...#1: A registered dietitian (RD) is newly employed as part of a treatment team in an ambulatory care setting. After several | |counseling sessions, one of the clients he is counseling for obesity discloses that she is being physically abused by her spouse and is | |experiencing depression. The RD continues to have the client come in for nutrition counseling sessions in an attempt to better understand | |the relationships among her current domestic situation, psychological state and weight issues. During a treatment team meeting, the RD | |reports on the client and is questioned by one of the team members about why he did not refer the client to the mental health professional. | |What should be done in this situation? | |Questions for Discussion | |Is the situation described an ethical issue? Or, is it a business dispute? It is an ethical issue. | |What principle(s) of the Code of Ethics does it relate to and how/why? | |Indicate the Category for the Code of Ethics: Responsibilities to Clients. | | ...
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...Unit 21: Nutrition for Health and Social Care Unit code: L/601/2407 QCF Level 3: BTEC Nationals Credit value: 10 Guided learning hours: 60 Aim and purpose This unit aims to give learners an understanding of current thinking on nutritional health particularly relating to users of health and social care services. Learners will then be able to apply this understanding and make recommendations to improve the nutritional health of an individual. Unit introduction This unit builds on learner understanding of the principles introduced in Unit 5: Fundamentals of Anatomy and Physiology for Health and Social Care. Improvements in the diet of individuals are increasingly being recognised as a significant factor in maintaining, or effecting improvements, in overall health. It is therefore important that people working in the health and social care sectors, or those who are responsible for the wellbeing of others, have a good understanding of nutrition and diet. This unit gives learners an understanding of nutrition from a science-based perspective and of the role that food plays in social contexts. The unit may also provide useful underpinning knowledge for the study of food hygiene and practical culinary skills. Learners will explore concepts of nutrition using the language of nutritional science. Different aspects of nutritional health will be defined and routine ways of measuring this explored. Other aspects of nutritional data will involve describing...
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...suffered permanent brain damage, but the state intervened and kept Cruzan alive because there was no clear and convincing evidence of the intent to refuse care. The state ruled that they had an interest in Cruzan’s life. o Principles established the right to refuse medical treatment is a liberty interest under the 14th Amendment The state has a valid interest in protecting all life A justification for a high standard of proof in evaluating the actually intention of a persistently vegetative patient. • Cruzan used Addington precedent which established clear and convincing evidence as a constitutional minimum for decisions to discontinue nutrition and hydration. Belmont Report principles (principles of bioethics ) o Beneficence –requires that the varied risks and benefits of an intervention be weighed.; the duty to do good o Non Maleficence- duty to do no harm o Autonomy -patients are able to exercise free will and free decisions o Justice- Freedom from discrimination; fairness in distribution of medical resources Medical Futility- o The concept that medical care should be deemed futile was one of the 3 fundamental principles that Hippocrates declared for the practice of medicine: to cure, relieve suffering and refuse to treat “those who are overmastered by their disease. o The AMA Code of ethics provides that the decisions should not be based on “futility” because there is no concrete definition for futility. o A quantitative assessment (standard) would invoked...
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...The ANMC Competency Standards for the Midwife (2008) value woman-centred midwifery practice and state that midwives must work in partnership with women and their families. Using the available evidence, describe how the principles of collaboration and autonomy relate to the principles of working in partnership with women. Then critically analyse how midwives apply these principles to provide woman-centred midwifery practice. As stated by the ANMC Competency Standards, midwives must work in partnership with women in order to achieve women-centred (WCC) care. The critical aspects of providing WCC involve firm performance of continuity of care and developing a strong, but professional midwife-women partnership. Through the implementation of these factors with the added strength of autonomy and collaboration WCC can be achieved to a great extent. However, within practice it is important to maintain evidence based practice and research for the best outcomes. This essay will examine how evidence based practice, partnered with the principles of autonomy and collaboration interconnect with the midwife-women partnership. WCC can be described as women and families being at the heart of everything midwives do in practice. (Fraser & Cooper, 2009). In simpler terms, it can be described as ‘working with a women in whatever way she wants’ (Pairman, 2010 pg. 327) Findings have suggested the practice of WCC increase women’s satisfaction with care. (Iida, Horiuchi, & Porter, 2011)...
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...components which encompass decision making within nursing practice. Cullum et al (2007) identifies four requirements:-Clinical experience, valid researched evidence, available resources and lastly but no less important the patient preferences and experiences. The area of clinical practice to be studied is within a community district nursing team consisting of 7 qualified nurses and 3 health care assistants. The location is situated within a seaside town with a large population of over 65 year olds. Through clinical experience, the author has found a flaw in quality of care when nursing staff are using the overview assessment document which has been adapted from the single assessment process produced by the Department of Health (DOH, 2002). When assessing nutrition there is a series of six questions and an asterisk to consider the “Malnutrition Universal Screening Tool” (MUST, 2003) however experience in practice would suggest the tool (MUST, 2003) isn't used and a local unknown screening tool is used on some rare occasions. The author feels management of these vulnerable patients is lacking and in order to improve patient care a clarification of guidance and service change maybe required. Exploring Cullum's (2007) theory of decision making, the author needs to justify the service change with valid researched evidence. As a nurse in practice it can be...
