Step 1: Pull out your food journal

Using your own diet analysis, set up a dietary consultation as if you were with a client. The client may be fictional or yourself

Create a goal for your “client”. It can be a made up goal or one that you have for yourself.
Analyze your diet by looking at the diet and exercise as a whole over the duration of your journal
Some things to include:

Determine any dietary suggestions that may be necessary to meet the client’s goal
Does the client (or you) eat more over the weekend?
Does the client (or you) eat more during the week?
Do your exercise patterns change during the week compared to the weekend?
Does your macronutrient (Fat, Protein, and Carbohydrates) break out work towards the overall goal for yourself or your “client? If yes, Explain why. If no, How can you improve to meet the nutritional goal?
Based on your Food log, clients body composition, and overall health goal- determine if the goal was realistic to achieve. If yes, explain why. If not, how would you help them to create a realistic goal
Your food recommendations paper should be a minimum of 2-3 pages in length, APA formatted, properly cited reference page, 12 point font.
Step 2: Create a Food Journal Portfolio

Include in this order:

Title page
Personal Food Journal
Food Journal Analysis
Food Recommendations for a fictional client or yourself
Reference Page
All components to your portfolio must be prese

NM230 In-Class Case Study 2

Mr. and Mrs. Lahud have come to the clinic to initiate family therapy. The whole family is under stress because their youngest daughter, 10-year-old Elia, loses her temper “almost constantly,” the parents say.
“In fact, she seems to be always seething under the surface, even when she’s laughing and seeming to have a good time, just waiting to explode. She argues about the simplest things you can try to give her choices, like, instead of saying, ‘time to get dressed for school,’ you might say, ‘Elia, do you want your green sweater or your yellow one today?’ She just starts screaming and says, ‘You can’t tell me to get dressed!’ And she’s ten.”
Jaival, their new therapist, asks, “Can you tell me how often, on average, you’d say Elia loses her temper? Can you make an average guess at, say, how many times a week?”
Elia’s mother says, “It would be easier to estimate how many times per day.”
Mr. Lahud nods, “Yes, I’d say about 18 times a day, at least once for every hour that she’s awake.”
“And that’s on a daily basis?” says Jaival.
Both parents nod without hesitation.
“How long has it been like this?”
“Well,” Mrs. Lahud tilts her head. “She was always kind of a fussy baby. She’s never slept much and has just kind of always thrown tantrums and never stopped.”
Jaival takes some notes and then asks, “Is there anything else about her behavior that fits a pattern that’s fairly long-standing?”
Mr. Lahud sighs. “It just feels like she wants a big fight, then blames everyone else for something that she started-even when it’s clear no one else is even participating in the fight. It’s getting to be really hard on the other two kids because she just never lets up from the time she wakes up until late into the night; she tries to annoy us and them pretty equally, and now they’re having trouble with her at school too. She’s not getting along with other kids there either.
“We’ve tried positive reinforcement, like a sticker chart for good behavior—”
“-but after a while,” Mrs. Lahud adds, “We just took it down. The other two kids would have rows of stickers, but she defies even the simplest of rules, so she’d have maybe one or two stars to their eight or ten. It started to feel like the sticker chart was just making her feel worse about herself. Her teachers say the same thing.”
Mrs. Lahud’s eyes fill with tears. “We don’t know what to do anymore. I feel sorry for her. We can’t help feeling that this is not the ‘real’ her if you know what I mean.”
She looks at her husband, who nods and squeezes her hand.
“She does some pretty mean, spiteful things to ‘get even with everyone.'” Mrs. Lahud continues, “but then the other night, she was quiet and thoughtful when I cuddled with her at bedtime, and while we were alone, she whispered, ‘Mom, why does it have to be so hard to be good? It’s really hard.'”
She breaks down and cries, and her husband hugs her.

