Ch. 14 Nutrition Care Process Flashcards
What are the 6 steps to Nutrition Assessment?
- Historical Information
- Diet Intake
- Anthropometrics
- Biochemical Analyses
- Physical Examination
- Determine Energy Needs
Info gained from Historical Info section?
- Medical Hisotry (H&P- History and Physical)
- Medication and supplement use
- Personal and social history
- Food and nutrition history
Info gained from Food Intake section? Methods and why?
- 24-Hour recall
- Food Frequency Questionnaire
- Food Record
- Direct observation
Info gained from Anthropometric Data?
- Height (Length if less than 2)
- Current weight (CBW)
- Head Circumference (up to 3)
- Waist Circumference
- % Body Fat
*Last 2 not used in hospitals as much!
Info gained from Biochemical Analyses?
- Tests on body fluid: Blood, sweat, urine, spinal fluid
- Provides info about: PVFO
1. Protein Status
2. Vitamin and mineral status
3. Fluid and Electrolyte balance
4. Organ Function
Info gained from Physical Examination?
- Fluid Imbalances: Lack of protein causes water retention
- Functional Status(Vision, hearing etc): Gives insight into being able to feed themselves
- Clinical Signs of Malnutrition
Info gained from energy determination?
How many calories that patient needs by first finding RMR, then multiplying by hospital stress factor and activity factor.
BMI
(lbs./In^2)x703
IBW
Ideal body weight:
M: 106+6lbs. for every inch over 5ft.
W: 100+5lbs. for every inch over 5ft.
%IBW
(CBW/IBW)x100=% IBW
%UBW
(CBW/UBW)x100=%UBW
% Weight Change
(Change/Initial weight)x100=% Weight Change
Inches to centimeters
1 in=2.54cm
lbs to Kilogram
lbs/2.2=kilograms
Categories of “Significant Weight Change”(%)
- Greater or equal to 2% in 1 Week
- Greater or equal to 5% in 1 Month
- Greater or equal to 7.5% in 3 Months
- Greater or equal to 10% in 6 Months
