Instructions: Review the following case study patient details
Mr. 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 carinii. 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 fecal 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.
1. In which stage of HIV infection would you categorize Mr. W?
2. 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.
3. What should be the goal of nutritional therapy based on assessment data and the patient’s history?

NS335
Unit 6 Assignment
4. 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.
5. Working with patients who have HIV can include a number of sensitive issues, including patient confidentiality, integrity and ethical issues, and social responsibility. Explain how you would deal with these issues as you attend to Mr. W.
6. 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.
7. 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. Requirements Paper 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 questions 4-5)
Section 5: Concluding paragraph (incorporate your answer to question 6)
Appendix: Nutrition Care Plan/Chart note (question 7) References: 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

Health Behavior Project— Students will identify a health behavior of their own that they would like to modify (either increase or decrease). Examples may include, but are not limited to: eating habits, smoking, drinking, exercise, sleep, stress. Students will be required to complete the following activities as part of the behavior change project: 1. Identify the behavior you wish to change. Write a description of the health problem you have selected. Using at least three peer-reviewed journals, provide support for the reason you would like to change this behavior. 2. Identify how the behavior will be assessed or measured. Give at least three assessment tools to help identify the need for a behavior change. You can use assessments from textbooks, web sites, or from the literature. You will need to include a copy of the assessments in your behavior change paper. 3. Next, you will observe, record, and chart the target behavior, antecedents, and its’ consequences for five days. If the behavior is something that you are not currently doing, you can either record the times you thought of doing it but did not (and what they did instead) or note the occurrence of any competing/undesirable behaviors. This will help give you baseline data for your behavior change. 4. Develop your behavior modification goals and a least three objectives. Connect your goals to Healthy People 2020 (http://www.healthypeople.gov/2020/default.aspx) and other state and national goals. List these national, state, and local goals and objectives specifically. Be sure to cite your sources. 5. Select a behavior change theory or theories to guide your intervention or modification program. Be able to support your selection of theory(ies) with at least three peer reviewed journal articles. • Part 3 – 6.Design a five-week intervention or modification program. Make sure you include the methods, strategies, and tools that will help you work through the behavior change process. Once I have approved the intervention, you will spend the next five weeks implementing the program. You should actively be working on your behavior modification program from Oct. 19-Nov. 22. 7. Provide an evaluation strategy using evaluation language as described in class. Include a logic model. • Part 4 – Due Nov. 18 8. Identify at least ten agencies (local, state, or nationally) that might assist with the health problem. List information found on a web site or from an agency including program names, contact people, addresses, phone numbers, and web sites. This information will serve a resource to the rest of class. 9. Provide a budget for the implementation of your program. Be sure to include rewards or incentives. 10. Develop a promotional tool that markets your approach to the public. This can be a double-sided three-fold pamphlet, a poster, or the creation of a mock web site, blog, etc…. Your promotional tool must contain accurate, reliable, and attractive information that would positively influence people to try your approach. • Final Project – Due Dec. 9 11. At the conclusion of the project, you will need to compile your work into a small binder. Provide a summary at the end of the project to discuss the results of your project. Include your evaluation of the project and make recommendations for future behavior change programs. Make sure you include your references at the end of the binder. All your work should be double-spaced and you should use 12-point font. Make sure your left margin is 1 ¼ “ so you can bind the copies without covering up any important information. As always, use APA format.