Issues and Ethics in the Helping Professions (Book Only)
9th Edition
ISBN: 9781285464671
Author: Gerald Corey, Marianne Schneider Corey, Cindy Corey, Patrick Callanan
Publisher: Brooks Cole
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Chapter 4, Problem 8SA
Summary Introduction
To evaluate: The “internal dialogue” of the person while studying about the multicultural perspective and diversity issues.
Introduction: The term “culture” is often associated with a specific ethnic group, gender, age, spirituality or religion, nationality, physical capacity, and so on. It can also be considered as a lens through which life is perceived.
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CASE STUDIES-DISCUSSION
Case 1
His lower BUN, K+ and phosphorus are consistent with his reported decrease in intake
due to the flu. His high calcium level is a consequence of taking his prescribed amount
of PhosLo while eating less food. Thus, he absorbed more calcium from his phosphate
binder. In this patient, with adynamic bone disease (low PTH without IV vitamin D
therapy), he is unable to deposit calcium in his bones, so serum level rose quickly.
PhosLo was held and the next week his calcium was 11.0 and phosphorus 5.8.
Other possibilities for a rise in calcium might be that patient took Tums (or another
calcium-containing antacid) because of the flu or heartburn; took phosphate binders
between meals rather than with meals; was consuming…
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DaVita Dietitian Reference Manual
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Module 4-Evaluating Laboratory Values
DISCUSSION QUESTIONS
1. Why is hyperkalemia dangerous?
2. What are 3 possible causes of hyperkalemia?
3. How is hyperkalemia managed?
4. What are 3 reasons for hypoalbuminemia in hemodialysis patients?
5. What are the side effects of hypoalbuminemia?
6. What are 3 possible reasons for a patient to have a low BUN? A high BUN?
FEB
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Chapter 4 Solutions
Issues and Ethics in the Helping Professions (Book Only)
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- As nursing students dealing with school age patients with anxiety or fear related to hospitalisation, identify relevant and credible resources and explains their significance.arrow_forwardDescribe which of the 4 biomolecules could be used as a source of carbon and energy in a microbial growth media?arrow_forwardHow to teach mock dialysis (HD) patients how to decrease phosphorus on his/her dietarrow_forward
- Explain screening and monitoring best practices for CKD in diabetesarrow_forwardIdentify the pathophysiology and risk factors of CKD in diabetesarrow_forwardFEB 4 DaVita Dietitian Reference Manual Module 1 Introduction Commonly Prescribed Medications for Dialysis Patients Below is a list of commonly prescribed medications for dialysis patients. Complete this worksheet throughout the training to become familiar with these medications, their use and nutritional effects. Discuss with Preceptor. MEDICATION Module 3-Nutrition Assessment Colace Miralax DESCRIPTION/ INDICATION FOR USE Kayexalate Module 5 - Nutrition Support Nepro Novasource Renal ProCel Liquacel Module 6 - Mineral and Bone Disorder Management Aluminum hydroxide CalciChew Calcium acetate Calcium carbonate (Tums) Calcijex Calcitriol Fosrenol Hectorol MagneBind Oscal PhosLo Phoslyra Renagel 2013 DaVita HealthCare Partners Inc. All rights reserved. Origination Date: November 2002 A útv e SIDE EFFECTS/ NUTRITIONAL IMPLICATIONS Page 18 of 22 Revised: October 2013arrow_forward
