Part I: 24-hour Food & Beverage Recall with Predictions

 

Use this template in conjunction with the Complete Dietary Analysis Project Instructions. Submit this template when finished with each Part (there are Parts I, II and III included).

 

Personal information of person interviewed (please include all):

Gender: Female

Height: 5’5

Weight: 222

Age: 42

Activity level: none

 

Date/Day of the Week (add rows if needed & divide by meals/snacks):

Time	Food/Condiment/Beverage	How Much Ate/Drank (use cups or ounces, tablespoons)
9:12 am	Oatmeal, regular, cooked (no salt or fat added)	1 cup
9:12 am	Bacon, pork cooked	3 medium slices
9:12 am	water	16 ounces
1:32pm	Salad, grilled chicken, bacon, cheese, lettuce, tomato, carrots, no dressing	1 ½ cup
7:25 pm	Pizza, with meat and vegetables, thick crust 1 pizza (5″ across pizza)	5” across pizza
7:25pm	Salad, Caesar, with dressing	1 cup
7:25 pm	water	16.9 ounces
8:00pm	wine	3.5 ounces

Predictions (2 parts):

 

Part 1: Original charts with your predictions

	Total Calories	Dietary Fiber	Food Groups	Macronutrients	Micronutrients
			Veg	Fruit	Whole Grains	Dairy	Protein	Carbs	Fat	Vitamins/ Minerals
Low	x			x		x	x			x
Adequate		x			x			x	x
High			x

 

	Sodium	Saturated fat	Cholesterol
Low		x	x
Moderate	x
High

 

 

 

Part 2:

Write at least five sentences explaining why you are predicting what you predict for each category . Please address the micronutrients in general (if you think overall the 24-hour recall diet will be too low, adequate/moderate or too high in most vitamins and minerals) and also specifically address the mineral, sodium and the sub-categories, saturated fat, cholesterol and dietary fiber in your write-up . You will lose points for not addressing all categories noted here.

 

NUTR 100 – Dietary Analysis Project Template

Part II: Data Findings and Analysis of Original 24-hour Food Recall

 

Data Findings & Analysis

 

Getting Started:

Please submit this Template for Part II, which should include your completed Part I above and any corrections needed per the instructors feedback. Also, be sure to submit the Nutrient Intake Report.

Use this template in conjunction with the Complete Dietary Analysis Project Instructions. Submit this template when finished with each Part.

 

· Start with the Daily Food Group Targets. Click on “View by Meal” (located under the graph on the Food Tracker page). You will want to copy and paste the Food Groups table into this document, replacing the example below. You may not be able to simply copy and paste depending on your computer. You can also take a screenshot, and then crop the graphic as needed (see example below).

 

Food Group Table

 

 

· Next, look at the Daily Food Group Graph (next to the word data and below the daily food group targets). Take a screenshot, and then crop the graphic as needed (see example below); then answer the questions and write a summary of your findings per the instructions below.

 

 

 

 

Food Group Graph

 

 

Food Group Questions:

· What are the total percentages of the target for each food group?

· Example: Grains are 94%, Vegetables are 151%, Fruits are 111%, Dairy is 53% and Protein is 71% of the targets.

· For grains, what percent is whole and what percent is refined (hover the arrow over the sections on the chart and it will show this)?

· Example: Whole grains are 65% of total grains

· For dairy, what percent is from milk/yogurt and what percent is from cheese?

· Example: Milk and yogurt are 80% of dairy intake; cheese is 20% of dairy intake

· For fruit, what percent is from whole fruit and what percent is from fruit juice?

· Whole fruit is 60% of fruit intake and fruit juice is 40% of fruit intake.

· Write at least five sentences addressing your findings regarding the food groups for the diet recall. Address, what foods from the 24-hour diet recall caused the food groups to be in these proportions? How can they be improved upon for the revised diet?

 

· Next, look at Daily Limits. This is below the graph you were just looking over on SuperTracker.

 

As with the above graphs, these charts need to be used in the final presentation, so save them now (sometimes right clicking and selecting “save picture as” will work). You may copy and paste into this template, you may use screenshots (replace the example below).

 

Daily Limits Graph

 

 

Daily Limits Questions: (please answer them all together in paragraph form)

· Write at least five sentences summarizing your findings for daily limits. Address, what foods from the 24-hour diet recall caused these levels of daily limits? How can they be improved upon for the revised diet? Include answers to the questions below as well.

