, K., & Drenowatz, C. (2019). Integrated Role of Nutrition and Physical Activity for Lifelong Health. Nutrients, 11(7), 1437. https://doi.org/10.3390/nu11071437

Shahid, S. M., & Bishop, K. S. (2019). Comprehensive Approaches to Improving Nutrition: Future Prospects. Nutrients, 11(8), 1760. https://doi.org/10.3390/nu11081760

Cassandra Turner-Donegal

replied toCarolyn Smith

Jul 10, 2022, 6:28 AM

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Replies to Carolyn Smith

Hi Carolyn,

Thanks for sharing an informative post. In addition, nutrigenetics which includes genetic markers in nutritional approaches and the use of precision medicine has been excellent methods used in reducing elevated blood pressure in hypertensive patients (Dong, 2018).

Reference

Dong O. M. (2018). Excessive dietary sodium intake and elevated blood pressure: a review of current prevention and management strategies and the emerging role of pharmaconutrigenetics. BMJ nutrition, prevention & health, 1(1), 7–16. https://doi.org/10.1136/bmjnph-2018-000004

Elsie Nlerum

replied toCarolyn Smith

Jul 10, 2022, 5:22 PM

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Replies to Carolyn Smith

Hello Carolyn,

Thank you for your post. I agree with you that nutrition plays a major role in health and development. The global rise of diet related diseases and the double burden of obesity and malnutrition means that it is imperative more than ever that all healthcare professionals can provide at least basic evidence-based nutrition advice. Improving an individual’s diet requires more than just information provision, it requires consistent and long-term support to change and maintain new behaviors. The Doctoral-prepared nurse acknowledges that nutrition plays a crucial role in health and agree that providing nutrition advice is part of their role. However, providing sufficiently detailed nutrition advice that is relevant to a patient’s health goals, useful for the patient, and that results in measurable changes, is not common in practice settings. Nutrition recommendations need to be implemented at an individual level, but social and environmental factors can make it difficult for an individual to make the changes required to achieve these recommendations. Improving an individual’s diet requires more than just information provision; typically, several strategies, such as social support and goal setting, are needed to change and maintain dietary behaviors (Coutinho et al. 2017).

Reference

Coutinho SR, Halset EH, Gasbakk S et al. (2017) Compensatory mechanisms activated with intermittent energy restriction: a randomized control trial. Clinical Nutrition. https://doi.org/10.1016/ j.clnu.2017.04.002.

Jennifer Murillo

replied toCarolyn Smith

Jul 11, 2022, 7:56 PM

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Replies to Carolyn Smith

Greetings Carolyn! My agreement resides with your assertions concerning how educating patients and their families about healthy dietary practices to promote good nutrition is critical. Moreover, patients can learn healthy, new ways to prepare family favorites and possess an in-depth understanding of how both themselves and their families can benefit from these alterations (Braun et al., 2019).

DNP-810 Topic 5 DQ 1 Health issues in a clinical setting can be influenced by nutrition

Teaching patients how to eat fruits and vegetables in season helps offset the cost of buying fresh and helps provide variety. To further illustrate, a healthy diet proves essential for the promotion of both nutrition alongside good health (Braun et al., 2019). First, it protects you against chronic non-communicable diseases like heart disease, diabetes, and cancer (Braun et al., 2019). Eating various foods and consuming less salt, sugars, and saturated and industrially-produced trans-fats are essential for a healthy diet (Braun et al., 2019). Healthy meal prep alongside eating together at meal times aids children in learning to enjoy a variety of foods. This simple goal can be accomplished by purchasing and serving more vegetables alongside fruits and vegetables.

Reference

Braun, B., Grünewald, M., Adam-Paffrath, R., Wesselborg, B., Wilm, S., Schendel, L., … & Rotthoff, T. (2019). Impact of interprofessional education for medical and nursing students on the nutritional management of in-patients. GMS journal for medical education, 36(2).

