I NEED THIS IN 24 HOURS.  NEEDS TO BE ORIGINAL A+ PAPER!!!!!!!!!!!Instructions:Review the following case study patient detailsMr. W is a 25 year old male who was in a drug rehabilitation program last year. He has been admitted to the hospital with a history of weight loss, weakness, and intractable diarrhea. His height is 70 inches and his weight has dropped from 180 lbs. to 110 lbs. He is also suffering from fever and night sweats. Physical examination reveals swollen lymph glands, tongue lesions of herpes simplex and ulcers in the perianal region. Further tests indicated depressed T-cell levels and the presence of Pneumocystis carinni. He was tested for HIV infection and the blood test for HIV infection antibodies was positive.While in the hospital he developed several other symptoms: anorexia, fever, fatigue, nausea, vomiting, watery diarrhea, and rectal incontinence. His temperature was 103°F (39.8°C) and was treated with antibiotics to which he did not respond. The amount of diarrhea increased markedly, necessitating intravenous hydration. He developed esophageal candiasis and a duodenal infection.The patient did not tolerate a soft diet or nutritional supplements, continued to lose weight, and had severe anorexia, abdominal cramping, and bloating. Nutritional assessment was deficient in all aspects, showing a decreased BMI, decreased muscle mass, and depleted total protein and serum albumin.In which stage of HIV infection would you categorize Mr. W?Name and describe the major clinical complications in the final stage of AIDS and explain how these complications profoundly compromise a patient’s nutritional status.What should be the goal of nutritional therapy based on assessment data and the patient’s history?Utilize your critical thinking skills to determine the most appropriate route of feeding to administer nutrition support. Defend your choice with evidence from the patient description and the knowledge you have gained regarding alternative feeding routes.List several nutritional supplements that might be used to alleviate some of Mr. W’s symptoms and increase his caloric intake when he is able to tolerate a diet again.Write a Nutrition Care Plan/Chart note on the HIV patient that addresses the patient’s current clinical situation. Write this note as though you were a nutrition professional caring for this patient in a hospital setting. Please refer to Table 11-3 and 11-4 in your textbook for information on the ADIME chart note process.RequirementsPaper format: Answer questions numbers 1–5 in a 2–3 page paper using APA format and citation guidelines. Include a title page, introduction, body, conclusion, and reference page. Include number 6, the Nutrition Care Plan/ Chart note, as an appendix. Be aware that the title page, reference page, and appendix/chart note DO NOT count towards the 2–3 page minimum.Please organize your paper in the following paragraph format. Please see KUs Writing Center for more information regarding essay and paragraph format.Section 1: Introductory paragraph (incorporate your answer to question 1)Section 2: Body paragraph(s) (incorporate your answer to question 2)Section 3: Body paragraph(s) (incorporate your answer to question 3)Section 4: Body paragraph(s) (incorporate your answer to question 4)Section 5: Concluding paragraph (incorporate your answer to question 5)Appendix: Nutrition Care Plan/Chart noteReferences: Include a minimum of 4 quality references. Your textbook may count towards this requirement. You can use reputable websites or other textbooks/ scientific or medical journal articles. Please use APA style citations within the paper itself and also on the reference page. See Writing Center Resources found in Doc Sharing and the Kaplan University Writing Center for complete details and examples regarding APA style references.

Discussion Question 1Explain why caregivers are considered patient advocates.  When and how does one become a patient advocate?  Discuss the legal implications of being a patient advocate. What resources can patient advocates access to help them perform their roles/responsibilities?  Identify a minimum of three resources.Discussion Question 2Discuss the correct way of charting in a patient’s record. Analyze the impact of poor documentation in patient care? Give one or two examples. Explain possible legal concerns for poor documentation. This is the AssignmentVirtues and Values For this assignment differentiate virtues from values. Discuss the characteristics of both.How do they affect one’s character? How are they acquired? How can they be helpful in resolving health care ethical dilemmas? (content criteria #2)Identify and discuss a health-related case in which virtues and values played a part. Discuss application/and interpretation of these virtues and values in your selected case.  (content criteria #3)Make sure you have an Introduction and Conclusion (content criteria #1). Your paper must be three to five double-spaced pages (excluding title and reference pages) and formatted according to APA style as outlined in the Ashford Writing Center.  Utilize a minimum of three scholarly and/or peer-reviewed sources (not including the course textbook) that were published within the last five years.

