Kwashiorkor Discussion Example

In collaboration with your approved course mentor, you will identify a specific evidence-based practice proposal topic for the capstone project. Consider the clinical environment in which you are currently working or have recently worked. The capstone project topic can be a clinical practice problem, an organizational issue, a quality improvement suggestion, a leadership initiative, or an educational need appropriate to your area of interest as well as your practice immersion (practicum) setting. Examples of the integration of community health, leadership, and an EBP can be found on the \”Educational and Community-Based Programs\” page of the Healthy People 2020 website.

Write a 500-750 word description of your proposed capstone project topic. Make sure to include the following: Kwashiorkor Discussion Example

The problem, issue, suggestion, initiative, or educational need that will be the focus of the project
The setting or context in which the problem, issue, suggestion, initiative, or educational need can be observed.
A description providing a high level of detail regarding the problem, issue, suggestion, initiative, or educational need.
Impact of the problem, issue, suggestion, initiative, or educational need on the work environment, the quality of care provided by staff, and patient outcomes.
Significance of the problem, issue, suggestion, initiative, or educational need and its implications to nursing.
A proposed solution to the identified project topic
You are required to retrieve and assess a minimum of 8 peer-reviewed articles. Plan your time accordingly to complete this assignment.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.
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The capstone project intends to explore the position that community education and support can play in reducing the incidence of kwashiorkor and other nutritional problems among children from shanties and low-income neighborhoods. Kwashiorkor is a nutritional problem characterized as an edematous form of protein malnutrition. It is typically reported among children from low-income families who are unable to offer well-balanced diets with the protein needs left unmet. The families do not necessarily have to be poor for them to be unable to provide balanced diets for their children. They could be ignorant of the dietary needs, have limited food supply, suffer from famine conditions and children reporting particular proteins intolerance. What becomes evident is that any food limiting condition has the potential for causing kwashiorkor (Pillitteri, 2013). Although very rare among children in the US, it is still a cause of concern for the children who suffer it are often exposed to more severe medical conditions such as neglect and abuse. In addition, it predisposes the patient to more severe medical conditions because it compromises the immune system (Kaneshiro & Zieve, 2013). For this reason, kwashiorkor – among children – is common in food-limited conditions. Kwashiorkor Discussion Example

Preventing and treating kwashiorkor will require nutritional intervention. In fact, early treatment will most likely result in full recovery as long-suffering children will have smaller statues in their adulthood even if they received kwashiorkor treatment. Children must receive sufficient protein and calories in their diets to ensure that they do not suffer from kwashiorkor. Still, treatment will largely depend on the condition’s severity (Katz et al., 2014). Firstly, children in shock will require that their blood pressure levels and volumes be monitored within the normal range. Secondly, the calories and proteins uptake will be increased to raise their levels in the body. Calories will be provided in the form of dietary fats, simple sugars, and carbohydrates. Mineral and vitamin supplements are also provided to ensure that the patient does not develop secondary dietary conditions that were previously absent. Since the patient diet will have lacked protein and calories for a long time, any increases in the diet could be potentially disastrous. Thus, any food introductions must be done slowly with the carbohydrates introduced first to provide adequate energy before the proteins are introduced. Many patients will have developed protein intolerance, especially intolerance for milk products. In such cases enzymes will have to be provided to ensure that the patients do not suffer adverse effects from the introduction of that protein into the diet (Gourdreau & Smolenski, 2014). For instance, lactase enzyme will be provided for milk-intolerant patients since lactose is the primary sugar found in milk.

Patients who are treated early for kwashiorkor will recover fully. If left untreated for extended periods of time, the patient may suffer other more permanent physical and psychological complication. In this case, the physical complications will take the form of stunted growth and smaller statues while the psychological complications will take the form of shock and even coma. The condition may be life-threatening in extreme cases (Allen & Spitzer, 2015). In this respect, it becomes apparent that kwashiorkor must be treated in the early stages to ensure that the patient recovers fuller and does not suffer both mental and physical complications even as they grow up. Still preventing kwashiorkor is better than curing it. As such, at least 12% of the children calorie intake should be comprised of proteins while 10% should be comprised of fats and carbohydrates (Pillitteri, 2013). Given the presented discussion, the proposed study anticipates that providing low-income communities with nutrition education and support would allow them to address kwashiorkor as a health concern among children. Kwashiorkor Discussion Example

References

Allen, K. & Spitzer, W. (2015). Social work practice in healthcare: advanced approaches and emerging trends. Thousand Oaks, CA: SAGE Publications.

Gourdreau, K. & Smolenski, M. (2014). Health policy and advanced practice nursing: impact and implications. New York, NY: Springer Publishing Company.

Kaneshiro, N. & Zieve, D. (2013). Kwashiorkor: protein malnutrition, protein-calorie malnutrition, and malignant malnutrition. Retrieved from http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0002571/

Katz, D., Elmore, J., Wild, D. & Lucan, S. (2014). Jekel’s epidemiology, biostatistics, preventive medicine, and public health (4th ed.). Philadelphia, PA: Elsevier Saunders.

Pillitteri, A. (2013). Maternal and child health nursing: care of the childbearing and childrearing family (7th ed.). Philadelphia, PA: Lippincott Williams & Wilkins. Kwashiorkor Discussion Example

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