Please help me with the discussion post responses?Respond to 2 classmates post 

Question Answered step-by-step Please help me with the discussion post responses?Respond to 2 classmates post Respond to a classmate’s posts. The use of only “I agree” or “Great points” is not enough to be counted. Providing explanations, additional thoughts and the use of additional sc holarly references are the makings of a great post.Responses should be included more information and clarification, thereby adding much depth to the discussion? And see more information in the comment down below.Prompt-Jordan is a 14-year-old middle school student who weighs 275 pounds and is 5’6″ tall. Over the past 2 years, he has gained 60 pounds, has begun to withdraw from social activities, and has avoided other students due to bullying from others his age about his weight/appearance. Lately, Jordan has been missing a great deal of school too, particularly on the days he has gym. Jordan’s parents are both average in height and weight. Jordan’s mother says that he just takes after his grandfather William, who “was a husky man, and died of a sudden heart attack at the age of 44.” She says, “We just have fat genes in the family; you can’t anything about that!” He has been told he has “…no willpower, or is weak, and that he needs to change his lifestyle, eat less, and exercise more.” Jordan says “I go for a couple of days without eating, but then I get so hungry that I could eat the couch!”Jordan has recently been diagnosed with gallbladder disease and has symptoms that typically occur after eating that include mild pain in the mid epigastric region, radiating to the right upper quadrant of the abdomen and right subscapular area of the body.You are the nurse assigned to Jordan.What would you include in your initial assessment data based on the scenario provided?What would you teach Jordan based on the Recommended Daily Allowance from choosemyplate.gov (Links to an external site.) discussed in Week 1 and the information provided about gallbladder disease provided in Week 6?Based on your assessment data and the information from the scenario, what might be two high-priority nursing diagnoses to guide Jordan’s plan of care?Post 1-Based on the scenario provided, my initial assessment of Jordan would include a thorough family and personal history, a physical assessment, and a nutritional assessment. By taking his family history and personal history, I will be able to determine risk factors of disorders and diseases Jordan may be predisposed to or at higher risk for such as CV disease and obesity. By completing a physical assessment, I will be able to obtain Jordan’s baseline vitals and other symptoms associated with gallbladder disease like jaundice of the eyes or sweating, or a positive Murphy’s sign. We need will need to out in requests for X-rays or an ultrasound to determine what kind of gallbladder disease Jordan has. By conducting a nutritional assessment, I will be able to determine Jordan’s food intake, mobility, BMI and assess for physiological and phycological stress to make decisions about the cause of nutrition-related health issues that affect him. By putting all of these assessments together, I will be able to identify and educate Jordan about modifiable risk factors and make a plan of care to get him on a nutritional diet that will benefit him and his health.According to MyPlate, for a 14-year-old, Jordan should be consuming 2.5-4 cups of vegetables, 1.5-2.5 cups of fruits, 6 to 10 ounces of grains, 3 cups of dairy, and 5-7 ounces of protein per day (My Plate, n.d.). I would educate him on how this can be a resource for him to utilize to follow so he can choose foods that he likes and will enjoy in each category rather than going a couple of days without eating, which is strongly advised against. I will also educate him on gallbladder disease by first and foremost explaining to him the role of the gallbladder and other supporting organs in nutrition. According to our Week 6 module on the Role of Nutrition in Disorders of the GI System and Supporting Structures, although “the liver, gallbladder, and pancreas are not a part of the actual digestive tract, they play an important role in how foods are digested, absorb, and metabolized” (Week 6 Module, n.d.). The liver plays an important role in the body by breaking down fat through bile production and producing energy. The gallbladder is where bile is stored when not needed and released when needed for digestion. Generally, “high intake of fatty foods increases the risk” of developing gallbladder disease (Week 6 Module, n.d.) because they are more difficult to break down. Jordan’s nutritional assessment will allow us to determine if he is consuming high fatty foods and how much of them. Through education, we will be able to adjust Jordan’s lifestyle to improve his health.  