3
Superscript
3
Superscript
Diagnostic and lab work
provide this content in the order it is listed in the heading, or switch the concepts in the heading
writing
You have referred to "writing" a couple times, I suggest documentation, writing sounds more like handwriting versus documentation could be handwritten or on the computer.
The child’s eyes should be looking straight up.
explain why/how this impacts measurement
As I continue to read, I see that you referred to the infants chin not being tucked against their chest. This is why you want the child to look at the ceiling. I suggest moving up the sentence about the chin right after this sentence or add a comma and connect the two sentences.
clean, disposable diaper
Explain that the weight of the diaper would be deducted from the baby's weight
Accuracy is vital when measuring and documenting pediatric heights and weights used to identify potential growth and/or nutrition-related problems
grammar, awkward
image of a sample weekly food record
the image does not align with the directions about recording portions, type of prep, brand, etc. I suggest replacing this image.
are interviewed by trained individuals or complete an automated
...are interviewed by either trained individuals or by completing an automated...
bigger problems from happening
I suggest rewarding, not very scholarly
Use of nutritional supplements places the client at risk for excess nutrient absorption and potential toxicity.
I suggest clarifying nutritional supplements. Are these protein drinks or OTC supplements?
I'm not sure what type of toxicity you would be referring to here.
information
I think "data" fits better here
fetuses
the fetus
why plural?
eggs and milk
either add cheese or provide a broad category of "dairy products"
utensils
and cutting boards
extra
some additional
them
clients
cancer treatment
this includes radiation, which does not cause low White blood count. Would you consider switching this out with chemotherapy?
registered dietician
In the previous section, diabetes, you referred to the dietitian without "registered", I suggest consistency
rice or potatoes
brown rice and sweet potatoes
these are lower in the glycemic index, I checked, helps students understand type of rice/potatoe
US Department of Agriculture’s Food Data Central
have you provided this link somewhere?
Figure 3.8
the image is not that great... it's a bit blurry, it's cartoon-like, is there a better image out there?
also, might explain microbiota symbiosis, I don't know what that is, students won't either.
3.
this image is 100% better than mediterranean. there's got to be better images out there, or make your own and give it a CC license.
nontropical vegetable oils
I have never heard of this term, suggest providing at least one example in parentheses
cutting down on meat
reducing meat intake
is this red meat? I would specify, there's pork, chicken, lamb...
cream-based like ranch
...cream-based, such as ranch...
unsaturated fats
unsaturated and monounsaturated fats
of cardiovascular
...of hypertension and cardiovascular disease...
use the bathroom
urinate
adults
delete or reword. don't need adults written twice in the sentence
farm-raised fish such as salmon
not wild caught? why specify where the fish is "caught" and how it was raised?
approximately 200 mg/day or less
Is it possible to state the number of cups of coffee, tea, or soda? These are the most common sources of caffeine intake. Otherwise, the student would have to take time to look it up, which very well might not happen.
are
Delete
11
Superscript
35
superscript
8
is the blank box to the right intentional?
yr
I suggest spelling out, looks odd
RDA
spell out first
daily requirements
daily requirements of vitamins and minerals
as this is the focus of this para and table below.
hard
difficult
unborn baby
fetus
careful
odd, reword?
current dietary guidelines
is this the CDC? My Plate? might be helpful to clarify
kitchen table
as a family or with other family members
For most
for most children,
added to foods after they’re prepared
I suggest deleting, sentence works better without it
or
and
Insufficient physical activity and a sedentary lifestyle
these sound similar, if they are different, I would clarify.
makes me read this twice to understand why both are listed as they sound the same
is
are
North America
I would also add globally. I suggest adding this because of the increasingly diverse population, nurses are going to see childhood obesity for immigrants as well.
childhood
I would delete, it's obvious the sentence is about childhood, per the heading, and reference to children in the sentence.
Teaching avoidance of snacking between mealtimes
for which age group? toddlers snack often, is this discouraged?
I suggest clarifying, though I know this is cited, this info might not be provided, though it should...
responsible
Responsibility fits the parent role, but it does not fit for the child or infant.