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...a tube feeding. The question is not initiated by the patient themselves. This is the reason why educating our patients are so important. In this paper I will discuss how important the role of the healthcare professional plays in advocating for a patient. To help answer this ethical dilemma several issues will be explored. I will focus on the seven principles of ethics, education, utilitarianism, top-down theory alternate treatment options. Will Tube Feedings Prolong Life? While working with the majority of geriatric population, we frequently come across patients with Dementia and Alzheimer’s disease. The most common problem in these patients is the inability to swallow as well as the patients are failure to thrive. Many healthcare workers and family members become upset when the patient does not have proper nutritional intake. As human beings it is our nature to take care of our loved ones when they are ill, this is our ways of showing love and affection tore’s each other. We often question the situation regarding the need for artificial feeding. Care givers have misconceptions if we provide artificial nutrition it will help prolong their love one’s life. Further need for education is need to help ease in the decision making. There are many complications we come across when thinking about placing a feeding tube in our love ones. Further explanation needs to be addressed to patients and family members prior to their decision. Over the years families have...
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...Health Advocacy Campaign Childhood obesity is considered one of the major pressing health issues of our century. The rate of childhood obesity has increased alarmingly, with the number of obese children under five globally standing at over 42 million today. Approximately 35 million of obese children are living in the developing countries. According to the World Health Organization (WHO) children who are obese and overweight are very likely to stay obese into their adulthood; further, they stand a high chance of developing non communicable diseases such as diabetes and cardiovascular disease while they are still young (Cheng, 2013). The purpose of this paper is to highlight the gravity of childhood obesity based on statistics and the health effects that the issue has on the children and impacts in the society. Further, the study will develop a health advocacy plan for the problem. Review laws, regulations, and ethical issues that could impact health advocacy plan in regards to childhood obesity. Population Health Issue and Population Affected Childhood obesity has spread to global dimensions and is progressively affecting many low- and middle-income countries, and particularly those that are domiciled in urban settings. In the US alone, one in every five children is obese or overweight; this number is on the rise. Although weight problems can be traced back to the family genealogy, however, this is not all children who come from families that have a known...
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...[3]. Principle of CCA Before understanding the principle of CCA, firstly, we should have a clear understanding...
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...Social Marketing Campaigns and Children’s Media Use Social Marketing Campaigns and Children’s Media Use W. Douglas Evans Summary Media-related commercial marketing aimed at promoting the purchase of products and services by children, and by adults for children, is ubiquitous and has been associated with negative health consequences such as poor nutrition and physical inactivity. But, as Douglas Evans points out, not all marketing in the electronic media is confined to the sale of products. Increasingly savvy social marketers have begun to make extensive use of the same techniques and strategies used by commercial marketers to promote healthful behaviors and to counter some of the negative effects of conventional media marketing to children and adolescents. Evans points out that social marketing campaigns have been effective in helping to prevent and control tobacco use, increase physical activity, improve nutrition, and promote condom use, as well as other positive health behaviors. He reviews the evidence from a number of major recent campaigns and programming in the United States and overseas and describes the evaluation and research methods used to determine their effectiveness. He begins his review of the field of social marketing by describing how it uses many of the strategies practiced so successfully in commercial marketing. He notes the recent development of public health brands and the use of branding as a health promotion strategy. He then goes on ...
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... 16 17 20 23 Manufacturing and distribution 26 Food safety through improved standards of operations Risk management for food safety — Early Warning System Developing people Labour policies for mutual benefit Creation of development and employment opportunities in the community Improved environmental standards Managing water sustainably 30 31 33 34 Research for consumer benefit Consumer nutrition, health and wellness Knowledge and education for healthy nutrition and lifestyles 52 54 58 Nestlé’s future in Latin America 62 Products and consumers 48 Front, inside and back covers: Farmer Rufino Chindicué (front cover) and son Luis (inside back cover) supply milk to Nestlé. Three decades ago, Nestlé created a milk district in Caquetá, Colombia, to ensure a reliable, high quality supply and create opportunity for area farmers. Within the district, Nestlé supported projects to breed hardier cows and promote grazing on the highly nutritious, native brachiaria grass (inside front cover). With better nutrition, cows now produce five times more milk. 38 39 44...
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...Intro establishes significance without taking sides: Every five years, Congress introduces a multi-billion dollar bill that affects all Americans. This legislation has come to be known as the Farm bill, and this year’s is quite possibly the most scrutinized, criticized, and important farm bill that has ever been introduced. So, the question arises: “Why is the farm bill such a controversial issue?” Dan Imhoff answers, “If you eat, pay taxes, care about the nutritional values of school lunches, worry about the plight of biodiversity or the loss of farmland and shrinking open space, you have a personal stake in the tens of billions of dollars annually committed to agricultural and food policies” (18). Now the controversy and social problems—as seen by each side—are introduced. The Farm bill is responsible for funding numerous food related programs, such as subsidies, the food stamp program, and also the farmer’s safety net, to name just a few. Where this money goes and how it is spent reflects what the United States values, and what it is defining as a social problem. Some supporters of this bill maintain that this bill provides financial security not only to agriculturalists but also to consumers as well. They believe that this bill promotes an increased emphasis on of conservation, and that it also encourages efforts to explore the merits of bioenergy. The value placed on conservation, cleaner, more efficient energy sources, and the financial protection of American citizens...
