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Nutrition Therapy and Pathophysiology 3Rd Edition Nelms Solutions Manual Full Chapter PDF
Nutrition Therapy and Pathophysiology 3Rd Edition Nelms Solutions Manual Full Chapter PDF
Classroom Activities
Activity 6-1
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Items needed: None.
Conduct an oral in-class quiz over the format of SOAP note charting. Ask students which category in SOAP notes
the following items would be placed in.
The answers are listed at the end of each item (subjective = s, objective = o, assessment = a, plan = p).
Activity 6-2
Items needed: None.
Explain to students that they will now practice writing short-term goals and expected outcomes for each goal for the
following scenario. Remind students that each outcome needs to be measurable, include a specified timeframe,
indicate how it will be measured, and encourage client participation when possible.
Scenario: Josie has been identified as being at high risk for developing anorexia nervosa. Her estimated kcalorie
needs are 2350-2500 kcalories per day. A diet analysis indicates her average daily intake for the past week has been
approximately 1200 kcalories per day (approximately 50% of her needs). Her weight has been steadily decreasing
for the past two months. She states she enjoys consuming dairy products more than any other foods and often eats
only dairy products. Josie has been referred to a registered dietitian for nutrition therapy in addition to seeing a
psychologist who specializes in eating disorders.
Possible outcomes:
• Patient will keep a food diary, recording all foods eaten, and a nutrition analysis will be completed at the next
dietitian visit.
• Patient will consume foods from at least two food groups at each meal and snack in addition to foods from the
dairy group.
© 2016 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part, except for use as permitted in a
license distributed with a certain product or service or otherwise on a password-protected website for classroom use.
• Case 10 – Irritable Bowel Disease
• Case 32 – Acute Lymphoblastic Leukemia Treated with Hematopoietic Cell Transplantation.
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license distributed with a certain product or service or otherwise on a password-protected website for classroom use.
Handout 6: Examples of SOAP and ADIME Documentation
SOAP Format
Subjective data: diet, medical, psychosocial, and other pertinent data obtained from patient or caregiver
Objective data: anthropometric measures, lab values, and other clinical findings
Assessment: Nutrition diagnosis based on subjective and objective data; stated as nutrition “problem” related to
“etiology” as evidenced by” signs and symptoms” (PES statement)
Plan: Intervention using standardized language that helps change or resolve the nutrition problem; includes food
or nutrient delivery, nutrition education, nutrition counseling, and coordination of care
ADIME Format (from American Dietetic Association Nutrition, Diagnosis and Intervention: Standardized
Language for the Nutrition Care Process, 2007 and International Dietetics & Nutrition Terminology (IDNT)
Reference Manual, 2008)
Assessment: Relevant data used to determine whether a nutrition diagnosis/problem exists; includes pertinent
medical and psychosocial history, anthropometric, and lab data.
Diagnosis: Identifies the specific nutrition problem (diagnosis) that can be resolved or improved through
nutrition intervention. Documented in a “PES” statement: “problem” related to “etiology” as evidenced by “signs
and symptoms.” Uses standardized language and addresses at least one of three nutrition diagnoses categories:
Intake, Clinical, or Behavioral-Environmental.
Intervention: Specific treatment goals to resolve or improve the identified nutrition problem. Includes
appropriate interventions tailored to the patient’s/client’s needs.
Monitoring and Evaluation: Determines the amount of progress made and if goals or expected outcomes are
being met. Includes monitoring, measuring, and evaluating changes in patient’s behavior, nutritional status, or
other indicators of nutrition care and plans for future nutrition care.
© 2016 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part, except for use as permitted in a
license distributed with a certain product or service or otherwise on a password-protected website for classroom use.
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SIX LITTLE BUNKERS SERIES
By LAURA LEE HOPE
Author of The Bobbsey Twins Books, The Bunny Brown Series, The
Blythe Girls Books, Etc.
Delightful stories for little boys and girls which sprung into
immediate popularity. To know the six little Bunkers is to take them at
once to your heart, they are so intensely human, so full of fun. Each
story has a little plot of its own—one that can be easily followed—
and all are written in Miss Hope’s most entertaining manner. Clean,
wholesome volumes which ought to be on the bookshelf of every
child in the land.
MARJORIE’S VACATION
MARJORIE’S BUSY DAYS
MARJORIE’S NEW FRIEND
MARJORIE IN COMMAND
MARJORIE’S MAYTIME
MARJORIE AT SEACOTE
Fact and fancy are so blended in these charming stories and the
manners and customs of other lands are so interwoven with the plots
that reading and learning becomes a joy.
The Little Mexican Donkey Boy
A charming story of a Mexican boy hero named Dodo,
or Sleepy-head, and his funny little Mexican burro, Amigo.
Little Philippe of Belgium
How little Philippe wandered all over Belgium looking for
the mysterious pair, Tom and Zelie, makes a thrilling story
of adventure and excitement.
Shaun O’Day of Ireland
A very beautiful story of Irish children and through which
run many legends of Old Ireland.
Little Jeanne of France
Every child will love this story of French children, laid in
the most marvelous city in the world, Paris.
The Little Dutch Tulip Girl
This is the story of Tom, a little American boy who
dreamed about going to Holland. In his dreams he met
Katrina, the little Dutch Tulip Girl, who turned out to be a
real honest-to-Goodness girl.
The Little Swiss Wood Carver
This is the absorbing tale of how Seppi, the ambitious
Swiss lad, made his dream of becoming a skillful wood
carver like his father come true.
The Wee Scotch Piper
This is the story of how the music-loving Ian, the young
son of a Scotch shepherd, earned his longed-for bagpipes
and his musical education by dint of a faithful performance
of duty.
The Little Indian Weaver
This is an appealing story of a little Navajo girl, Bah, and
a little freckle-faced white boy, Billie, who helped Bah to
find an ear of corn which she made into a doll.
Updated editions will replace the previous one—the old editions will
be renamed.
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