· What are total calories eaten for the day? Are they within 100 calories of the total limit? If not, how can this be achieved with the revised menu?

· Should added sugar be reduced in order to be lower than the limit? If yes, how can you revise the menu to meet this target while meeting other targets?

· How much saturated fat, and sodium were eaten and what were those limits? If these are above the limits how can they be improved upon in the revised menu?

 

 

The next step is to open the Nutrient Intake Report (just below the graph, smaller print, next to “Related Links”). You will need to submit this report with your Part II submission as well as with the final presentation, so make sure to save it! I strongly recommend exporting it as a word document so you can edit it per the requirements for Part III. The report will list the target (or RDA), average eaten, and the status. Make note of those that exceed guidelines and those that do not meet the guidelines. For now, you can assess this as over or under the guideline just based on the status provided. In your final presentation submission you will be converting these to percentages. Remember that for saturated fat, cholesterol and sodium you want to be below the value, so no need to comment if you fall below, only if you exceed it.

 

You now have all the information you need to assess the data and write up your findings. Keep this information, as you will need it for the final presentation of your work.

 

Outcomes of Your Predictions

See if your predictions matched up with the findings. Include both charts below with your original predictions and findings.

 

Original Charts with Your Predictions:

	Total Calories	Fiber	Food Groups	Macronutrients	Micronutrients
			Veg	Fruit	Whole Grains	Dairy	Protein	Carbs	Fat	Vitamins/ Minerals
Too Low
Adequate
Too High

 

	Sodium	Saturated fat	Cholesterol
Low
Moderate
High

 

 

Analysis Charts with Your Findings:

	Total Calories	Fiber	Food Groups	Macronutrients	Micronutrients
			Veg	Fruit	Whole Grains	Dairy	Protein	Carbs	Fat	Vitamins/ Minerals
Too Low
Adequate
Too High

 

	Sodium	Saturated fat	Cholesterol
Low
Moderate
High

 

 

Outcomes of your predictions summary:

(Write at least 5 sentences discussing and comparing your predictions with the findings. Please summarize which of your predictions were accurate (or close) and which were not. For those predictions that were not in line with the findings discuss why you think your predictions were off)

 

NUTR 100 – Dietary Analysis Project Template

Part III: Original 24-hour Food Recall with Revised 24-hour Final Menu & Analysis

Getting Started:

Please use the provided Template for Parts I, II & III, which should include your completed Part I & II and any corrections needed per the instructors feedback. Label all graphs and tables as “Revised” so it’s easy for me to distinguish between the original menu data and the revised menu data. IMPORTANT: before starting Part III take a look at the check list of requirements for the revised menu at the end of this document.

 

Date/Day of the Week (add rows if needed):

ORIGINAL 24-hour recall	REVISED 24-hour menu
Time	Original: Food/Condiment/Beverage	How Much Ate/Drank (use cups or ounces, tablespoons)	Time	Food/Condiments/Beverages	Amount

(Revised) Daily Food Group Targets (insert screen shot using revised 24-hour menu you created)

Location Note: the two charts below can be generated using SuperTracker, located under the Daily Food Group Targets, select “View By Meal”, they are the last two charts on the screen.

 

 

 

 

 

 

 

 

 

 

(Revised) Daily Food Group Graph (insert screen shot using revised 24-hour menu you created)

 

 

 

(Revised) Daily Limits (insert screen shot using revised 24-hour menu you created)

Fill in the following “Master Comparison Table” to help you address and compare the following areas:

 

	Target (per SuperTracker)	Original 24-hour recall Menu	Revised 24-hour Menu
Total Calories
Whole Grains	At least 50%
Added Sugars	Limit:
Saturated Fat	Limit:
Sodium	Limit: 2300 mg
Cholesterol	<300 mg
Dietary Fiber	>25 g

 

 

Revised Menu Questions: (please include at least 8 sentences addressing these questions)

· Based on your findings what were the areas (food groups, nutrients etc.) that needed revising from the original menu?

· Were you successful at improving these areas? If so, how did you improve these areas in the revised menu? If not, why not?

· What were your challenges with revising the menu?

· How did you overcome them?

 

 

Checklist of Requirements for Revised Menu:

To be considered a correct, revised menu, the following should be met: (Use this as a checklist before submitting; part of your grade will be showing you can meet these targets)

 

· Total calories should be within 100 calories from the target calories. For example, if the target calories are 1800 calories, then your revised menu have calories totaling between 1700-1900 calories.

