ADIME & Programs Flashcards
PES example
Problem, related to __ as evidenced by __
ADIME
Assess Diagnose Intervene Monitor Evaluate
Assessment (what is needed for diagnoses)
ABCDs Anthropometrics: weight, height, BMI Biochemical analysis: labs Client History: past surgeries, weight loss Diet: food/nutrition related hx) - nutrition focused physical findings
Prevention and risk reduction:
Primary
- no disease
- education and awareness
- vaccination
Prevention and risk reduction:
Secondary
Pre-Disease
- Regular exercise
- Screening tests
- taking a dose of aspirin to prevent
Prevention and risk reduction:
Tertiary
Disease is present
- rehab
- support groups
Title 5
Maternal and child health clock grant
7 nutritional and nutrition related health related health measurement
- PedNSS
- PNSS
- NHANES
- USDA Nationwide Food Consumption Survey
- Knowledge of adults
- Health and diet survey
5 Nutrition screening and surveillance systems
- Nutrition survey
- nutrition surveillance
- NSI
- Focus group
- NNMRRP
SNAP
- Entitlement program
- USDA
- Low Income
“food stamps”
EFNEP
Expanded food and nutrition program
* tips and teachings to skills on food practices
FFUP
Fresh fruits and veggies program
- helps improve children w/ healthy eating habits
NSBP
National School Breakfast Program
- entitlement program
- 1/4 daily needs must be provided
Head start
- Age 3-5
- Low income
- Introduce new foods and good food habits
USDA Nationwide food consumption survey
Every 10 years it evaluates 7 nutrient
- Pro
- Ca
- Fe
- B1
- B2
- Vita C
- Vita A
* * must be 66% of the RDA or above
Knowledge (2)
BRFSS - Behavior (such as smoking)
YRBSS - Grades 9-12
NSLP
National school lunch program
- Entitlement program
- 1/3 rec. intake of protein, vita A, C, FE and Ca
- 2oz meat per serving
- 3/4 cup veggies = 1 serving
Medicare
- Part A
- Part B
- Part A: hospital issues
- Part B: End stage renal disease and above 65 age
NSI
Nutrition Screening
Level 1: Includes DETERMINE checklist and anyone can do it
Level 2: Only RDs can do it; to determine nutritional status
PNSS
For pregnant
- low income high risk pregnant women
- goal is to reduce pregnancy related health risks
Healthy start
Goal is to reduce infant mortality and improve health of low income families
NHANES and NHANES 3
NHANES: ongoing program that evaluates clinical and chemical and anthropometrics
NHANES 3: Over sampling of adults >65yr for Blacks and Hispanics
3 Diagnoses section
- Clinical (swallowing, altered GI, weight loss)
- Intake (compared w/ goals)
- Behavioral-environmental (knowledge or access to foods)
TANF
Temporary assistance for Needy families
Ped NSS
- emphasis on 0-5 yrs but mostly 0-17 years
- low income and high at risk
- monitors growth and nutritional status, infant feeding practices
Health and diet survey
- random
- survey of self perception of relative nutrient intake levels and use of food labels
- Knowledge of basic food awareness
TEFAP
Emergency food assistance program
- Has limitations (homeless shelters)
Intervention
Based on diagnosis to help
NSIP
Nutrition Services Incentive Program
- TITLE 3
- above 60 age
- 1 hot meal a day x 5 days a week
- Can do home deliveries “meals on wheels”
CACFP
Child and adult care program
- homeless shelter
- meals must meet guidelines (like NSLP)
USDA Commodity food donation/distribution program
- monthly to low income women, infant and children up to age 6
- some elderly, some people at nutrition risk
- Cant participant in both WIC and CSFP
Autocratic leadership
Demands obedience
-cares about product and money
Consultative leadership
Asks for input but decides alone
- will consult w. others but make the decision
Bureaucratic leadership
By the book
Participative leadership
Decision Making
- group decisions
Marasmus
- what it is
- Severe
- Normal
- what it is: loss of subcutaneous fat (breakdown of lean body mass)
- Severe: Malnutrition (>10% loss in 1 month)
- Normal: low albumin, no edema
5 things that increase w/ inflammation
- CRP
- Hepatoglobin
- C-Factor ferritin
- Serum Ferritin
- Ceruloplasmin
Food infection and example
D/t activity of large #’s of bacteria carreid by food into the GI tract
ex: salmonella
Food intoxication & example
Illness caused by a toxin formed in the food prior to consumption
ex: botulinum
Hypo vs Hyper Albuminemia
Hypo: Low Albumin (overhydration, edema, ascites)
Hyper: High Albumin (dehydration, weight loss)
Health claims and ex
Describes the relationship between food and reduced risk of a disease or health condition
ex: Diets low in Na may reduce the risk of high blood pressure
Qualified health claim
A statement by the FDA
“Soluble fibers help lower cholesterol”
Renal diseases labs will show:
low:
high:
Low; GFR & Cr
High: Serum Cr and BUN
Insoluble Fibers
Function:
ex:
Perfect for:
Function: Accelerates intestinal transit (increases weight of feces)
Ex: wheat, brown rice, cabbage
Perfect for: Those w/ constipation
Soluble Fiber
Function:
ex:
Perfect for:
Function: Delays gastric emptying (lowers cholesterol)
Ex: Pectin, gum, inulin, oligofructose, polydextrose
Pefect for: Pts for weight loss, and type 2 diabetes
Dyslipidemia causes
High TG, low HDL
Kwashiorkor
- what it is
- what is present (3)
- Losing visceral pro (low albumin)
2. Protein deficiency (edema is present, distended abdomen)
Structure/function claims and example
Describes the role of a nutrient or ingredient on the structure and it’s function for the body
- “calcium builds strong bones”
The liver panel will
increase in liver disease and decrease w/ diabetes
