WORD LIMIT: 1500 words +/- 10% WEIGHT: 30% TOTAL MARKS: 100

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1 SUBJECT: TYPE: DUE DATE: NMDF121 Foundations of Human Nutrition Case Study Report Sunday (11:59pm) following Week 12, Session 24 WORD LIMIT: 1500 words +/- 10% WEIGHT: 30% TOTAL MARKS: 100 Learning Outcomes: 1. Define the micro and macronutrients and their role in health and disease. 3. Clarify the appropriate dosage range for selected macro and micronutrients in the maintenance and management of health. 4. Apply basic dietary guidelines including required dietary intake of specific nutrients relevant to the restoration, maintenance and promotion of health and wellbeing. 5. Appraise current research-based evidence in relation to health benefits and toxicities of macro and micronutrients. TASK: Analyse the provided case study and 24 hour dietary recall below to identify nutritional imbalances contributing to the client s presenting complaints and future disease risk. Develop short and long term and therapeutic drawing on contemporary research to support their use. REPORT STRUCTURE: The report must include the following components: Title/cover page including your name, student number, subject, assessment item, lecturer/s or tutor, and actual word count Table of contents Introduction to report Report content address the points listed on the next page; use these as headings in the report Conclusion summary of the information presented Reference List Appendix/ces Last updated on 8 Feb 2017 Page 1 of 10

2 REPORT CONTENT: 1. Case overview Briefly analyse and summarise the relevant points relating to the client case, including: client demographic details, presenting complaint/s, main contributing factors to the presenting complaint/s, and future disease risk. Include the client s body mass index (BMI) and Estimated Energy Requirement (EER) in this section. Please do not simply repeat all the case information you are given. 2. Nutrient deficiencies and excesses Input the client s 24 hour food recall to a food analysis program - use either Foodzone or Foodworks Use and refer to the food analysis reports to identify a minimum of six (6) deficiencies and/or excesses of macronutrients and micronutrients. In addition, identify physical signs of nutrient imbalances from the client s presenting case Prioritise and discuss the implications of the client s nutrient imbalances and physical signs in relation to the client s current symptoms and future disease risk 3. Treatment goals Construct a minimum of four (4) short term and three (3) long term for the client s presenting case Treatment goals focus on changes you wish to achieive for a client. For example: o Improve sleep duration by 1 hour per night over the next two weeks o Reduce risk of chronic disease by 10% by reducing weight by 5kg over the next 6 months Short term goals are usually aimed for within 2-4 weeks and long term goals for a longer period such as 1 6 months. 4. Therapeutic To support your, list and prioritise: o Six (6) dietary, o Four (4) specific nutrients to correct deficiencies, and o Two (2) lifestyle Provide a rationale for each of your by referencing reputable sources. Consider the client s life stage and compliance when making. Last updated on 8 Feb 2017 Page 2 of 10

3 Case Study Douglas, a 73 year old man, presents to your clinic. Douglas has had osteoarthritis in his knees and feet for the past 3 years. He experiences pain and stiffness in his joints, especially in the mornings and evenings. Up until recently, Douglas had a very active lifestyle, working as a surveyor and playing competitive cricket. He retired last year and joined the local bowls club where he plays and socialises 3 afternoons per week. Douglas has recently been diagnosed with moderately high blood pressure and elevated LDL cholesterol. He is not currently on medication. His GP has advised him to improve his diet and lifestyle and will re-assess him in 3 months time. Douglas weighs 95kg and is 178cm tall. He is worried about his recent diagnosis as he has a family history of cardiovascular disease. Both his father and older brother have had heart attacks and bypass surgery in their 60 s. His mother also had severe osteoporosis and was bedridden prior to her death following hip and spine fractures. Douglas suffers from frequent headaches and constipation. He uses his bowels every 2 3 days and occasionally requires laxatives. He is having difficulty falling asleep and wakes 2 3 times per night to urinate. Upon physical examination, you note that Douglas s waist circumference is 105cm. His nails are brittle and break easily. His skin is dry and sun damaged, particularly on his face and arms. You note that he has cracks in the corners of his mouth and his tongue is red and inflamed. Douglas lives independently in his own home. He enjoys gardening and watching sport on TV. His wife Joan died 3 years ago and his two daughters visit him weekly. Last updated on 8 Feb 2017 Page 3 of 10

4 24 hour diet recall Douglas s typical diet consists of the following: Breakfast: Snack: Lunch: Snack: Dinner: Water: 3 Vita brits with 200ml skim milk, 2 teaspoons of raw sugar and a banana Black tea with 2 sugars Large mug of plunger coffee with dash of skim milk and 2 sugars 2 Anzac biscuits Ham and salad sandwiches (2 rounds) 4 slices of white bread (Helga s), ETA 5 Star margarine, 1 slice of ham off the bone on each sandwich, iceberg lettuce, tomato, grated carrot, salt and pepper Black tea with 2 sugars 1 pint of mid strength beer and a handful of salted peanuts (at the bowls club) 1 frozen dinner, microwaved Lean Cuisine Rich Beef Lasange 1 2 glasses of white wine 2 scoops of Coles vanilla ice cream and 2 tablespoons of canned fruit salad (in syrup) 2 glasses of tap water Last updated on 8 Feb 2017 Page 4 of 10