· Daily Food Groups Report: Should read OK; it is acceptable to go over, as long as total calories are +/- 100 calories for the day and there is balance between the overages (for example, 110% grains, 110% dairy, 120% vegetables versus 110% fruit, 350% protein, 200% dairy).

· Graph (Food Group bar graph): Should be at 100% (+/-10%) for all targets, acceptable to go over as long as total calories are +/- 100 calories for the day and there is balance between the overages (for example, 110% grains, 110% dairy, 120% vegetables versus 110% fruit, 350% protein, 200% dairy).

· For grains, at least 50% should be whole grains. Fruit juice should not be in excess.

· Daily Limit: Should be within +/- 100 calories of the target. Added sugar, saturated fat, cholesterol and sodium should not exceed their limits.

· Nutrient Intake Report: There are more nutrients than we are looking at listed on this report, so only focus on the nutrients we covered extensively in class (calories, protein grams and %, carbohydrate grams and %, total fat and %, saturated fat, cholesterol, dietary fiber and all vitamins and minerals listed). There are a few extra that we did not cover as extensively in class, so please do not worry about discussing those (they are: monounsaturated fat, polyunsaturated fat, linoleic acid, alpha-linolenic acid, omega-3 EPA and omega 3-DHA).

· ***IMPORTANT*** Highlight total calories if the average eaten is +/- 100 calories of the target, if the number is outside of the range, write “Less than 100 calories below” or “Greater than 100 calories above.”

· All macronutrients (carbs, protein and total fat) % Calories should be within the AMDR target range listed under Target. Any macronutrient outside of the AMDR should be highlighted and indicated as “Over” or “Under.”

· Dietary Fiber should be at least 25 grams, anything less should be highlighted and labeled as “Under”.

· For Saturated fat , anything over 10 percent should be highlighted and indicated as “Over.”

· For Cholesterol , anything over 300 mg should be highlighted and indicated as “Over.”

· For Sodium , anything over 2400 mg should be highlighted and indicated as “Over.”

· For micronutrients (vitamins and minerals), calculate the % of the target for each and enter it in the status column. To do this, divide the actual intake by the target and multiple by 100. Type this percentage in to the Word version of the report next to the status (for example, OK 105%). This will make it easier for you to make comments on this for the final presentation. Highlight any that are less than 80% or greater than 200% of the target. It may say OK, but we still want to be careful not to go too far over each day. Only highlight those when greater than 200% or less than 80% along with their calculated percentage.

 

Please note: If the person you are creating a menu for has very high calorie needs (2800 calories or more), you will likely need to exceed 200% for many of the vitamins and minerals because you will need a larger amount of total food to meet the calorie needs. Just make sure that the macronutrients are still within the AMDR, even at the higher calorie level. If you have a menu where the calorie needs are 2800 or more you will be graded based on 300% instead of 200% for the high end of the range.

 

 

 

What is the difference between a protocol, standard of care delivery, and policy at the practice, state, and federal level? Briefly outline each. What are the perceptions of the health care delivery system from the perspectives of patients, providers, payers, and policy makers? Discuss at least one perception from one of the populations listed: patient, provider, payer, and policy maker.

 

Due date 08/22/2020

2 replies. References and APA

Bottom of Form

Reply 1 Ingrid

Protocols can be defined as an official procedures or system process’ implemented by a facility, institution, or government establishment. Standards of care delivery is defined as a diagnostic and/or treatment process that a health care provider or professional must adhere to base on a certain type of condition, condition, and/or circumstance. Policy is defined as course of action adopted by a business, corporation, hospital, and/or government establishment (Shiel, 2018).

At the practice level, protocols are what healthcare workers must perform as a guide to a management of a clinical situation and is incorporated into systems as a way healthcare professionals to provide the best evidenced-based care to their patients (n.d.). At the state level and federal level, professional expectations are established and provide the consistency to ensure quality of care. Nurses are expected to follow state and federal level regulations to protect the patient. If the standards of care according to state and federal levels are not met, legal implications can occur as the nurse can be found violating the standard of care. The legal implications can lead to malpractice on the health care professional (n.d.).

A perception that patients have regarding health care delivery system is that health care professionals are held to a standard and must be competent to perform their duties. Patients understand their condition with expectations regarding their treatments, if their treatments are not met, Patients know well enough to file complaints or legal action against the health care employee. From a provider perspective, health care professionals must attend proper schooling and complete a license exam. Having that license ensures that you are competent. The license can be revoked if you are unable to perform your duties therefore a health professional must be responsible and accountable for their actions.