It's more about choice or preference, something like that, not responsibility
infants are responsible for how much they eat
this sounds quite odd
in the city
provided by the town/city
I lived in a very small town, not a city, that provided fluorinated water
-I
remove dash
in the city
I would reword, there are non metropolitan areas that provide fluorinated water.
suggest referring to water supplied from the town or city, something like that.
fatty
do you want to also add: added sugar
over-feeding,
over-feeding, which in combination with physical inactivity, leads...
development increasing
development, thereby increasing
or something like that
is slower than during infancy
steadily declines as the child ages?
which can be messy.
how important is this?
Children
what age group is this? The previous section includes infants, I suggest providing the age group for infants as well.
cheese
you wrote earlier it's okay to eat cheese, though it's suggested to avoid it here
to
delete
in
this sounds like the individual is actually feeding the baby...
specializes in teaching/education/etc.....
excellent
I suggest rewording
tailored? expert?
that last
...that can last...
vegetables or vegetable juices
this sounds like they are interchangeable, which they are not.
suggest specifying how much, in general, can be in juice form.
legal drinking
odd adding this, so those who are 18-20 have different requirements?
again, I realize this is cited, but it is odd that this age group is essentially not discussed, or teenagers who also drink.
vegetable oils
these are not healthy for the heart and brain, olive and avocado oil are suggested.
this content is cited, so I understand it can't be adjusted, but... vegetable oil is NOT good for the body
beverages
if not discuss later, I suggest providing guidance on fruit juice, sugar sweetened drinks, diet, soda, etc.
no
none?
40
39 degrees, per your point about 40 degrees earlier
couple
identify number of days.
I understand this as two days, but from my experience, many people interpret this differently, such as three.
.28
superscript
-term
malnutrition, overnutrition
at
do you want to remind students? this is a social determinant of health?
ource
do you want to add there is a supplement people take to break down the lactose if they eat a dairy product?
Nurses teach
.... though a dietician referral ....
products
including no seafood
ly- and mono-unsaturated fa
some diets you refer to vitamins and fats, others you don't. I suggest consistency.
preparation
as a jewish person, it's not how the beef is prepared (this sounds like you are referring to how it's cooked), but how the cow is slaughtered.
whether you adjust this or not, preparation is not really accurate, and could pose misconceptions where the student might ask about how patients want their meat cooked.
ure 3.3 Example of a Food Label
not a big deal at all, but could this be centered underneath the image?
Organ meats
liver? what other organs?
production
delete?
production
is this needed? both are produced...
healing
what type of healing?
wound healing?
Water balance
Suggest using medical terminology concepts here.
wouldn't this also be:
Fluid and electrolyte balance
?
selenium
you wrote above how macro minerals are measured, do you want to write how trace minerals are measured?
For consistency
Rare, but can
from my experience caring for many patients on coumadine:
Vitamin K does interfere with Coumadin, patients are instructed to avoid these foods or maintain same moderate amounts of these foods on a regular basis. I would reword
&
and
*
what is this asterisk for? it's confusing
liver
at times you refer to organ meats, do you mean liver and other organs? If not, and it's just liver, I suggest replacing organ meats with liver in previous sections
consistency
sun exposure
I would add this at the end, so all food items are provided together.
seizures refractory to anti-seizure medications
will students know what refractory means?
normal
I would delete, just vision
ma; leg pain; anorexia; irritability; and poor gro
remove semi-colon, use commas as you do earlier in this section and in sections below.
Consistency
poverty
I suggest referring to this at the end and preceding it with reminder this is a social determinant of health
... and social determinants of health, such as poverty.
Minimal trans fat
suggest:
Minimal, if any, trans fat...
a little fat goes a long way
jargon... do you want to reword?
as fruit
do you want to add most fruit?
Pineapple and dried fruit are higher in the glycemic index
Examples of complex carbohydrates
I suggest adding whole fruit, such as an apple, showing students that the juice form is simple, whole fruit is complex.
undernutrition
which is why I feel overnutrition fits here better than excess, though I understand that the source might not refer to it that way
excess nutrition
often referred to as overnutrition
BMI chart
scale
local fitness program
or exercise/health apps (this is quite common now)
Sarah in setting achievable exercise goals
it is highly unlikely Sara would have agreed to a 4-week goal of 150 minutes of exercise per week.
Reinforces teaching regarding diet developed by the dietician
isn't this the same as the first bullet point?
you might write:
Provide health teaching... and reinforce the DASH....
they are
she is
bullet
??
if you are referring to a bullet point, I would definitely reword.
section?