5 Please adhere to the following format requirements: Include a title page showing subject code and name, your student number and name, assignment type (i.e. Essay), due date and word count. Adhere to the word count. The assignment should be typed using standard conservative fonts such as Times New Roman or Arial of at least 12 point and double spaced. Fully referenced as per the American Psychological Association (APA) Referencing Guidelines, available here: Library/DOCID pdf Academic Writing and Student Integrity Writing on all assessments is expected to be of an academic standard and presentation, and all non-original work must be properly referenced. For assistance in ensuring this academic standard, please refer to the APA Referencing Guidelines, as above. For assistance with proper referencing, Mendeley citation software, and plagiarism please refer to the Referencing section of the Higher Education Library Services page, available here: Note that all forms of plagiarism and cheating are taken very seriously at Endeavour. Please ensure that you are familiar with the Student Integrity Policy: and that you are mindful of avoiding the use of any work that is not your own without proper attribution as well as never allowing your work to be used by another student. Last updated on 8 Feb 2017 Page 5 of 10

6 Word Count Word count must be clearly displayed on the title page or cover sheet. Words in excess of 10% beyond the required word count will not be marked. Required word count includes in-text citations but excludes text appearing in tables, graphs, figures, footnotes, captions and end-text references. Tables, graphs, and figures can enhance assignment presentation if used in moderation to convey directly relevant information. However, generally tables, graphs and figures should be included as Appendices at the end of your assignment with an interpretation of these in text. Tables, graphs and figures should not be used as tools to increase the amount of information that you are conveying whilst still remaining within the required word count, nor are they a substitute for your own synthesis or interpretation of the material. Thus, as a guide, tables, graphs or figures presented should not consist of more than 10% of the total assignment word count, whilst keeping in mind that any words so included are not part of the required word count. If you have questions about this, please consult with your lecturer before you complete and submit your assessment. Late Submission Assessments must be submitted online before the due date and time. Students submitting an assessment after the due date and without an approved extension of time will lose 10% of their mark on the assessment per day it is late. Last updated on 8 Feb 2017 Page 6 of 10

7 MARKING RUBRIC: Criteria High Distinction Distinction Credit Pass Fail Case overview, including physical signs, symptoms, BMI and EER 10 marks Food analysis data and interpretation 10 marks Case is summarised well and includes all of the relevant points contributing to the client s presentation All physical signs of nutrient imbalances are identified & justified clearly Client s BMI, waist circumference & EER are listed and interpreted according to the case (9 10) Evidence of correct and detailed use of Foodzone or Foodworks to analyse food recall Relevant reports well presented and included as appendix or separate file uploaded Evidence of correct and thorough interpretation of and reference to food analysis data within the report (9 10) Case is summarised and includes the main relevant points contributing to the client s presentation Most physical signs of nutrient identified Client s BMI, waist circumference & EER are listed and interpreted according to the case (7 8) Evidence of correct use of Foodzone or Foodworks to analyse food recall Appropriate reports are included as appendix or separate file uploaded Evidence of correct interpretation of and reference to food analysis data within the report (7 8) Case is summarised and includes most of the main relevant points contributing to the client s presentation Most physical signs of nutrient identified Client s BMI, waist circumference & EER are listed and commented on in relation to the case (6) Evidence of use of Foodzone or Foodworks to analyse food recall with some minor ommissions Appropriate reports are included as appendix or separate file uploaded Evidence of interpretation of and reference to food analysis data within the report (6) Case is summarised, some client information is simply repeated from the assignment spec Some physical signs of nutrient identified Client s BMI and/or EER is listed Some minor omissions or errors in data listing or interpretation (5) Evidence of use of Foodzone or Foodworks to analyse food recall with some data or interpretative ommissions Some food analysis reports are included as appendix or separate file Food analysis data is referred to within the report (5) Case overview is missing Crucial errors in analysis or interpretation of the case (0 4) No evidence of use of Foodzone or Foodworks to analyse food recall Major data or interpretative ommissions Food analysis reports are not included as appendix or separate file (0 4) Last updated on 8 Feb 2017 Version: 12.0 Page 7 of 10

