DNP 810 Identify a health issue that has been positively influenced by nutrition in your clinic

Grand Canyon University DNP 810 Identify a health issue that has been positively influenced by nutrition in your clinic-Step-By-Step Guide

This guide will demonstrate how to complete the Grand Canyon University DNP 810 Identify a health issue that has been positively influenced by nutrition in your clinic assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.

How to Research and Prepare for DNP 810 Identify a health issue that has been positively influenced by nutrition in your clinic                           

Whether one passes or fails an academic assignment such as the Grand Canyon University DNP 810 Identify a health issue that has been positively influenced by nutrition in your clinic depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.

After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.

How to Write the Introduction for DNP 810 Identify a health issue that has been positively influenced by nutrition in your clinic                         

The introduction for the Grand Canyon University DNP 810 Identify a health issue that has been positively influenced by nutrition in your clinic is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.

How to Write the Body for DNP 810 Identify a health issue that has been positively influenced by nutrition in your clinic                         

After the introduction, move into the main part of the DNP 810 Identify a health issue that has been positively influenced by nutrition in your clinic assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.

Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.

How to Write the Conclusion for DNP 810 Identify a health issue that has been positively influenced by nutrition in your clinic                         

After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.

How to Format the References List for DNP 810 Identify a health issue that has been positively influenced by nutrition in your clinic                           

The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.

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Sample Answer for DNP 810 Identify a health issue that has been positively influenced by nutrition in your clinic

Re: Topic 5 DQ 1

identify a health issue that has been positively influenced by nutrition in your clinic.

The health issue mostly seen in adults and children is chronic kidney disease (CKD) impacted by protein-calorie malnutrition (PCM). Although they have different pathogenesis, protein-calorie (energy) malnutrition is caused by a deficiency of energy, protein, and micronutrients. Signs and symptoms of PCM include being underweight compared to the expected healthy weight or muscle wasting seen in certain disease conditions such as HIV/AIDS. Protein calorie malnutrition (PCM) is also common in older people as seen in aggressive weight loss programs or patients with CKD (Mathur, et al., 2022).

During recent research by Mathur, et al., 2022 in a large community cohort with CKD, studies have characterized the relationship between severe protein-calorie malnutrition and the appearance of metabolic syndrome (MS) in adulthood. With each rise in serum bicarbonate levels, the hazard ratios adjusted for age, sex, race, GFR rate, serum albumin, hemoglobin, diabetes, and cardiovascular comorbidities were noted as an outcome of protein-calorie malnutrition (Mathur, et al., 2022).

Experimental animal and human studies conducted by Mathur, et al., 2022 show that chronic kidney disease (CKD) is very high among geriatric patients with a risk of adverse effects such as metabolic acidosis associated with protein catabolism and bone loss. Research studies by Mathur, et al., 2022 sought to quantify the independent association of metabolic acidosis with adverse muscle, bone, and functional outcomes in patients with non-dialysis-dependent patients with stage 3–5 CKD who had low estimated glomerular filtration (GFR) and serum bicarbonate values. The presence and severity of metabolic acidosis were significant and independent risk factors for failure to thrive, protein-calorie malnutrition, and falls with a possible fracture (Mathur, et al., 2022).

The second type of protein-calorie malnutrition is edematous malnutrition known as Kwashiorkor and Marasmus. They are two clinical syndromes observed in severe acute malnutrition in young children primarily found in developing countries. Marasmus comprises of depletion of antioxidants, vitamins, and minerals. While Kwashiorkor is a severe and uncontrolled oxidative stress associated with the depletion of gut anaerobes and proliferation of aerotolerant gut pathogens (Pham, et al., 2021).

How does nutrition improve health?