Ineffective Coping related to high stress levels
I understand how this would apply, but there can still be stress with adequate coping.
Stress is a normal part of living, and through this assessment it was deemed Sara did not have adequate coping mechanisms.
just felt like writing this....
general appearance indicates fatigue
this is quite subjective of the nurse, this cannot be determined by looking at someone.
I would reword or remove, fatigue level would be assessed using a scale, the nurse cannot "see" fatigue, or discern what might be general characteristics of the individual, compared to what has changed since symptoms appeared.
four weeks
completely unrealistic
I believe earlier you provided a time frame of 6 months.
it takes months, if not years, to meet this goal, and relapse is common (not that that applies here, but just saying...)
they are
since this is about a female client, it would be "she is"
specific
is this needed? I would delete
Ineffective health self-management
is this supposed to be here?
PDF Checklist.[7]
does the format (PDF) of this document need to be in the description? I would delete
Vital signs
isn't pain assessment the 5th VS?
nfold measurements Waist
do nurses actually obtain these measurements? are they taught how?
How would you describe your current mental health
this is odd, though it has become worded this way of late... though I still suggest rewording to obtain more details.
ask about mood, emotions, sadness, etc.
what about standardized screenings, such as PHQ2/7/9? standard question at clinic visits, and would think in acute care assessments on admission.
or
I think and fits better here
[footnote]”The Nursing Process” by Kim Ernstmeyer at Chippewa Valley Technical College is licensed under CC BY 4.0[/footnote]
needs addressing
active listening
Now that I have read this sentence, I suggest changing reflective to active.
reflective
I have not heard of this concept, is it similar to effective?
these
the following
roadblocks
obstacles or barriers fits better, more scholarly.
roadblock is more jargon-like
to do so
I suggest deleting
exhibit total abstinence from the changed behavior
this sounds awkward.
This might be taken from your source word for word, I find it confusing
grocery shopping
How common is it to buy cigarettes in a grocery store?
I think a better example would be to avoid buying processed foods, that's what you can easily find in a grocery store.
challenges
I suggest adding:
with meeting goals (or something similar)
such as
so much better than "like"!
dynamic way
might add an example in parentheses at the end of the sentence:
(such as adhering to an exercise regimen)
stage
As above
changes
stages
referred to this concept in the next paragraph
Check this page for consistency regarding this concept
Genetic
Consistency
Laws favorable
What does this mean?
use
misuse?
Negative life events
what does this mean?
Genetic predisposition
consistency
like
(comma) such as....
like is not scholarly
too much
how much is too much?
again, consistency throughout when referring to the same concept through a chapter
Exposure
You might clarify, this is the individual smoking.
is it also secondhand or thirdhand smoke?
Medical conditions such
add a comma:
Medical conditions (comma here) such...
below as well
Parental osteoporosis
Consistency:
Family history/genetic predisposition (parental diagnosis of osteoporosis)
Increased
Clarify
size
frame?
sex
Sometimes you refer to gender, sometimes sex
This might be due to the source you are citing from, but just pointing it out
Low physical activity
yes, though it's about weight-bearing exercise exercises.
Taking a daily stroll through the park will not reduce one's risk for osteoporosis
I suggest a rewarding and explain explaining the type of physical activity that is needed.
Though I understand, the source might not mention weight-bearing exercises so you might not be able to write that
Age over 40
consistency with stating age
age 40 and over
I suggest reviewing this entire page for how age is listed and provide consistency throughout.
Underdeveloped lungs
add:
due to premature birth
secondhand
and thirdhand
Occupational exposure
to what?
clarify
types of restaurants
access to health food fits better here
like
such as
Some medications like antidepressants
Suggest this instead:
Some medications, such as antidepressants
Genetic predisposition
Previously, you wrote family history/genetic predisposition, I suggest consistency throughout
metabolic syndrome
Especially that this condition is listed again as a risk factor, you want to be sure students understand what it is
calories, saturated fat, and added sugar
Might put in parentheses processed food
Low socioeconomic
the cycle of poverty... would be helpful if this could be added but I understand if you can't
Increased
subjective
Earlier you wrote 45 years and older
I suggest, providing some type of age range as this can be interpreted in a variety of ways
Shift work
does this need to be explained? Isn't it mainly working Night Shift that increases the risk due to changing sleep schedules?