- - DaVita Dietitian Reference Manual + 60% V Module 1 - Introduction BASIC DEFINITION ABBREVIATION / TERM Module 6 - Mineral and Bone Disorder Management MBD PTH KDIGO Zen Tool Module 7 - Adequacy A-V fistula (AVF) A-V graft (AVG) Albuminuria BFR Catheter CVC Dialysate Dialysis DFR spKt/V stdKt/V KOA KRU URR Module 10-Continuous Improvement DQI FHR FHM IP QIP 2013 DaVita HealthCare Partners Inc. All rights reserved. Origination Date: November 2002 Page 21 of 22 Revised: October 2013 ductionarrow_forwardFEB DaVita Dietitian Reference Manual Module 1 - Introduction REVIEW QUESTIONS 1. 2. 3. 4 5. 9 6. 7. 8. 9. 6 10. True False DaVita's Mission is to be the provider, partner and employer of choice. Stage 5 CKD (GFR< 15 cc/minute) is classified as kidney failure. Two of the leading causes of CKD are diabetes and hypertension. Peritoneal dialysis therapy can be done independently at home. Healthy kidneys function to maintain acid/base balance, remove wastes and fluid, produce erythropoietin and to activate vitamin D. The diet for hemodialysis is more liberal than the diet for peritoneal dialysis. A typical hemodialysis treatment schedule is 5 times per week for 2 hours per treatment. The dietitian does not have to wear PPE since he/she does not initiate or terminate the dialysis treatment. Nutrition report cards are discussed with the patients on a quarterly basis. FUN is a DaVita Core Value 2013 DaVita HealthCare Partners Inc. All rights reserved. Origination Date: November 2002 4 tv d…arrow_forwardPEB 4 DaVita Dietitian Reference Manual Module Introduction Commonly Used Abbreviations and Terms In Dialysis Below is a list of commonly used abbreviations and terms used in dialysis. Complete this worksheet throughout the training use in order to become familiar with these terms and abbreviations. Discuss with Preceptor. ABBREVIATION / TERM Module 1 - Introduction CKD BASIC DEFINITION HD ICHD GFR KDOQI NKF CMS Module 2- Resources CRN Module 3 - Nutrition Assessment RRT Target Weight NPCR/nPNA SGA IDWG IDT POC MIS Module 5-Nutrition Support IDPN IPN ONS ©2013 DaVita HealthCare Partners Inc. All rights reserved. Origination Date: November 2002 Page 20 of 22 Revised: October 2013 tv S A Warrow_forward
- REVIEW QUESTIONS True False 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. The Initial Nutrition Assessment/Plan of Care must be completed within 30 days of admission or 13 treatments, whichever is later. At a minimum, the DaVita Dietitian is required to document on the nutrition progress of each hemodialysis and peritoneal dialysis patient quarterly. DaVita's optimal goal for albumin is 4.0 or higher A low albumin is associated with increased morbidity and mortality in dialysis patients. Interdisciplinary patient assessments and plans of care must be completed monthly for unstable patients. The DaVita minimum goal for nPCR is 1.5. A low albumin is always due to poor protein intake in patients on hemodialysis Dialysis patients are at an increased risk for protein/kcal malnutrition. The most serious side effects of chronic hyperphosphatemia are bone disease and itching. When a patient exhibits hypokalemia and hypophosphatemia, the DaVita Dietitian should evaluate adequacy of dietary…arrow_forwardStudy guide for nutrition assessment with people with CKDarrow_forwardDaVita Dietitian Reference Manual Module 6-Mineral and Bone Disorder Management CASE STUDIES Case 1 James is a 37 year old African American male with CKD Stage 5 secondary to hypertension. He has been on hemodialysis for 5 years. He has a history of hypocalcemia and hyperparathyroidism. He weighs 63 kg. His albumin usually runs in the range of 3.7-3.8 mg/dL. His binder prescription is PhosLo 667 mg, 2 gelcaps at each meal and 1 with snacks. Labs Intact.PTH Corrected Calcium Phos IV Hectorol mcg 7/20 8.1 5.4 1.0 mcg 8/3 8.0 4.6 1.0 mcg 9/28 400 8.5 4.4 1.5 mcg 10/5 8.8 5.0 1.5 mcg 11/16 9.6 5.0 1.5 mcg 12/28 420 9.9 5.4 Per the Zen Tool, what change (if any) would be made to the IV Vitamin D dose? What are your thoughts on the labs? Case 2 Joseph is a 58 year old Hispanic male, on hemodialysis for one year. He has a history of hyperparathyroidism and hyperphosphatemia. He weighs 74 kg. His binder prescription is Fosrenol 500 mg 1 tablet with each meal. Labs Intact PTH Corrected Calcium…arrow_forward
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