Loading...

Messages

Proposals

Stuck in your homework and missing deadline? Get urgent help in $10/Page with 24 hours deadline

Get Urgent Writing Help In Your Essays, Assignments, Homeworks, Dissertation, Thesis Or Coursework & Achieve A+ Grades.

Privacy Guaranteed - 100% Plagiarism Free Writing - Free Turnitin Report - Professional And Experienced Writers - 24/7 Online Support

Case study of child with cystic fibrosis

25/11/2021 Client: muhammad11 Deadline: 2 Day

Cystic Fibrosis Case Study

1. The text mentions that CF affects all the exocrine functions in the body as well as lung complications, and can lead to death during the adult years. Using the cystic fibrosis foundation website ( www.cff.org (Links to an external site.)Links to an external site. ), list the major effects on the digestive alterations in the pancreas, liver and large intestine in those with CF.

2. Read the following case study and write what the dietary regimen Miriam follows.

MIRIAM – A Cystic Fibrosis Case Study

My niece, Miriam, was born in April 1996. At 6 pounds 12 ounces, she had difficulty putting weight on after she was born. In fact at one point it dropped to 6 pounds.

After a spell in hospital in December 1996, when she was suffering from bronchitis, it was thought that she had asthma but my sister-in-law was already beginning to suspect that Miriam had Cystic Fibrosis. There was no other explanation of the symptoms which Miriam had.

Eventually, Miriam was given a "sweat test" and it was confirmed that she had Cystic Fibrosis. Both Tim & Sue are carriers – which is how they unknowingly passed on the faulty CF gene to Miriam.

No sooner had Miriam’s CF been diagnosed, shortly before she was one year old, than the medical support swung into action. The family had meetings with all members of the CF team – a doctor, a nurse, a social worker, a physiotherapist and a dietitian.

Miriam is now approaching five years old. Before she goes to school in the morning, she has around 30 minutes of inhalers and physiotherapy. With every meal she has to eat a number of "Creons", mixed in with her food, which help her to digest her food. She has to eat a high fat and high calorie diet.

In the evening, she has another 40 minutes of inhalers, physiotherapy and nebulizers. She then has to take a variety of antibiotics, fluoride and vitamins.

Not surprisingly, all these medications have side effects – Miriam can be fairly hyperactive, she is always hot, and it takes her a long time to get to sleep each night.

Every nine weeks, Miriam is taken to the CF clinic. When Miriam has a particularly bad infection, it is necessary for her to go into hospital to receive a course of intra-venous antibiotics. The threat of infection is an ever-constant danger. To counter the risk of cross-infection, there are individual cubicles in the CF clinic and strict hygiene standards apply. Miriam cannot play or mix with other children with CF.

Inevitably all this has a major impact on the family. Every time they go on holiday – however short – all the drugs and equipment need to be taken with them. If they go out for the day, or when they are on holiday, Miriam’s daily routine of physio each morning and evening have to be fitted in – meaning no early starts, and no stopping out late.

(adapted from http://people.exeter.ac.uk/ajohnson/miriam.htm) (Links to an external site.)Links to an external site. (Links to an external site.)Links to an external site.

3. Using the information from Chapter 13 and the formula provided below, complete the question a-c.

Table: DRIs for Energy for Children (Available at: http://books.nap.edu/openbook.php?record_id=10490&page=107 (Links to an external site.)Links to an external site. )

EER for Girls 9 Through 18 Years

EER = 135.3 – (30.8 ´ age [y]) + PA ´ (10.0 ´ weight [kg] + 934 ´ height [m]) + 25 kcal

PA = 1.00 if PAL is estimated to be ≥ 1.0 < 1.4 (sedentary)*

PA = 1.13 if PAL is estimated to be ≥ 1.4 < 1.6 (low active)

PA = 1.26 if PAL is estimated to be ≥ 1.6 < 1.9 (active)

PA = 1.42 if PAL is estimated to be ≥ 1.9 < 2.5 (very active)

a. Calculate the estimated nutritional requirements for a 10-year-old female with cystic fibrosis who weighs 62 pounds and is 51 inches tall and is considered low active.

b. The estimated calorie requirement for an individual with cystic fibrosis is two to four times the usual recommendation. How would one know the appropriate calorie level to recommend initially?

c. Research the nutrition recommendations for cystic fibrosis ( https://www.cff.org/Living-with-CF/Treatments-and-Therapies/Nutrition (Links to an external site.)Links to an external site. or https://medlineplus.gov/ency/article/002437.htm (Links to an external site.)Links to an external site. ) that can assist an individual with meeting her high calorie and protein requirements. What advice could you provide to a patient?

4. What have you learned about treatment for CF?

5. (Optional, one extra credit point) Read the paper, “ Caregiver Coping, Mental Health and Child Problem Behaviours in Cystic Fibrosis: A Cross-Sectional Study,” review the documentJane Sheehan, Int.J. Behav. Med. (2014) 21:211–220. The thesis of the paper is that the caregiver coping strategies is related to the health of the CF child.

a. Complete the table below defining the characteristics noted in the paper of a proactive or adaptive coping strategy and an avoidant or passive coping strategy.

CF behavior issues

Proactive/Adaptive

Avoidant/Passive

b. What are the overarching outcomes of the two coping strategies in the health of the child?

Homework is Completed By:

Writer Writer Name Amount Client Comments & Rating
Instant Homework Helper

ONLINE

Instant Homework Helper

$36

She helped me in last minute in a very reasonable price. She is a lifesaver, I got A+ grade in my homework, I will surely hire her again for my next assignments, Thumbs Up!