Nutrition improves health positively because, urgent correction of plasma glutathione depletion, alongside supply of specific essential amino acids, particularly methionine and cysteine, early suppression of gut Proteobacteria including K. pneumoniae, and the use of probiotics to restore the human gut anaerobic and mature microbiota open new avenues to develop more targeted and effective treatments modalities. We can use this knowledge to healthily educate our patients and their family that increasing the intake of protein-containing foods, using milk-based formulas, antioxidants, vitamins, minerals, and daily multivitamins are the treatment of choice for replacement therapy (Mathur, et al., 2022).

How can the doctoral-prepared nurse apply this information in practice?

The doctoral-prepared nurse applies this information in practice by using Anthropometry methods to monitor blood pressure, weekly weight, and laboratory test levels such as plasma levels of glucose, triglyceride, and HDL. It was determined that the prevalence of non-communicable diseases such as protein-calorie malnutrition shows a direct and significant association between the burden of metabolic syndrome on body mass index, waist/height index, Dyslipidemia, CKD, and blood pressure. Identification of the specific pathogenic organisms and treatment with antibiotics could also save many children with kwashiorkor and marasmus (Pham, et al., 2021).

Reference

Mathur, V., Reaven, N. L., Funk, S. E., Whitlock, R., Ferguson, T. W., Collister, D., & Tangri, N. (2022). Association of metabolic acidosis with fractures, falls, protein-calorie malnutrition and failure to thrive in patients with chronic kidney disease. Clinical Kidney Journal. V15 (7), p1379-1386, 8p. Retrieved from DOI: 10.1093/ckj/sfac065

Pham, T. P., Alou, M. T., Golden, M. H., Million, M., & Raoult, D. (2021). Difference between kwashiorkor and marasmus: Comparative meta-analysis of pathogenic characteristics and implications for treatment. Microbial pathogenesis. V150, pp. 104702. DOI: 10.1016/j.micpath.2020.104702

Sample Answer 2 for DNP 810 Identify a health issue that has been positively influenced by nutrition in your clinic

Malnutrition and PIs:

Malnutrition is a major health concern in community-dwelling older adults. Decreased intake of calories, protein, vitamins, and minerals is commonly seen in individuals with malnutrition, which is often associated with undernutrition. This results in unplanned and undesired weight loss, protein-calorie malnutrition, decreased BMI, reduced muscle mass, and dehydration, all of which are linked to Pressure Injury.

How does nutrition improve health?

Meeting the body’s nutrition requirements is essential to promote health and well-being. Although the point at which inadequate nutrient intake affects skin integrity has not been defined, insufficient nutrient intake and low body weight are both associated with impaired wound healing.  Nutrition plays an important role in the prevention and treatment of pressure injuries (PIs) among critical and hospitalized patients.

Question: How can the doctoral-prepared nurse apply this information in practice?

DNP prepared nurse can support with research and Evidence based practice implementation activities in the following:

• Using a validated nutrition screening tool to identify the nutrition status of individuals at risk of or with PIs.
• Referring individuals at risk of or with PIs to an RDN or other qualified professional for a nutrition assessment and collaborate with the interprofessional team and patient to determine a patient-centered nutrition plan.

References:

Munoz, Nancy DNC, MHA, RDN, FAND; Posthauer, Mary Ellen RDN, LD, FAND; Cereda, Emanuele MD, PhD; Schols, Jos M. G. A. MD, PhD; Haesler, Emily PhD, BN, P Grad Dip Adv Nurs The Role of Nutrition for Pressure Injury Prevention and Healing: The 2019 International Clinical Practice Guideline Recommendations, Advances in Skin & Wound Care: March 2020 – Volume 33 – Issue 3 – p 123-136 doi: 10.1097/01.ASW.0000653144.90739.ad

DNP-810 Topic 5 DQ 2 Sample Answer

Recognized as a developmental disorder, cerebral palsy affects individuals at a very young age. Cerebral palsy can directly impact nutrition because the condition often adversely impacts the muscles necessary for chewing and swallowing (Aydin et al., 2018). Malnutrition in children with CP is usually caused by poor oral-motor function, which impairs the child’s ability to consume calories and nutrients required to support growth (Aydin et al., 2018). Moreover, children need adequate nutrition when concerning the promotion of both development as well as growth. A healthy diet also improves energy levels and body functions, which can positively affect performance during physical therapy (Aydin et al., 2018). Unfortunately, the condition can also require specific medications, making children lose their appetite or interest in food or water. 