 

Reply 2 Kristopher

Protocols are an agreed framework outlining the care that will be provided to patients in a designated area of practice. An example of this is a protocol to evaluate and discontinue unnecessary urinary catheters. This protocol has a set of guidelines that can be followed and carried out without a physicians order.

Standard of care delivery describes the care patients should be offered by health professionals and health services for a specific clinical condition or defined clinical pathway in line with current best evidence. (Clinical Care Standards, n.d.)

Health policy refers to decisions, plans, and actions that are undertaken to achieve specific health care goals within a society. An explicit health policy can achieve several things: it defines a vision for the future which in turn helps to establish targets and points of reference for the short and medium term. It outlines priorities and the expected roles of different groups; and it builds consensus and informs people. (Health policy, 2013)

Patient wants satisfactory health treatment, providers focus on patient safety, payers are responsible for enabling the process of patient access and policy makers have viewpoint to provide services, plan and manage health care policies.

Among all, patients’ perception needs to be discuss in detail here because insights of providers, payers and policy makers are concerned with them and their treatment. In a patient’s viewpoint, he or she is expecting, competent, compassionate and ethical care.

 

2 Board Discussion.

Due date 08/22/250250

APA, references.

 

Discussion Prompt 1

Describe how the educational level achieved by a nurse or the entry point into professional nursing practice affects the quality and competence of a nurse’s participation in policy making.Why it is important for registered nurses to influence the regulatory process? Does the nurses education have influence on their ability to make an impact?

Discussion Prompt 2

Reflect on what you have learned in this course. What were your major takeaways? Surprises? How will you apply what you have learned to your career?

 

NURS 6050N

Students will:

1. Compare U.S. presidential agenda priorities

Evaluate ways that administrative agencies help address healthcare issues

Analyze how healthcare issues get on administrative agendas

Identify champions or sponsors of healthcare issues

Create fact sheets for communicating with policymakers or legislators

Justify the role of the nurse in agenda setting for healthcare issues

 

2. Assignment: Agenda Comparison Grid and Fact Sheet or Talking Points Brief

It may seem to you that healthcare has been a national topic of debate among political leaders for as long as you can remember.

Healthcare has been a policy item and a topic of debate not only in recent times but as far back as the administration of the second U.S. president, John Adams. In 1798, Adams signed legislation requiring that 20 cents per month of a sailor’s paycheck be set aside for covering their medical bills. This represented the first major piece of U.S. healthcare legislation, and the topic of healthcare has been woven into presidential agendas and political debate ever since.

 

As a healthcare professional, you may be called upon to provide expertise, guidance and/or opinions on healthcare matters as they are debated for inclusion into new policy. You may also be involved in planning new organizational policy and responses to changes in legislation. For all of these reasons you should be prepared to speak to national healthcare issues making the news.

In this Assignment, you will analyze recent presidential healthcare agendas. You will also prepare a fact sheet to communicate the importance of a healthcare issue and the impact on this issue of recent or proposed policy.

 

 

 

To Prepare:

· Review the agenda priorities of the last three U.S. presidential administrations.

· Select an issue related to healthcare that was addressed by each of the last three U.S. presidential administrations.

· Reflect on the focus of their respective agendas, including the allocation of financial resources for addressing the healthcare issue you selected.

· Consider how you would communicate the importance of a healthcare issue to a legislator/policymaker or a member of their staff for inclusion on an agenda.

 

 

The Assignment: (2- to 3-page Comparison Grid and 1-page Fact Sheet)

Part 1: Agenda Comparison Grid

Based on the presidential administrations you are comparing, complete the Agenda Comparison Grid. Be sure to address the following:

· Identify and provide a brief description of the healthcare issue you selected.

· Identify which administrative agency would most likely be responsible for helping you address the healthcare issue you selected.

· How does the healthcare issue get on the agenda and how does it stay there?

· Who was the entrepreneur/champion/sponsor of the healthcare issue you selected?

 

Part 2: Fact Sheet or Talking Points Brief

Based on your Agenda Comparison Grid for the healthcare issue you selected, develop a 1-page Fact Sheet or Talking Points Brief that you could use to communicate with a policymaker/legislator or a member of their staff for this healthcare issue. Be sure to address the following:

· Summarize why this healthcare issue is important and should be included in the agenda for legislation.

· Justify the role of the nurse in agenda setting for healthcare issues.