As future health care professionals, why should you be concerned about the types and number of dietary supplements that your patients/clients are taking?

You are meeting with Mr. Adams in the medical oncology outpatient clinic today. Mr. Adams is a 49-year-old Hispanic male who is currently receiving chemotherapy and radiation for lung cancer. He received a PEG for tube feedings when diagnosed 6 weeks ago because of dysphagia as the tumor was pressing on his esophagus. He has had 3 weeks of radiation and 2 rounds of chemo, which has resulted in the tumor shrinking enough for Mr. Adams to start taking some oral nutrition. He and his wife have an appointment with you today because they would like to know how to best manage his nutrition now. He will have radiation for at least 3 more weeks and will have his last chemo treatment in 4 days – he has been tolerating chemo well. He reports tolerating his tube feedings ok; no problems with nausea, diarrhea or constipation. He doesn’t really get hungry in between feedings. Ht: 5′ 7″     Current Wt: 125 lb.     Wt before starting treatment: 148 lb. (2 months ago) Labs: Reportedly WNLs Meds: none besides the chemo. PEG feedings: 4 cans per day providing ~1420 calories & 50 grams of protein; he flushes his feeding tube with 60 mL of water before and after each feeding. The formula is 76% free water. He also drinks about 3-4 oz. of juice in the morning without too much difficulty – it just takes him about 10 minutes to get it all down. He is not experiencing any coughing or difficulties with swallowing when he drinks the juice. He is just cautious because if he drinks it too fast he thinks he might aspirate. Labs: not available but reportedly WNLs. Write 2 PES statements (10 points) P:                                                                                 E:                                                                                  S:      P: E: S:                                                                             

Samantha, a 22 y.o. female college student, has a strong family history for breast cancer thus she would like to reduce her risk. Ht:   5 ‘ 1”             Current Wt:   110 lb.                Usual Wt:   110 lb. Medications/supplements: none Physical activity: does yoga 1-2 times/week Diet history: B: none – usually running too late L: Tuna or turkey/cheese sandwich on multi-grain bread; chips and large soda Snack: apple and string cheese; or Oreos and a large glass of whole milk; occasionally nachos D: usually Mexican food, spaghetti w/French bread & 1-2 glasses of red wine, hamburgers or hot dogs with French fries & a large coke; on the weekends will usually grill something – salmon, pork chops, burgers or shish-kabobs; drinks water or coke for dinner most of the time Night snack: something sweet – ice cream, cookies or peanut M & Ms Based on this information, which of the following would you suggest?

Mr. Jackson is having surgery in 2 weeks for a hip replacement. Based on the following information, which of the following would you recommend? Ht: 6′    Wt: 188 lb. (stable)   B.P.: 124/80      Lipid panel: Total cholesterol: 182  LDL: 144  TG: 400 HDL: 45    Medications: BP medication, statin, MVM, vitamin E, ginseng & garlic

During a nutrition assessment, the client indicates that she uses a particular dietary supplement. At a minimum, what aspects of the supplement should be researched and reviewed prior to making a recommendation for continued use?

Kate will be starting chemotherapy on Monday for renal cancer. Based on the following information, what would you recommend? Ht. 62″    Wt: 140 lb    Lipids: Tchol – 180      HDL – 45     TG – 320 Medications/supplements: blood pressure pill, MVM, vitamin D and vitamin C Physical activity habits: walks 30 minutes on most days

¿Qué es un texto paralelo y para qué sirve? Acentos:  á  é  í  ú  ó  Á  É  Ó  Ú  Í  ü   Ü  ñ   Ñ

La ______________________ es la técnica opuesta a la reducción y ocurre cuando se usan más palabras que en el texto original.  Signos para que copien si no tienen teclado en español:   á  é  í  ó  ú  ñ

La modulación es cuando no es posible mantener el nivel de especificidad del texto original y por ello se usa un término cuyo sentido es más amplio. Por ejemplo el uso de coctél en vez de Moscow Mule. 

Encargo de traducción: Traduce esta receta tomada de un blog de cocina española para incluirla en una revista de cocina de los Estados Unidos. Te han pedido que hagas las conversiones necesarias para que la receta se ajuste al sistema de medidas de este país. Tengan cuidado con los nombres de ingredientes y medidas para que sea en español de Estados Unidos (10 Pts.).   1. Analiza el texto y escribe las características más importantes con respecto a la audiencia, el tema, el tipo textual y las características lingüísticas y estilísticas.  2. Traduce el texto.  Pueden usar la siguientes página:www.wordreference.com Pesa la harina, añade la levadura química y el bicarbonato y ciérnelo todo con un cernidor. Casca los huevos y mézclalos bien con el aceite. Escurre el almíbar de las naranjas y añádelo a los huevos también. Junta la mezcla de huevos con la mezcla de harina y bate bien hasta obtener una masa homogénea. Reserva. Unta de mantequilla y de harina un molde desmontable o de silicona, y cuece el bizcocho en el horno precalentado a 180 °C.  Signos para que copien si no tienen teclado en español:   áéíóú  ñ