For this project, you are to complete the following case study. This project needs to be completed in a Microsoft Word document answering each question individually. The document should be set up in a numbered format. For example:Type your answer hereType your answer hereInclude references in APA format for each pertinent question and include a Reference page as well.This assignment should follow the conventions of Standard American English (correct grammar, punctuation, etc.). Your writing should be well ordered, logical and unified, as well as original and insightful. Your work should display superior content, organization, style, and mechanics.Case StudyDB is a 50 YO African American woman. She has been diagnosed with type 2 Diabetes Mellitus and hypertension. DB takes the following medications: Novolin 70/30 insulin breakfast and supper, Lasix and Cymbalta. DB lives with her husband and 3 children, ages 13, 15 and 17. Her height is 5’6”.Weight: 185 pounds.Activity level: sedentaryDB reports the following 24-hour food intake:Wakes up at 6am: Skips breakfast because needs to be at work at 6:45am. Will have coffee with 2 sugars and cream at work.11am lunch: usually eats out. Yesterday - ate at a popular fast food restaurant. Ate: 2 pieces of fried chicken, 1 biscuit, 1 cup cole slaw, 1 large sweet tea, 1 cup mashed potatoes with gravy, 1 slice of fruit pie.3pm snack: regular size candy bar from vending machine at work6pm dinner: 1 large plate of spaghetti with meat sauce. 1 slice of garlic toast with parmesan cheese. 1 large glass of diet soda.9 pm bedtime snack: 1 bowl of chocolate ice creamGoes to bed at 10pm.DB reports that she will walk 1 mile on Saturday and Sunday at a local mall. DB will eat some vegetables, such as corn and potatoes. DB reports that she rarely eats green vegetables. DB’s favorite ways to prepare foods are to grill them or fry them. DB’s family eats at least three meals a week together as a family.Questions:Assess DB’s food intake for calories, fat, saturated fat, carbohydrate, dietary fiber, protein, and sodium. Please indicate how you assessed the diet and include your work.Analyze the 24-hour recall using example fitday.com orwww.choosemyplate.gov. Provide an in text citation for the source of your nutrient analysis.Show the results of your food intake analysis in a table or cut and past your data table from the web site. Sample data table to present the results of you intake analysis[img height="85" width="431" border="0" src="http://content-hsc.kaplan.edu/NS270_1005B/images/product/table1.jpg" align="center">24 hour recall nutrient analysis on _____________.comEquation to calculate percentage CHO, PRO, FATCalculate DB’s BMI and identify weight classification.Calculate DB’s energy needs using Mifflin St. Jeor equationMifflin St Jeor Energy EquationIdentify your calorie goal to achieve a healthy weight. Support your answer.Identify the dietary guidelines you are choosing (Joslin, American Diabetes Association, DASH) to address DB’s diabetes, and hypertension. Provide an in text citation. Updated Dietary RecommendationsBased on DB’s calorie goal calculate the grams CHO, PRO, FAT, Saturated Fat goals based on a nutrient standard you select.Equation to calculate grams CHO, PRO, FAT, Saturated fat, dietary fiberIdentify the nutrient goals for dietary fiber, sodium, potassium, calcium, magnesiumCompare DB’s intake to the recommended intake. Present this data in a table and discussion format. Your discussion should include your assessment DB’s intake of Calories, CHO, PRO, FAT, saturated fat, sodium, dietary fiber highlighting any shortage or excess of these nutrients. [img height="239" width="325" border="0" src="http://content-hsc.kaplan.edu/NS270_1005B/images/product/table2.jpg" align="center">Identify current nutrient deficiency as you find it on the nutrient analysis. You can cut and paste your data table from your nutrient analysis software or create your own data table to show which nutrients are below 100% RDA/AI. Your answer should also include a short written description of DB’s actual nutrient deficiency. [img height="460" width="796" border="0" src="http://content-hsc.kaplan.edu/NS270_1005B/images/product/table3.jpg" align="center">Sample shown is from fitday.comSample comparison of intake by food groupDietary exchange calculator:http://diabeteslibrary.org/View.aspx?url=DiabeticExchangeListUsing the DRI tables for vitamins and elements identify additional nutrients DB would potentially be deficient in based on identified missing foods/food groups. http://iom.edu/Activities/Nutrition/SummaryDRIs/~/media/Files/Activity%20Files/Nutrition/DRIs/DRI_Vitamins.ashxDRI: Vitamins http://iom.edu/Activities/Nutrition/SummaryDRIs/~/media/Files/Activity%20Files/Nutrition/DRIs/DRI_Elements.ashxDRI ElementsWrite a summary of the potential nutrient deficiency you identify in b and c.Identify potential pharmacotherapy issues related to DB’s drug prescriptions. For each medication identify:Why the medication is prescribed?Important facts about this medication.How do you take this medication?Identify considerations for timing, and missed doses.Special warnings about this medication.How do these drugs affect nutrients?Suggested websites:http://www.pdrhealth.com/drugs/rx/rx-a-z.aspx http://www.drugs.com/drug_information.html (food & drug information under “What should I avoid)Create a 1-day meal plan for DB and explain how the menu meets the some of the guidelines you set in question 1c. You may use the 1 day sample meal plan link below to help the process.Address these aspects:Identify calorie and % CHO, PRO, FAT goalsIdentify timing for meals and snacksIdentify CHO goals for meals and snacksCreate a sample menu to match your goalsComplete a nutrient analysis on your menuDay 1 SampleDescribe how you would educate DB on the meal plan you created and your health maintenance recommendations.During your counseling session, DB confesses to not taking as much of her prescribed medicines so that she can sell it to people at her church that she thinks need it more than she does. She assures you that she charges less than her friends would have to pay for it at the pharmacy. How would you counsel her regarding this new information?ID: NS270-09-09-P