Might suggest adding something about that, unless the source you are citing from does not mention night shift
Inactivity
suggest sticking with the same concepts throughout, I suggest using sedentary lifestyle
metabolic syndrome
provide a brief definition, or hyperlink, as this is a complex concept that you want them to understand, make connections to the risk factors
African
I agree, though the reason these ethnicities are at higher risk is due to a number of social determinants of health that have not been addressed.
it's important for students to know that it's not just because a person is Latino they have a higher risk, it's because of the SDOHs that impact this and other populations that increase their risk, so assessing for poverty, transportation, access to care, etc. all add to risk
you might refer them back to the SDOH section.
Ethnicity
explain, as you did below for diabetes
or baby weighing over nine pounds
or as baby weighing over nine pounds
physical and occupational therapy
I would remove the intervention, it's in the beginning of the sentence.
for example, for the CABG, you didn't write walking on the treadmill, just list the conditions
a
I would delete
USPSTF
.....
screening tests
correct, though annual or bi-annual skin checks by a dermatologist should be recommended. esp. for those with history of benign skin cancers, moles that change size frequently.
I hope you add this...
you mention the dermatologist later, but screening for this could be added in beg. of this para.
.S. Preventive Services Task Force
why abbreviate this if you are spelling it out?
either don't abbreviate at all or abbreviate and use the abbreviation for the rest of the chapter
suggest reviewing for these inconsistencies
USPSTF
this was abbreviated earlier in the chapter
suspected
such as CT scan.
That afternoon
awkward, this is assuming it's an afternoon test.
suggest stating prep in hours prior to test
often NPO after midnight, sometimes regardless of time of procedure. I would add this as an option to clear liquid
clear liquid diet
avoiding red liquids like red jello
FIT test
explain, otherwise this sentence is not helpful
Specimen Container
are containers this narrow actually being used? imagine the effort needed to squoosh the stool into this container?
stool and place it on a card. The test kit is returned to a lab, where the stool sample is checked for the presence of blood.
you might explain this approach is being phased out due to the increased use of in-home DNA testing as described below.
might explain the DNA test is not used if there is a history of polyps. this is what I've learned, suggest checking
though for those who do not have health insurance, this test is likely used. DNA test costs insurance companies upwards of $600
if they have no history of cervical cancer or precancer.[14]
isn't it because there is no longer a cervix?
speculum
do you want to provide an image?would be helpful for male students
mostly
most often?
mostly is awkward
Cervical abnormalities
what about boys, don't they check to see if the testes have descended? I don't know what this is called, suggest adding it.
comfortable temperature
literature says a 'cool' room, comfortable is subjective
Take a break from watching or listening to the news
good idea
17
change to superscript
Centers for Disease Control and Prevention (CDC)
sometimes you write out CDC, as you do here, though frequently you write just CDC. suggest consistency
adults who drink alcohol on the importance
Awkward, suggest rewording
child abuse,
is there a need to remind students that if found it must be reported?
spectrum disorders
I could be mistaken, though my understanding is this is one disorder that has a spectrum of disease intensities, does it need to be plural?
It would be plural if there was more than one type of FASD.
and
delete
es; overdose de
semicolon use not needed, suggest commas
and costly
sounds like it's referring to financial, is this needed?
In addition to 150 minutes of moderate-intensity exercise each week
I suggest:
In addition to 150 minutes of moderate-intensity exercise and muscle-strengthening each week, should also include activities that support balance.
muscle strengthening was suggested previously, so it should be listed alongside moderate intensity exercise. Activities. That support balance is the addition for older adults.
muscle-strengthening activities
suggest providing examples as you did for school-aged youth.
Developmental
Previously, you referred to considerations through the lifespan in the previous chapter and previous textbooks. I suggest consistency.
Use protective equipment like helmets and wrist guards
I would reword to something like this:
Maintain safety, such as using helmets and wrist guards
though are wrist guards a common practice used the the average person? Isn't that for extreme weight lifting?
maybe just refer to helmets?
be sure to
suggest deleting
ultrafine particles
of what?
confusing
impact
reduce
within the family and community
I think these two sentences would work better this way:
Positive relationships within the family and community support health and well-being. These relationships can lessen the impact of some of the other determinants.