8 Criteria High Distinction Distinction Credit Pass Fail Identification and justification of nutrient deficiencies and excesses 20 marks Treatment goal formulation and justification 20 marks 8-10 nutrient identified and justified by referring to food analysis reports & client case data At least one excess is identified This information is interpreted clearly and thoroughly in terms of the client s presenting complaint & future disease risk, with reference to evidence to back up interpretations (18 20) 4 5 short term and 3 4 long term All goals are well formulated and justified with reference to the client case and nutrient imbalances Goals are clearly prioritised according to importance in the case (18 20) 6 7 nutrient identified and justified by referring to food analysis reports & client case data At least one excess is identified This information is interpreted clearly in terms of the client s presenting complaint & future disease risk (16 17) At least 4 short term and 3 long term Most are well formulated and prioritised with reference to the client case and nutrient imbalances (16 17) At least 6 nutrient identified and justified by referring to food analysis reports At least one excess is identified This information is interpreted in terms of the client s presenting complaint & future disease risk (13 15) At least 4 short term and 3 long term Some are well formulated Goals are justified with reference to the client case/nutrient imbalances (13 15) 5-6 nutrient identified and justified by referring to food analysis data Some of the interpreted with reference to case details Minor errors or omisisons in information and/or interpretation (10 12) 4 short term and 3 long term goals are listed Some goals are actually actions/ rather than goals Some goals are justified with reference to the client case (10 12) < 5 nutrient listed and/or nutrient not justified No evidence of data interpretation with reference to case details Crucial errors or omissions in information and/or interpretation (0 9) Less than 4 short term and 3 long term goals are listed Goals are actions or rather than treatment goals Goals are poorly written and not justified with reference to the client s case or nutrient imbalances (0 9) Last updated on 8 Feb 2017 Version: 12.0 Page 8 of 10

9 Criteria High Distinction Distinction Credit Pass Fail Therapeutic recommendation s with rationale 20 marks Academic writing and report structure 10 marks 6 dietary, 4 specific nutrients and 2 lifestyle are listed, prioritised & referenced with quality evidence to support their use Recommendations clearly support the Clear consideration of patient life stage and compliance (18 20) Assignment is clearly structured in report format with appropriate sections, headings and subheadings Excellent academic writing which demonstrates a high level of originality, critical thinking, evaluation and insight into the topic No/very few errors, excellent use of English language (9-10) 6 dietary, 4 specific nutrients and 2 lifestyle are listed, prioritised & referenced with evidence to support their use Recommendations mostly support the Consideration of patient life stage and/or compliance (16 17) Assignment is clearly structured in report format with appropriate sections and headings Student s writing demonstrates critical thinking and evaluation of topic Some minor grammatical, spelling and/or punctuation errors Well written with good use of English language (7-8) 6 dietary, 4 specific nutrients and 2 lifestyle are listed, prioritised &/or referenced with evidence to support their use Recommendations mostly support the Consideration of patient life stage or compliance (13 15) Assignment structure is generally good with appropriate sections and headings Some demonstration of evaluation, critical thinking and insight into the topic Some grammatical, spelling and/or punctuation errors (6) 6 dietary, 2 lifestyle and 4 specific nutrients are listed, some are justified with references Recommendations mostly support the Consideration of patient life stage or compliance may or may not be included Minor errors or omissions in information (10 12) Report has some structure with sections and headings Some information poorly organised and does not flow logically A number of grammatical, spelling and/or punctuation errors (5) Fewer than 6 dietary, 2 lifestyle and 4 specific nutrients are listed No justification of Recommendations do not support the Consideration of patient life stage or compliance not included Major errors or omissions in information (0 9) Assignment is unstructured Introduction, body and conclusion lacking or indistinct Information poorly organised and does not flow logically Large number of grammatical, spelling and/or punctuation errors Poor use of English rendering parts of the text incomprehensible (0 4) Last updated on 8 Feb 2017 Version: 12.0 Page 9 of 10

10 Criteria High Distinction Distinction Credit Pass Fail Resources and referencing 10 marks Evidence of extensive and relevant reading on the topic A large number (> 20) and variety of references are used from reputable, mostly primary sources, including peer reviewed articles, government resources All statements are referenced correctly according to the APA Referencing Guidelines (9-10) Evidence of wide and relevant reading on the topic A considerable number (15-20) of sources and references used from a variety of sources mostly primary but also secondary sources All statements are referenced correctly according to the APA Referencing Guidelines (7-8) Evidence of a moderate amount of reading on the topic A moderate number (10-14) of sources and references used, including peer reviewed journals Correct referencing according to the APA Referencing Guidelines (6) Demonstrates little reading on the topic A minimum number (5-9) of sources and references used Reference sources are limited and predominantly secondary rather than primary Some sources are not acknowledged appropriately Referencing skills require improvement (5) Very few (< 5) sources are used References of only one type used (eg. website, textbook) Personal opinions or anecdotes included without critique or reference Incomplete acknowledgement of the work of others Referencing skills very poor (0 4) Last updated on 8 Feb 2017 Version: 12.0 Page 10 of 10

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