Order & Get This Solution Within 3 Hours in $25/Page

Custom Original Solution And Get A+ Grades

  • 100% Plagiarism Free
  • Proper APA/MLA/Harvard Referencing
  • Delivery in 3 Hours After Placing Order
  • Free Turnitin Report
  • Unlimited Revisions
  • Privacy Guaranteed

Order & Get This Solution Within 6 Hours in $20/Page

Custom Original Solution And Get A+ Grades

  • 100% Plagiarism Free
  • Proper APA/MLA/Harvard Referencing
  • Delivery in 6 Hours After Placing Order
  • Free Turnitin Report
  • Unlimited Revisions
  • Privacy Guaranteed

Order & Get This Solution Within 12 Hours in $15/Page

Custom Original Solution And Get A+ Grades

  • 100% Plagiarism Free
  • Proper APA/MLA/Harvard Referencing
  • Delivery in 12 Hours After Placing Order
  • Free Turnitin Report
  • Unlimited Revisions
  • Privacy Guaranteed

6 writers have sent their proposals to do this homework:

Engineering Mentor
Finance Professor
Accounting & Finance Mentor
Professor Smith
Study Master
Top Writing Guru
Writer Writer Name Offer Chat
Engineering Mentor

ONLINE

Engineering Mentor

I am a PhD writer with 10 years of experience. I will be delivering high-quality, plagiarism-free work to you in the minimum amount of time. Waiting for your message.

$39 Chat With Writer
Finance Professor

ONLINE

Finance Professor

I reckon that I can perfectly carry this project for you! I am a research writer and have been writing academic papers, business reports, plans, literature review, reports and others for the past 1 decade.

$36 Chat With Writer
Accounting & Finance Mentor

ONLINE

Accounting & Finance Mentor

I find your project quite stimulating and related to my profession. I can surely contribute you with your project.

$28 Chat With Writer
Professor Smith

ONLINE

Professor Smith

I have worked on wide variety of research papers including; Analytical research paper, Argumentative research paper, Interpretative research, experimental research etc.

$22 Chat With Writer
Study Master

ONLINE

Study Master

I find your project quite stimulating and related to my profession. I can surely contribute you with your project.

$42 Chat With Writer
Top Writing Guru

ONLINE

Top Writing Guru

After reading your project details, I feel myself as the best option for you to fulfill this project with 100 percent perfection.

$16 Chat With Writer

Let our expert academic writers to help you in achieving a+ grades in your homework, assignment, quiz or exam.

Similar Homework Questions

Blue parrot bluetooth headset manual - Rats in the garden catch them towser - Powder by tobias wolff guided reading answers - Winchester city council housing - In part comprehensive resource management - Ethics in psychology worksheet answers - Introduction to Basic Statistics - Decomposition of calcium carbonate lab - Selland pontiac gmc inc v king - Business erp system - Acap master of social work qualifying - What are the 46 books of the old testament - 3706 greywood dr raleigh nc - Cruz company uses lifo for inventory - Of mice and men dreams - Of mice and men past questions - Need this by tuesday the 12th. Details posted. - Detroit series 60 valve adjustment procedure - Aircraft seat track fittings - Cellular respiration virtual lab glencoe - Digital millennium copyright act napster - Beyond the higher skies robert sheldon - Heart i want to make love to you - Falling down customer is always right - Fragile planet organic apple juice - Abbey field medical centre - Uni sa o week - Pestle analysis for escape rooms - Understanding and managing organizational behavior sixth edition - Discussion Question- User Requirements - Real world situations db - 9 best prayers for breaking soul ties - Science - 7 koonunga avenue rostrevor - Auditing rules in Oracle 12c - Basil collins harlan county death - Hr presentation to the board - Adrian hood p diddy - What term is used to describe an oscillator that “runs down” and eventually stops? - Nelson mandela long walk to freedom ppt - "Navajo" - Listening skills in counselling ppt - Hooke's law practical experiment - Anodic bronze powder coat - Week 8 - Kaplan nursing exit exam questions - South kingstown tax assessor - Vhdl code for ram implementation - Chase bank greece ridge mall - Can informatics be used to gain wisdom - Two cables are tied together at c - Fahrenheit 451 study guide - Elementary Calculus - 10 examples of projects and programs. - Bus/475 - Epoxidation of alkenes with mcpba - As3500 3 free download - Why people resist change in an organisation - Caecilius est in horto translation - Analyze Non-Discrimination Practices - How do hydraulic arms work - Long service leave act sa - Mgt 521 final exam answers - Origin of life ppt - Managerial economics - A common size income statement for creek enterprises - Managerial Accounting - Company Budgeting - Organizational communication - Library management system modules - Yearly Reports - Science and music monash - Lingual arch space maintainer indications - Principles of the global business standards codex - Triage assessment model crisis intervention - Find equation of perpendicular bisector with two points - Advanced Industrial Hygiene - Computer Information Systems Project 1 - How long to leave tca peel on - Web safe cursive fonts - Case study on swot analysis of walmart - Australian core skills framework - The magnitude of the electric current is directly proportional to the _____ of the electric field. - Paper follow up - I must not only punish but punish with impunity - The educator's word frequency guide - How to graph integers on a number line - Nurs521replyprompt2 - Little heath sixth form - 401 mcintire rd charlottesville va - Rick stein shanghai pork belly - Who is avery brown in the piano lesson - 2015 hsc general maths answers - Bus routes in townsville - Mi madre (1) en que (2) una dieta. - 1.2 3 bone detectives case report - Socccd blackboard - Customer relationship management is about mcq - How to compute z score in spss - The boy who saved baseball sparknotes - Anesthetic antacid gel ulpan gel