Nutrition Final--Nutrition Assessment

31 cards


 
  
Created Dec 18, 2012
by
fgruga01

 

 
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1
Nutrition Intake
 
Food intake, disease, medication, economics, behavior, emotions, cultural influences, knowledge 
2
Nutrition absorption
 
Disease
Psychological stress
Mechanical problems
3
After surgery
 
Patient=NPO=nothing by mouth
After anesthesia, muscles are not working and digestive...
4
Weight loss in hospital
 
no exercise--muscle atrophy;
Not eating by mouth;
Medications side effects;
5
Nutrient requirements
 
Growth, psychological stress, maintenance
infection, disease, stress
6
Stages of nutrition deficiency
 
1. Requierments are not met--poor intake, low absorption, increased losses
2. Stores/tissue...
7
Stages to responding to nutrition deficiency
 
1. Diet analysis
2. Biochemical/psychological measures
3. Clinical examination
8
Nutrient screening and assessment
 
Provides basis for reducing incidence of nutrition related health problems
Improving...
9
Medical nutrition therapy
 
Use of specific nutritional interventions to treat an illness, injury, or condition
Physician...
10
Medical nutrition therapy stages
 
1. assessment: looking at high risk factors, etc.
2. treatment
11
Nutritional screening
 
Identify characteristics associated with nutrition problems
Identify high risk individuals...
12
Ways to administer nutritional screening
 
Tools should be simple to administrator
Cost effective
Uses data routinely collected
13
Goals of nutrition assessment
 
To confirm or rescind the presence of malnutrition
To assess severity of malnutrition
14
Four Parameters (ABCD)
 
Anthropomorphic measures--weight, height, etc
Biochemical indices
Clinical evaluation
15
Patient data is collected from
 
Medical record; Patient interview; Laboratory test; Anthropomorphic measurements
16
Nutrition history
 
Economics, culture, physical activity, lifestyle (home, work), education, appetite, recent...
17
24-hour recall
 
List all that you ate in the past 24 hours
Did you eat/drink...?
How many times/days/weeks/months...?
18
Diet Diary
 
Daily record, requires instruction, can be used as an educational tool, Reliability may be...
19
Food observation
 
must recognize that food history may be subjective
can do chemical analysis
20
Food measurement and analysis requirements
 
must be timely, accurate, costly
21
Biochemical indices
 
most objective measure
Special attention to disease/health condition
22
Specimins
 
Serum, plasma, red and white blood cells, urine, feces, tissue samples
23
Measure of protein status
 
Nitrogen balance
visceral protein: albumin, transferrin, retinal binding protein, creatinine
24
Measure of iron status
 
Hemoglobin--first line
Hematocrit--first line
Total iron binding capacity
Ferritin--indicates...
25
Anthropomorphic measures
 
height, weight, skin fold thickness (subcutaneous fat, may come up with different measures),...
26
Weight
 
Ideal weight, actual weight, weight by height, percent weight change, current weight % of usual...
27
Percentage weight change
 
Usual weight-actual weight   = percent weight change
      usual...
28
Percent usual body weight
 
Actual body weight*100 = %body weight
Usual body height

29
Classification of overweight and obese by BMI
 
<18.5=underweight
18.25-24.9=normal
25-29.9=overweight
Obesity I 30-34.9;...
30
Body composition
 
how much fat, how much muscle
31
Clinical examination
 
Physical examination of body, hair, skin, eyes, teeth, oral cavity, gums, tongue


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