1. Java meets with Elia subsequently, and though she is very charming and intelligent at first, she does make an effort to annoy him, but he doesn’t take the bait. The next day, with her parents’ permission, the school counselor also calls Jaival, asking if she can share some concerns of her own, which confirm for Jaival that Elia’s parents have pretty accurately described her behavior. Subsequent testing does not reveal a psychotic or      mood disorder, and Jaival initially makes a tentative diagnosis of      “oppositional defiant disorder.” Do you agree or disagree? What criteria would you cite to support your opinion?
2. What can cause oppositional defiant disorder?
3. Over a period of years, Elia continues to see therapists; and as adolescent hormones are added into the mix, times get a little rougher for her and her family. What kinds of comorbidity might she be at risk for?

 

Case Study   Rubric For NM 230

 

Organization

40%

All   questions answered with information organized in logical sequence (20 points)

All   questions answered with information generally organized in logical sequence (15 points)

All   questions answered and information intermittently organized

(10 points)

All   questions answered but information disorganized

(5 points)

All   questions not addressed

(0 points)

 

Analysis and Evaluation

40%

Presents   an insightful and thorough analysis of the issue with scholarly support

(20 points)

Presents a thorough analysis of the issue with   scholarly support

(15 points)

Presents   an incomplete analysis of the issue by failure to address one aspect OR failure   to provide scholarly support

(10 points)

Presents   an incomplete analysis of the issue by failure to address multiple aspects and failure to provide scholarly support

(5 points)

Presents   a superficial analysis of issue; No scholarly support

(0 points)

 

Writing Mechanics

10%

Demonstrates   clarity, conciseness, and correctness; Minimal to no spelling or APA errors

(10 points)

Majority   of the information is clear with some questions left to reader interpretation;   Minimal spelling or APA errors

(8 points)

Sentence   structure proper but the paragraph is disorganized; Major spelling/grammar or   APA errors

(6 points)

Poorly   organized and does not follow proper sentence structure;  Major spelling/grammar or APA errors

(4 points)

Unfocused and rambling; Major spelling/grammar or APA   errors

(2 points)

e-paragraph (at least 250–350 words) response.

When nurses have a question about a clinical practiceissue that they can turn to the literature to see what scientific evidence is available that addresses their question. However, as discussed in Week 2, not all evidence is created equal. When looking at the literature, it is important to evaluate each research study.

After viewing the Week 3 Webinar, complete the Appraisal Guide: Findings of a Quantitative Study in this week’s resources. Of the questions discussed on the second page of the critique form, titled Credibility, which ones were identified in the article reviewed during the webinar? Describe one of the most serious flaws in this study and why it leaves you wondering if the study findings should be used as evidence in an assessment of patient handoff?

Before assumptions can be made about the applicability of a study’s results, specific elements of a research design must be evaluated.

This week, you will examine elements of the strength of a quantitative research study’s design, including sample size, generalizability, statistical analysis and conclusions. Keep in mind all studies have flaws or are not valid for your population. Consequently, one study by itself will not warrant a change in practice. It is important to find a number of studies to support your change in practice.

Discussion: Therapy for Clients With Personality Disorders

Clients with personality disorders often find it difficult to overcome their problems and function in daily life. Even when these clients are aware that they have a dysfunction with their personality and are open to counseling, treatment can be challenging for both the client and the therapist. For this Discussion, as you examine personality disorders, consider therapeutic approaches you might use with clients.

Learning Objectives

Students will:

· Analyze therapeutic approaches to treating clients with personality disorders

To prepare:

· Review this week’s Learning Resources and reflect on the insights they provide.

· Select one of the personality disorders from the DSM-5.

By Day 3

Post

· A description of the personality disorder you selected.

· Explain a therapeutic approach (including psychotropic medications if appropriate) you might use to treat a client presenting with this disorder,

· including how you would share your diagnosis of this disorder to the client in order to avoid damaging the therapeutic relationship.

· Support your approach with evidence-based literature.