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...History The key factor which drove the early history of the enterprise that would become The Nestlé Company was Henri Nestlé's search for a healthy, economical alternative to breastfeeding for mothers who could not feed their infants at the breast. In the mid-1860s Nestlé, a trained pharmacist, began experimenting with various combinations of cow's milk, wheat flour and sugar in an attempt to develop an alternative source of infant nutrition for mothers who were unable to breast feed. His ultimate goal was to help combat the problem of infant mortality due to malnutrition. He called the new product Farine Lactée Henri Nestlé. Nestlé's first customer was a premature infant who could tolerate neither his mother's milk nor any of the conventional substitutes, and had been given up for lost by local physicians. People quickly recognized the value of the new product, after Nestlé's new formula saved the child's life and within a few years, Farine Lactée Nestlé was being marketed in much of Europe. Henri Nestlé also showed early understanding of the power of branding. He had adopted his own coat of arms as a trademark; in Swiss German, Nestlé means 'little nest'. One of his agents suggested that the nest could be exchanged for the white cross of the Swiss flag. His response was firm: "I regret that I cannot allow you to change my nest for a Swiss cross .... I cannot have a different trademark in every country; anyone can make use of a cross, but no-one else may use my coat...
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...STUDY GUIDE for C475 Care of Older Adult Objective Assessment Exam questions are taken from the Learning Objectives under the 9 Competencies: #1 Competency 742.1.1: Compassionate and Respectful Care of Older Adults The graduate integrates principles of compassion and respect for patients and their families into the planning and delivery of care to a diverse population of older adults and into advocacy for vulnerable older adults. This topic addresses the following learning objectives: * Recognize the impact of attitudes, values, and expectations about aging. * Describe how the RN’s personal beliefs and values may impact the care of older adults. * Articulate the concept of individualized care as the standard of practice with older adults, considering the right care, at the right time, in the right place and by the right provider of care. * Define Baby Boomers * What are the five racial groups listed in your text? * How would you perform discharge teaching to an Hispanic patient * Apply effective and respectful communication strategies in the care of older adults and their families. * List some of the changes of aging that could affect therapeutic communication * Note the ways to communicate or assist a patient with disabilities such as hearing deficits, vision impairments, or aphasia and dysarthria. Be familiar with the types of hearing devices. How should you address the older adult during therapeutic communication? ...
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...Food Process Engg, Sam Higginbottom Institute of Agriculture, Technology & Sciences, Allahabad 211007 Corresponding author: genithaimmanuel@yahoo.co.in Introduction The tenet "Let food be thy medicine and medicine be thy food," espoused by Hippocrates nearly 2,500 years ago, is receiving renewed interest, now popularly used for Functional foods. The term functional foods was first introduced in Japan in the mid-1980s and refers to processed foods containing ingredients that aid specific bodily functions in addition to being nutritious. The Institute of Medicine's Food and Nutrition Board (IOM/FNB, 1994), Japan defined functional foods as "any food or food ingredient that may provide a health benefit beyond the traditional nutrients it contains." Functional foods are foods that provide health benefits beyond basic nutrition due to certain physiologically active components, which may or may not have been manipulated or modified to enhance their bioactivity. These foods may help prevent disease, reduce the risk of developing disease, or enhance health. Rapid advances in food science and technology, an aging population, the rapid rise in health care costs, and changing government marketing and labeling regulations have also had an impact on the functional foods market. Functional foods have been a part of Eastern cultures for centuries. Foods were used for medicinal purposes in traditional Indian medicine (Ayurveda) as early as...
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...STUDY GUIDE for C475 Care of Older Adult Objective Assessment Exam questions are taken from the Learning Objectives under the 9 Competencies: #1 Competency 742.1.1: Compassionate and Respectful Care of Older Adults The graduate integrates principles of compassion and respect for patients and their families into the planning and delivery of care to a diverse population of older adults and into advocacy for vulnerable older adults. This topic addresses the following learning objectives: * Recognize the impact of attitudes, values, and expectations about aging. * Describe how the RN’s personal beliefs and values may impact the care of older adults. * Articulate the concept of individualized care as the standard of practice with older adults, considering the right care, at the right time, in the right place and by the right provider of care. * Define Baby Boomers (those born from 1946–1964) reach retirement age (as of 2011) A large group of people born between 1946 and 1964, in the time after the Second World War. * What are the five racial groups listed in your text? African American, American Indian/Alaskan Native, Native Hawaiian/Pacific Islander/Asian, Hispanic, White * How would you perform discharge teaching to an Hispanic patient Teach the family as well because more than likely, pt is going home and family is his/her primary caregivers. * Apply effective and respectful communication strategies in the care of older adults and their...
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