Choose one of the following for Discussion One. Remember HIPAA at all times!! Do

Choose one of the following for Discussion One. Remember HIPAA at all times!! Do not use any names or any places of employment or business or identifying information in anything you write.
1. Developing developmental competence is important as an RN. For this discussion, choose several of the following to discuss: a) Discuss how to assess a child’s developmental age and adjust the examination communication accordingly; b) give examples of various ways to engage with an infant; c) explain how to enlist the patient’s cooperation in examining a toddler; d) give examples of ways to entertain and explain procedures to the curious preschooler; e) give examples of some of the limitations in explaining procedures to a school aged child; f) explain how to make adolescents comfortable with themselves and the confusing changes that are occurring; g) give examples of mental versus physical illness and how it can affect a diagnosis; h) explain how the interviewer will have to accommodate the patient to obtain information in the aging adult; I) discuss some accommodations that might be necessary in an ill person.
2. Discuss or compare and contrast any of the following, including personal experiences with patients (remember HIPAA): a) types of pain; b) the various sources of pain; c) acute vs chronic pain; d) assessment of pain; e) physiologic changes from poorly controlled pain. Need at least 350 words.
3.Discuss one or several of these issues concerning nutrition, using personal experiences with patients or family (remember HIPAA), if you are comfortable sharing: 350 words. Discuss how being overweight during childhood can increase the risk not only of being overweight in adulthood but also of acquiring many health issues; b) Review infant and child growth rates, the advantages of breastfeeding, and the necessity for appropriate fat intake for children under age two; c) Discuss in detail the lifestyle factors that influence the development of serious chronic illnesses; d) Discuss the nutritional value of the foods available in local fast food establishments; e) Choose several of your favorite foods and discuss the nutritional value according to the nutritional label; f) discuss how you educate patients about food-food or food-drug interactions; g) discuss any of the cultural practices you have observed with families regarding nutrition and meals; h) discuss the subjective and objective data used for nutritional assessment and how you have used this in practice; i) describe factors in metabolic syndrome (p. 197); j) discuss consequences of bariatric surgery; k) describe how you have counseled someone to lose weight.
4. Question: Nutrition Case study
C.M. is an 89-year-old female who presents with her daughter to the provider’s office. The daughter is concerned because her mother has not been eating well.
Subjective Data
PMH: HTN, Hypothyroid
24-hour diet recall reveals approximately 1,100-calorie intake
Lives alone, daughter nearby
Does not drive
Daughter shops
Patient cooks light meals
Objective Data
Weight: 105 lb
Weight last visit, 3 months ago: 115 lb
Vital signs: T 37 P 72 R 12 BP 104/64
HT: 5 feet, 1 inch
Medications: Metoprolol 12.5 mg per day, Synthroid 0.75 mg per day
Oral mucosa dry, gums bleeding, dentures loose
Poor skin turgor
Answer the following Questions:
1. Develop a problems list from the objective and subjective data.
2. What nursing diagnoses can be derived from the problems list?
3. What should be included in the plan of care?
4. Calculate the patient’s body mass index.
5. How many calories a day does this patient need to maintain her current weight?
6. What laboratory studies would help determine the patient’s nutritional status?