Nutrition/ Core Nutritional Science Assignment/no plagiarism/deadline close
PLS CHECK ATTACHMENT
DNT 200 — NUTRITION FOR HEALTH SCIENCES
STUDY GUIDE 6: ENERGY METABOLISM AND WEIGHT CONTROL
Directions. Using Chapters 7, 8, and 9 of your textbook as a reference, answer the following questions. Please include the questions with your answers. Be sure to put your name on your document. Your answers should be thoughtful, complete, and in Standard English. Credit will not be given for answers copied from online sources.
1. Define the following
Acetyl CoA
Adaptive Thermogenesis
Aerobic
Amenorrhea
Anabolism
Anaerobic
Anorexia nervosa
Appetite
ATP (adenosine triphosphate)
Bariatric
Basal Metabolic Rate (BMR)
Basal metabolism
Behavior Modification
Binge eating disorder
Body composition
Body Mass Index
Bomb Calorimeter
Brite adipocytes
Brown Adipose Tissue
Bulimia nervosa
Catabolism
Cathartic
Central Obesity
Clinically severe obesity
CoA
Coenzymes
Cori cycle
Coupled reactions
Disordered eating
Eating disorders
Ectopic fat
Electron transport chain
Emetic
Endoscopic procedures
Energy balance
Enzymes
Fad Diets
Female athlete triad
Fuel
Gastric aspiration
Gene pool
Ghrelin
Gluconeogenisis
Glycolysis
Hunger
Hyperplastic Obesity
Hypertrophic Obesity
Hypothesis
Inflammation
Insulin Resistance
Intragastric balloon
Ketoacid
Ketone bodies
Lactate (in the context of energy metabolism)
Lean Body Mass
Leptin
Leptin resistance
Lipoprotein lipase (LPL)
Metabolic syndrome
Metabolism
Mitochondria
Muscle dysmorphia
Neuropeptide Y
Normal-weight obesity syndrome
Obese
Obesogenic environment
Orthorexia nervosa
Overweight
Photosynthesis
Physiological fuel value
Pyruvate
Relative energy deficiency in sport (RED-S)
Resting Metabolic Rate (RMR)
Satiating
Satiation
Satiety
Set Point
Stress fractures
Subcutaneous Fat
Successful weight-loss maintenance
TCA cycle
Thermic Effect of food (TEF)
Thermogenesis
Underweight
Visceral Fat
Waist circumference
Weight cycling
Weight management
2. Your friend Tiffany is taking a nutrition course at another local community college. She is having difficulty understanding the unit about the energy yielding pathways of carbohydrate, protein, and fat. Help her by discussing how the basic units of carbohydrate, protein, and fat are utilized in energy pathways to produce energy. Be thorough. Include their differences and similarities?
3. Tina W. is a 44 year old white female who has tried a number of weight-loss programs to include very strict diets. She has never exercised in her previous weight loss attempts. She takes several cardiac medications, none of which she can remember. She is 5’9” and weighs 195 pounds. Her lowest body weight was 135 pounds, when she was 30 years old. (She was able to maintain that weight for two years.) Her blood pressure is high, at 160/90. Tina mentioned that she tried numerous diets as a teenager when she weighed 170 pounds for 3 years.
a. Using the formulae  in your text book, calculate Tina’s:
1. BMR (Hint: Be sure to read note b in the BMR column of Table 8-1). What is the meaning of your calculation?
2. Estimated Energy Requirements. Assume a sedentary activity level. What is the meaning of your calculation?
Show your work for both questions.
b. What types of exercise would you be likely to discuss with Tina?
c. What would be the goals of her treatment?
4. Determine your BMI. Is your BMI in a healthy range? If not, why not? Do you believe that measuring body fat percentage may more accurately reflect your body composition? Briefly discuss each body composition measure (e.g. skinfold calipers, bioelectrical impedance analysis, etc.) and discuss why measuring body fat is important in assessing a client’s overall health status.
5. Select one fad diet from any popular publication or online source. Using the ‘How To H9-1’ Box for Identifying a Fad Diet or Other Weight-Loss Scam (Highlight 9, page 291) of your textbook, evaluate the diet.