 Individuals falling within the majority that possess Cerebral Palsy, 93%, will experience feeding difficulties. Since CP results in impairment of muscle groups, facial muscles can be affected. The facial muscles are one of the most important muscle groups in the body. Impairment hampers a child’s ability to chew, suck, or swallow, creating a high risk for undernourishment, failure to thrive, malnutrition, growth delay, and digestive difficulties (Aydin et al., 2018). Medical professionals may potentially suggest brain imaging tests, such as x-ray computed tomography (CT scan) or magnetic resonance imaging (MRI) (Morgan et al., 2019). In addition, an electroencephalogram (EEG), genetic testing, metabolic testing, or a combination of these might also undergo enactment (Morgan et al., 2019). Moreover, in a generalized manner, CP undergoes diagnosis during the first or second year after birth. Furthermore, primary treatment options for cerebral palsy are medication, therapy, and surgery (Morgan et al., 2019). 

 Cerebral palsy treatment aims to manage symptoms, relieve pain, and maximize independence to achieve long, healthy life (Novak et al., 2017). When the life expectancy of those with CP, this specific life expectancy undergoes calculations in which a child’s condition severity is considered. Mobility issues, intellectual disabilities, vision/hearing impairments, etc., all impact the lifespan of those with CP (Novak et al., 2017). Most children with milder forms of cerebral palsy have average survival times similar to those of the general population. However, multiple impairments may also lower cerebral palsy life span. According to Dr. Ananya Mandal, children with mild cerebral palsy possess a heightened likelihood (ninety-nine percent chance) of living to 20 years old (Novak et al., 2017). The two factors that have the most significant impact concerning a child’s lifespan with the inclusion of cerebral palsy are addressed to be intellectual and motor developmental challenges (Novak et al., 2017). As these impairments undergo an increase in severity, a child’s life expectancy can see a decline. 

The importance of DNP-prepared nurses recognizing and managing cerebral palsy’s many significant comorbidities is as vital as treating motor disabilities and working with the patient’s families to adjust diet, nutrients, and supplements to contribute significantly to an individual’s overall health. Recent advances in understanding cerebral palsy include new ways of thinking about disability, casual pathway recognition, and improvements rooted in measurement, classification, and prognostication (Novak et al., 2017). Challenges entail family as well as child well-being, tackling the lifelong issues faced by individuals with cerebral palsy, as well as the persisting need for tertiary, secondary, as well as primary prevention of the impact that cerebral palsy contributes regards to the daily livelihoods of others (Novak et al., 2017). With most individuals with CP reporting feeding or digestive difficulties, a dietary counseling program can be highly beneficial. 

References 

Aydin, K., Akbas, Y., Unay, B., Arslan, M., Cansu, A., Sahin, S., … & Sarioglu, A. A. (2018). A multicenter cross-sectional study to evaluate the clinical characteristics and nutritional status of children with cerebral palsy. Clinical Nutrition ESPEN, 26, 27-34. 

Morgan, C., Romeo, D. M., Chorna, O., Novak, I., Galea, C., Del Secco, S., & Guzzetta, A. (2019). The pooled diagnostic accuracy of neuroimaging, general movements, and neurological examination for diagnosing cerebral palsy early in high-risk infants: a case-control study. Journal of clinical medicine, 8(11), 1879. 

Novak, I., Morgan, C., Adde, L., Blackman, J., Boyd, R. N., Brunstrom-Hernandez, J., … & Badawi, N. (2017). Early, accurate diagnosis and early intervention in cerebral palsy: advances in diagnosis and treatment. JAMA pediatrics, 171(9), 897-907.