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Discussion responses should be on topic, original, and contribute to the quality of the Discussion by making frequent informed references to lesson material. Initial Discussion responses should be a minimum of 200 words.

Imagine you are a nutrition education assistant working at a Long term care facility.  The Supervising dietitian informs you of a patient who recently started on a common blood thinner (anticoagulant) due to their medical history of blood clots & the associated stroke risk.  The patient is not aware of the dietary interactions surrounding warfarin/Coumadin.  The MD requested a “drug-nutrient interaction education” to be provided.  You are asked to provide a summary of educational points; while addressing these topics:

Which nutrient commonly interacts with warfarin?
How does it impact/influence the action of warfarin?  Does it increase warfarin’s action (make it stronger)? Does the nutrient decrease the efficacy of the anticoagulant?
 What type of dietary modifications are recommended to aid in a more consistent Coumadin/warfarin dosing schedule?
What are the main food sources of this nutrient?  Should these sources be avoided in the diet, added to the diet or remain consistent with the patient’s usual intake of the food sources?
 What is the proposed mechanism of action for the dietary education/ dietary plan? In other words, how does this diet plan aid in keeping a consistent Coumadin/warfarin dosing schedule?


 How might teacher dispositions affect ethical decision making? 50 words

Define dispositions. What link exists between dispositions and ethics in the Supplemental Standards for the College of Education and the Conceptual Framework (see the teacher Handbook and course materials)? 50 words

What are the ethical concerns of a parent helping with a student’s schoolwork?How would you handle this situation? 50 words

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