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Grading Rubric Guidelines

Performance Category	10	9	8	4	0
Scholarliness Demonstrates achievement of scholarly inquiry for professional and academic decisions.	Provides relevant evidence of scholarly inquiry clearly stating how the evidence informed or changed professional or academic decisions Evaluates literature resources to develop a comprehensive analysis or synthesis. Uses valid, relevant, and reliable outside sources to contribute to the threaded discussion	Provides relevant evidence of scholarly inquiry but does not clearly state how the evidence informed or changed professional or academic decisions. Evaluates information from source(s) to develop a coherent analysis or synthesis. Uses some valid, relevant, reliable outside sources to contribute to the threaded discussion.	Discusses using scholarly inquiry but does not state how scholarly inquiry informed or changed professional or academic decisions. Information is taken from source(s) with some interpretation/evaluation, but not enough to develop a coherent analysis or synthesis. Little valid, relevant, or reliable outside sources are used to contribute to the threaded discussion. Demonstrates little or no understanding of the topic.	Discusses using scholarly inquiry but does not state how scholarly inquiry informed or changed professional or academic decisions. Information is taken from source(s) without any interpretation/evaluation. The posting uses information that is not valid, relevant, or reliable	No evidence of the use of scholarly inquiry to inform or change professional or academic decisions. Information is not valid, relevant, or reliable
Performance Category	10	9	8	4	0
Application of Course Knowledge – Demonstrate the ability to analyze, synthesize, and/or apply principles and concepts learned in the course lesson and outside readings and relate them to real-life professional situations	Posts make direct reference to concepts discussed in the lesson or drawn from relevant outside sources; Applies concepts to personal experience in the professional setting and or relevant application to real life.	Posts make direct reference to concepts discussed in the lesson or drawn from relevant outside sources. Applies concepts to personal experience in their professional setting and or relevant application to real life Interactions with classmates are relevant to the discussion topic but do not make direct reference to lesson content	Posts are generally on topic but do not build knowledge by incorporating concepts and principles from the lesson. Does not attempt to apply lesson concepts to personal experience in their professional setting and or relevant application to real life Does not demonstrate a solid understanding of the principles and concepts presented in the lesson	Posts do not adequately address the question posed either by the discussion prompt or the instructor’s launch post. Posts are superficial and do not reflect an understanding of the lesson content Does not attempt to apply lesson concepts to personal experience in their professional setting and or relevant application to real life	Posts are not related to the topics provided by the discussion prompt or by the instructor; attempts by the instructor to redirect the student are ignored No discussion of lesson concepts to personal experience in the professional setting and or relevant application to real life
Performance Category	5	4	3	2	0
Interactive Dialogue Replies to each graded thread topic posted by the course instructor, by Wednesday, 11:59 p.m. MT, of each week, and posts a minimum of two times in each graded thread, on separate days. *(5 points possible per graded thread)*	Exceeds minimum post requirements Replies to each graded thread topic posted by the course instructor, by Wednesday, 11:59 p.m. MT, of each week, and posts three or more times in each graded thread, over three separate days. Replies to a post posed by faculty and to a peer Summarizes what was learned from the lesson, readings, and other student posts for the week.	Replies to each graded thread topic posted by the course instructor, by Wednesday, 11:59 p.m. MT, of each week, and posts a minimum of two times in each graded thread, on separate days Replies to a question posed by a peer Summarizes what was learned from the lesson, readings, and other student posts for the week.	Meets expectations of 2 posts on 2 different days. The main post is not made by the Wednesday deadline Does not reply to a question posed by a peer or faculty	Has only one post for the week Discussion posts contain few, if any, new ideas or applications; often are a rehashing or summary of other students’ comments	Does not post to the thread No connections are made to the topic
	Minus 1 Point	Minus 2 Point	Minus 3 Point	Minus 4 Point	Minus 5 Point
Grammar, Syntax, APA Note: if there are only a few errors in these criteria, please note this for the student in as an area for improvement. If the student does not make the needed corrections in upcoming weeks, then points should be deducted. Points deducted for improper grammar, syntax and APA style of writing. The source of information is the APA Manual 6th Edition	2-3 errors in APA format. Written responses have 2-3 grammatical, spelling, and punctuation errors. Writing style is generally clear, focused, and facilitates communication.	4-5 errors in APA format. Writing responses have 4-5 grammatical, spelling and punctuation errors. Writing style is somewhat focused.	6-7 errors in APA format. Writing responses have 6-7 grammatical, spelling and punctuation errors. Writing style is slightly focused making discussion difficult to understand.	8-10 errors in APA format. Writing responses have 8-10 grammatical, spelling and punctuation errors. Writing style is not focused, making discussion difficult to understand.	Post contains greater than 10 errors in APA format. Written responses have more than 10 grammatical, spelling and punctuation errors. Writing style does not facilitate communication. The student continues to make repeated mistakes in any of the above areas after written correction by the instructor
	0 points lost				-5 points lost
Total Participation Requirements *per discussion thread*	The student answers the threaded discussion question or topic on one day and posts a second response on another day.				The student does not meet the minimum requirement of two postings on two different days
Early Participation Requirement *per discussion thread*	The student must provide a substantive answer to the graded discussion question(s) or topic(s), posted by the course instructor (not a response to a peer), by Wednesday, 11:59 p.m. MT of each week.				The student does not meet the requirement of a substantive response to the stated question or topic by Wednesday at 11:59 pm MT.

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