Two high-priority nursing diagnoses to guide Jordan’s plan of care would be:Imbalanced nutrition related to self-imposed dietary restrictions as evidenced by the verbal statement of “going a couple of days without eating.”Pain-related to gallbladder disease as evidence by mild pain in the mid-epigastric region, radiating to the right upper quadrant of the abdomen and right subscapular area of the body after eating.We need to make sure Jordan is consuming a well-balanced diet, is staying hydrated, exercising weekly, and has sufficient knowledge of the disease, its process, modifiable risk factors, and the care plan to ensure he is on course to a healthy lifestyle.References:Grodner, M., Escott-Stump, S., & Dorner, S. (2020). Nutritional foundations and clinical applications: A nursing approach (7th ed.). Elsevier.Home: Dietary guidelines for Americans. Home | Dietary Guidelines for Americans. (n.d.). https://www.dietaryguidelines.gov/. The Role of Nutrition in Disorders of the GI System and Supporting Structures. (n.d.). https://chamberlain.instructure.com/courses/85778/pages/week-6-role-of-nutrition-in-disorders-of-the-gastrointestinal-system-and-supporting-structures?module_item_id=12267361. Post 2-What would you include in your initial assessment data based on the scenario provided?I would begin by asking about family, medical, personal history and then ask Jordan about his daily routine. I would like to ask him about his life stressors and the reasons for his lack of motivation to lose weight and eat healthy are. I would then conduct a physical assessment on him and a head-to-toe assessment. I would then order an abdominal CT, an X-ray, and labs such as ALT, ASP to determine the kind and severity of his gallbladder disease. Lipase and amylase enzymes would help me determine if gallbladder disease has also caused pancreatitis (Expert Board, 2021). I would then calculate his BMI, which is 44.4 indicating he is morbidly obese. I would then perform a nutritional assessment; I would like to know what he eats in one day and how much exercise he performs. I would ask Jordan to keep a food diary, noting everything he eats and drinks for our follow-up appt. After gathering all my information, I would come up with a plan to help Jordan lose weight, eat healthy, exercise, and relieve his stress.What would you teach Jordan based on the Recommended Daily Allowance from gov(Links to an external site.) (Links to an external site.) discussed in Week 1 and the information provided about gallbladder disease provided in Week 6?I would teach Jordan that with a BMI of 44.4 and his family history, he has an increased risk for HTN, CVD, diabetes, and stroke. According to myplate.gov, Jordan’s recommended calorie intake is 2,200. According to this, his recommended daily intake is 3 cups of Vegetables, 2 cups of Fruits, 6 oz Protein, 7 oz Carbs, and 3 cups of Dairy (DGA, 2020). I would teach Jordan the healthy types of proteins, simple and complex carbs and sugars, and low-fat dairy. I would teach him all the vegetable types needed in his diet such as dark-green, red, orange, beans, peas, lentils, and starchy. I would teach him healthy ways to snack, how to measure his foods, and provide him with those tools so he can have them available and ready at home. I would teach him not to starve himself and then binge eat because that is not healthy for the body and should be avoided.I would ask Jordan what he knows about gallbladder disease to have an idea of his knowledge. I would then explain to him that gallbladder disease, in his case he suffers from cholelithiasis; which is gallstone formation. I would teach him to recognize the signs and symptoms of this disease that may include pain, tenderness, fever, fat intolerance, nausea, heartburn, jaundice, and fatty stools (Week 6 Module, 2021). Since Jordan already suffers from gallbladder disease, following a low-fat diet and avoiding foods high in fats is very important to lower the signs, symptoms, and complications of his disease (Week 6 Module, 2021).Based on your assessment data and the information from the scenario, what might be two high-priority nursing diagnoses to guide Jordan’s plan of care?The patient is at risk for depression and suicide, related to weight and appearance, as evidenced by withdrawal of social activities, avoiding students due to bullying from others his age about his weight and appearance.The patient is at risk for comorbidities such as CVD and HTN related to family and personal history as evidenced by grandfather dying from a heart attack at a young age, and patient suffering from gallbladder disease.Jordan needs a healthy weight loss plan that will help him increase his self-esteem and feel comfortable in his own body. Portion control and avoiding high-fat foods. He needs to start exercising little by little so that he won’t overdo it and gives up. Since he is only 14, I would like to speak to his parents about his son’s diet and exercise routine. Having fat genes in the family, and not being able to anything about it is a very wrong mindset, and they are setting their son up for failure. They need to get on the same page as their son so that Jordan has family support and is motivated to want to make a change. Otherwise, complications will develop, and Jordan could die from a heart attack or stroke.REFERENCESDietary Guidelines for Americans [DGA]. (2020). Make every bite count with dietary guidelines (9th edition). FDA.https://www.dietaryguidelines.gov/ (Links to an external site.).Expert Board. (2021). Gallstones and gallbladder disease. Lab Tests Online, Your Trusted Guide.https://labtestsonline.org/conditions/gallstones-and-gallbladder-disease (Links to an external site.)Week 6 Module. (2021). The Role of Nutrition in Disorders of the GI System and Supporting Structures.https://chamberlain.instructure.com/courses/85778/pages/week-6-role-of-nutrition-in-disorders-of-the-gastrointestinal-system-and-supporting-structures?module_item_id=12267361. Health Science Science Nursing NURSING 21 Share QuestionEmailCopy link Comments (0)