Medical nutrition therapy a case study approach answers

Questions for Medical Nutrition Therapy: A Case Study Approach 5th ed.

Case E – Nutrition and Breast Cancer

Case 31 in Text

Instructions: Answer the questions below. You may print your answers or e-mail them to your instructor.

1. Describe the incidence and prevalence of breast cancer in the United States. How has this changed over the previous decade?

2. What are the risk factors for developing breast cancer? Explain potential genetic and environmental risk factors. Does Mrs. Smith have any of these in her history?

3. Explain Mrs. Smith's diagnosis: Stage IIB Invasive Ductal Carcinoma T2N1miM0. Specifically discuss the type of breast cancer and the staging of her diagnosis.

4. Mrs. Smith was also treated with radiation therapy. What is the basic mechanism of using radiation therapy as a component of treatment for breast cancer?

5. What are the major side effects of her chemotherapy and radiation therapy?

6. What are the general principles of nutrition therapy for a patient undergoing treatment for a malignancy?

7. Now that Mrs. Smith has completed treatment for her breast cancer, what general nutrition recommendations can be made for prevention of cancer and specifically for breast cancer?

8. Are there specific vitamin, mineral or herbal supplements that are recommended for prevention of breast cancer?

9. What are the general nutrition therapy recommendations for Type 2 diabetes?

10. Assess Mrs. Smith's height and weight. Calculate her BMI and % usual body weight.

11. Determine Mrs. Smith's energy and protein requirements. Explain the rationale for the method you used to calculate these requirements.

12. Mrs. Smith has asked about becoming a vegetarian. Describe your response to this question and provide an evidence-based rationale for your recommendation.

13. Mrs. Smith is interested in specific supplements that may help in cancer prevention. What would you tell her based upon the evidence? Provide suggestions for resources for Mrs. Smith that would support her decision making in regards to complementary and alternative medicine.

14. Mrs. Smith has asked about recommendations for physical activity. Provide credible resources and recommendations for her about physical activity. Determine at least three recommendations for increasing her physical activity.

15 Lifestyle impacts a person’s risk for cancer. Cite specific verses that implies God’s direction in this area of our life.

INTERPROFESSIONAL EXPERIENCE REFLECTION

After completing a minimum of 8 hours of service for your interprofessional experience project, answer the following questions. For full credit ensure you are using complete sentences and appropriate grammar, apply and cite public health competencies to support your answers.

1. What makes a good interprofessional service member for public health?

2. Briefly describe the nature of your interprofessional experience project and the members of your team. Identify the types of members on your teams by providing their background and job duties.

3. What were the goals of your team for the overall interprofessional experience project and how did your work personally contribute to reaching the goals or objectives of the team?

4. How did having an interprofessional team influence the ability to successfully reach the goals for the project and what differences did you notice or experience from the team members of other professions?

5. In what ways did you contribute public health insight to the teams work or approach and what did you learn from working with the other professionals?

6. How did you integrate a biblical worldview into your project and interactions with team members?