Highlights
Assignment Task
Task
Summative Question:
Overview: Analysis of a pre-set diet using a reputable software tool for a multi-symptomatic moderately obese individual followed by a critical evaluation of a personalised nutritional intervention that takes account of government guidelines, the use, selection and interpretation of anthropometric and laboratory assessments and a reflection on the potential difficulties individuals with complex pathology might encounter with implementing and sustaining diet and lifestyle change.
Learning Outcomes for this assignment:
LO 1: Critically evaluate nutrient requirements for individuals with complex symptoms and obesity taking government guidelines and concepts of optimal nutrient intakes into account :
Extensive critical evaluation, demonstrating capacity to synthesise and critique the literature to justify the recommendation; highly appropriate and salient use of evidence to justify nutritional strategy taking government guidelines and concepts of optimal nutrient intakes into account together with dietary analysis. Succinctly written. Well considered in terms of client’s aims and objectives i.e. weight loss. Offers a clear narrative that is appropriate for the particular client in light of appropriate and best available evidence.
Good accurate analysis of diet using software tool and sensible assumptions made. Well-presented making appropriate use of tables to tease out key data from the analysis and embed within the report. Clear and specific in relation to the guidelines that are used.
Comprehensive use of appendixes to inform commentary. Appendixes completed to an exceptional standard.
LO 2: Offer resolution when data is conflicting and/or incomplete when meal planning for individuals with complex symptoms and obesity :
Critically evaluates the literature in the context of client’s aims and objectives, shows awareness of the limitations of the evidence where appropriate and offers a clear & balanced discussion of the literature in key areas of intervention. Offers resolution to contradictory /incomplete data. Exhibits excellent writing skills & capacity to discuss information in a concise & salient way, of a high academic standard.
LO 3: Justify and evaluate the use of diet and supplemental active ingredients based on client history, laboratory assessment, social, cultural, ethical and economic status for individuals with complex symptoms and obesity making a personalised approach transparent :
Excellent justification and well-argued discussions indicating where appropriate information on dosages and Upper Tolerable Limits. Clear, precise and scientific description on mechanisms contributing to obesity with very good critique of the scientific literature. Overall sharply defined, robust and balanced use of evidence to support client recommendations that have been well applied to the case. Includes statistical detail (e.g. power of study, p values, effect sizes) where appropriate.
Highly appropriate example diet and supplement recommendations. Excellent example diet & appendices completed to a highly professional standard. Good clear client centred food plans informed by report. Completed to an exceptional standard. Supplement and DNI forms included.
Instructions for the summative
Part A: Undertake a dietary analysis for the client and comment on your findings. Based on a review of the scientific evidence critically evaluate the macronutrient intake that you consider the most appropriate to recommend for this client in relation to their major aim and objective of weight loss.
Identify a micronutrient that you consider this client is at significant risk of deficiency and evaluate why you consider this to be the case.
Additional points
Use scientific evidence to support your analysis and recommendations & attempt to offer resolution when data is contradictory and/or incomplete. This may entail evaluating individual studies and synthesising research from different sources. Be precise and succinct in your writing and where appropriate refer to an in depth analysis of the studies cited (e.g. type of study, any methodological problems, statistical detail etc). In evaluating the evidence on the new macronutrient intake that you consider appropriate for the client you may wish to focus your exploration on the ratio of protein, carbohydrates and fats in the new diet based on randomised controlled trials investigating the outcomes of different macronutrient ratios on appropriate subjects. Note that you should only consider one micronutrient that you consider this client is at significant risk of deficiency and ensure that your exploration here is why you consider this to be the case. Ensure that you keep focused on answering the question here. Within this section students normally use the larger part of the word count on the macronutrient section].
Part B: Evaluate any implications of the GP results (fasting glucose, cholesterol (HDL, LDL, triglycerides, blood pressure).
The client visited the GP within the last month and had her lipids, glucose and blood pressure measured. These are her results. (Based on UK Government Guidelines).
Part C: Choose four key mechanisms from the mechanistic subheadings that you consider may be relevant to the client and their aims and objectives. Review each of the four mechanisms separately relating to the scientific literature and considering how the mechanism intersects with the client’s aims. Choose one recommendation for each of the mechanism areas explored that you would make to the client. This could either be a change to the client’ diet, lifestyle, a supplement or a functional test recommendation. Where you are recommending functional tests discuss one or two markers that you would deem appropriate. Where you are recommending a diet, lifestyle change or supplement ensure that you are specific around dosages, form and quantities for your recommendations based on the scientific literature.
Additional points
Part D: In light of your review of the optimal macronutrient intake for this client alongside your exploration of the areas of the functional matrix critically evaluate the strengths and weaknesses of the government guidelines as they relate to the client.
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