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Side ASide B
Food intake, disease, medication, economics, behavior, emotions, cultural influences, knowledge
Disease Psychological stress Mechanical problems
Patient=NPO=nothing by mouth After anesthesia, muscles are not working and digestive tract...
Weight loss in hospital
no exercise--muscle atrophy; Not eating by mouth; Medications side effects; Blood loss from...
Growth, psychological stress, maintenance infection, disease, stress
Stages of nutrition deficiency
1. Requierments are not met--poor intake, low absorption, increased losses 2. Stores/tissue...
Stages to responding to nutrition deficiency
1. Diet analysis 2. Biochemical/psychological measures 3. Clinical examination 4. Vital statistics
Nutrient screening and assessment
Provides basis for reducing incidence of nutrition related health problems Improving quality...
Medical nutrition therapy
Use of specific nutritional interventions to treat an illness, injury, or condition Physician...
Medical nutrition therapy stages
1. assessment: looking at high risk factors, etc. 2. treatment
Identify characteristics associated with nutrition problems Identify high risk individuals...
Ways to administer nutritional screening
Tools should be simple to administrator Cost effective Uses data routinely collected Includes...
Goals of nutrition assessment
To confirm or rescind the presence of malnutrition To assess severity of malnutrition To establish...
Four Parameters (ABCD)
Anthropomorphic measures--weight, height, etc Biochemical indices Clinical evaluation Dietary...
Patient data is collected from
Medical record; Patient interview; Laboratory test; Anthropomorphic measurements All...
Economics, culture, physical activity, lifestyle (home, work), education, appetite, recent...
List all that you ate in the past 24 hours Did you eat/drink...? How many times/days/weeks/months...? Alcohol,...
Daily record, requires instruction, can be used as an educational tool, Reliability may be...
must recognize that food history may be subjective can do chemical analysis
Food measurement and analysis requirements
must be timely, accurate, costly
most objective measure Special attention to disease/health condition
Serum, plasma, red and white blood cells, urine, feces, tissue samples
Measure of protein status
Nitrogen balance visceral protein: albumin, transferrin, retinal binding protein, creatinine
Measure of iron status
Hemoglobin--first line Hematocrit--first line Total iron binding capacity Ferritin--indicates...
height, weight, skin fold thickness (subcutaneous fat, may come up with different measures),...
Ideal weight, actual weight, weight by height, percent weight change, current weight % of usual...
Percentage weight change
Usual weight-actual weight = percent weight change usual weight
Percent usual body weight
Actual body weight*100 = %body weight Usual body height
Classification of overweight and obese by BMI
<18.5=underweight 18.25-24.9=normal 25-29.9=overweight Obesity I 30-34.9; II 35-39.9; III...
how much fat, how much muscle
Physical examination of body, hair, skin, eyes, teeth, oral cavity, gums, tongue