6. List and briefly explain the four main components of energy expenditure?
7. Kristin B. , like many Americans is overweight. Kristin is 43-year-old and a mother of two. She has gained 40 pounds since the birth of her youngest child five years ago. She is 64 inches tall and weighs 170 pounds with a BMI of 29.2. Her waist circumference is 37 inches. Kristin can’t figure out why it is so hard to lose weight and keep it off.
Kristin decides something must be wrong with her to be such a dieting failure. Maybe she just doesn’t have sufficient willpower or maybe she has abnormal metabolism. She feels tired most of the time and has very little energy. She is very busy with her children and has a demanding job as a middle school teacher. Kristin tries to cook healthy meals for her family but is often too tired or stressed to bother, so she stops to get some fast food on her way home. To make matters worse, her seven year-old son recently came home from school and said the kids were teasing him for being fat.
Kristin’s father recently died from complications of type 2 diabetes. At her last medical checkup, her blood pressure was mildly elevated but all of her laboratory blood tests were normal.
Kristin decides it is time to make some changes for her entire family but she doesn’t know quite where to start. She hopes she can help her son by finding a diet that works for him. Complicating the problem is the fact that Kristin’s husband doesn’t have a weight problem. Knowing that you are studying nutrition, Kristin decides to ask you for advice.
a. Based on her health history and physical measurements, describe how you would determine the seriousness of Kristin’s weight gain in relation to her health.
b. Using the information in chapter 9, what would you estimate to be a reasonable amount of weight for Kristin to lose over the next six months?
c. What are some advantages for Kristin of keeping a food and exercise record? What other habits besides food intake and physical activity may be especially useful for Kristin to record?
d. You advise Kristin to limit her daily caloric intake to 1,400 kcalories. Use Table 9-3 to plan one day of meals and snacks to meet her nutritional needs within this calorie level. Use the chart below (one row is already completed):
Pattern (e.g.    fruit, vegetables, grain, etc.) – from Table 9-2
check attachment for table

As a nurse, you can have a great impact on the success or failure of the adoption of EHRs. It is important for nurses to understand their role as change agents and the ways they can influence others when addressing the challenges of changing to a drastically different way of doing things.
Everett Rogers, a pioneer in the field of the diffusion of innovations, identified five qualities that determine individual attitudes towards adopting new technology (2003). He theorized that individuals are concerned with:
· Relative advantage: The individual adopting the new innovation must see how it will be an improvement over the old way of doing things.
· Compatibility with existing values and practices: The adopter must understand how the new innovation aligns with current practices.
· Simplicity: The adopter must believe he or she can easily master the new technology; the more difficult learning the new system appears, the greater the resistance that will occur.
· Trialability: The adopter should have the opportunity to “play around’ with the new technology and explore its capabilities.
· Observable results: The adopter must have evidence that the proposed innovation has been successful in other situations.
Note: You are not required to purchase Rogers’ book or pursue further information regarding his list of five qualities. The information provided here is sufficient to complete this Assignment. The full reference for Rogers’ work is provided below the due date on this page.
For this Assignment, you assume the role of a nurse facilitator in a small hospital in upstate New York. You have been part of a team preparing for the implementation of a new electronic health records system. Decisions as to the program that will be used have been finalized, and you are now tasked with preparing the nurses for the new system. There has been an undercurrent of resistance expressed by nurses, and you must respond to their concerns. You have a meeting scheduled with the nurses 1 week prior to the training on the new EHR system. Consider how you can use the five qualities outlined by Rogers (2003) to assist in preparing the nurses for the upcoming implementation.
To prepare
· Review the Learning Resources this week about successful implementations of EHRs.
· Consider how you would present the new EHR system to the nurses to win their approval.
· Reflect on the five qualities outlined by Rogers. How would addressing each of those areas improve the likelihood of success?
Write a 3- to 5-page paper which includes the following:
· Using Rogers’ (2003) theory as a foundation, outline how you would approach the meeting with the nurses. Be specific as to the types of information or activities you could provide to address each area and include how you would respond to resistance.
· Analyze the role of nurses as change agents in facilitating the adoption of new technology.