List three scholarly peer reviewed references you plan to use. These can be guidelines, scholarly articles, or other within the last five years. Along with this list include one to two sentences explaining how you plan to use them in your project. Submit the three resources in APA format.
Scoring/Grading Rubric:
(5 pts); less than 5 years old (2 pts); peer-reviewed (3 pts) = 10 pts
Gives explanation of how each will be used in project = 5 pts
Mechanics: References properly formatted in APA (1 pt each); APA proper formatting: Title page (1 pt), Header & Page Number (1 pt); Minimum length 1 page. Paper exhibits proper grammar, spelling, style and punctuation of college level writing (2 pt) = 5 pts
Celiac Disease
David Zilch
Rasmussen University
NUR1172: Nutritional Principles in Nursing
Celiac Disease
Outline
Thesis Statement: This project describes the nursing care for celiac disease.
Introduction
Celiac disease, also called tropical sprue, is a chronic inflammatory condition of the small intestine leading to indigestion and extra-intestinal symptoms.
Etiology
Celiac disease is caused by ingestion of a to indigestion and inflammatory response in susceptible individuals.
Mutation of HLA MHC class 2 gene has been implicated in 30% of patients with celiac disease (Parzanese et al., 2017).
Environmental triggers such as infection with Rotavirus in early childhood cause a chronic inflammatory condition (Parzanese et al., 2017).
Early childhood feeding methods.
Improper weaning
Lack of breastfeeding.
Progression
Typical symptoms are noticed at around 6-18 months during weaning, and the disease symptoms progress into adulthood.
Untreated disease progress to cause osteoporosis, risk of adenocarcinoma, refractory sprue, ulcerative jejunoileitis, and reproductive disorders (Parzanese et al., 2017).
Treatment
The mainstay treatment for celiac disease is a .
Appropriate management of the extra-intestinal manifestation, such as treating decreased bone marrow density and neuropathy due to chronic inflammation.
Follow-up within six months of diagnosis to detect complications of celiac disease and 12-24 months follow-up after that (Caio et al., 2019).
Recommended Diet
Gluten-free diet leads to the resolution of intestinal and extra-intestinal symptoms (Itzlinger et al., 2018).
A less than 20mg/kg of gluten because it is difficult to find food not contaminated with gluten (Itzlinger et al., 2018).
Nursing Assessment
The nurse must assess the knowledge of the disease and its treatment.
The nurse must assess the social-economic status of the patient and provide referrals to the social worker for help with adherence to a gluten-free diet.
Nursing Intervention
The nurse should provide patient education
Manage patients according to their individual needs
Provide referrals for specialized care in case of complications.
Patient Education
The patient should be educated on the role of adherence to a gluten-free diet
The patient should be provided with links to support groups and information on the diagnosis and how to live a gluten-free diet.
References
Caio, G., Volta, U., Sapone, A., Leffler, D. A., De Giorgio, R., Catassi, C., & Fasano, A. (2019). Celiac disease: A current comprehensive review.BMC Medicine,17(1), 142. https://doi.org/10.1186/s12916-019-1380-z
Itzlinger, A., Branchi, F., Elli, L., & Schumann, M. (2018). Gluten-free diet in celiac disease-forever and for all?Nutrients,10(11), 1796. https://doi.org/10.3390/nu10111796
Parzanese, I., Qehajaj, D., Patrinicola, F., Aralica, M., Chiriva-Internati, M., Stifter, S., Elli, L., & Grizzi, F. (2017). Celiac disease: From pathophysiology to treatment.World Journal of Gastrointestinal Pathophysiology,8(2), 2738. https://doi.org/10.4291/wjgp.v8.i2.27
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