Chapter 39: Medical Nutrition Therapy for Neurologic Disorders Flashcards
disability adjusted life year (DALY)
Measures the years people live with a disability as well as their shortened lifespan
central nervous system (CNS)
Includes the brain and spinal cord
peripheral nervous system (PNS)
Includes the nerves that extend from the spinal cord to the rest of the body
hemiparesis
Weakness on one side of the body, usually both limbs and sometimes the face, that causes the body to slump toward the affected side; it may increase a patient’s risk of aspiration
hemianopsia
Blindness in one half of the field of vision. Patients must learn to recognize that they no longer have a normal field of vision and must compensate by turning the head
neglect
A failure to respond to stimuli on the weakened or paralyzed side of the body; this occurs most often when the right parietal side of the brain suffers an insult
motor strips
Posterior portion of the frontal lobe. Control muscle movement
apraxia
A person with apraxia may not be able to perform purposeful movements such as independent eating despite a willingness to do so
anosmia
Absence of smell
hyperosmia
Increased sensitivity to smell
dysosmia
Distortion of normal smell
aphasia
The inability to process language. Loss of language or expression.
cortical blindness
In this condition people are unaware that they cannot see
intracranial pressure (ICP)
The pressure within the brain
hydrocephalus
A condition of increased intracranial pressure that may quickly result in death due to increased accumulation of fluid in the brain
spinal cord injury (SCI)
The most common pathologic condition in this region. Some examples of spinal cord abnormalities include multiple sclerosis, amyotrophic sclerosis, tumor, syrinx, chronic meningitis, vascular insufficiency, and mass legions of the epidural space
syndrome of inappropriate antidiuretic hormone secretion (SIADH)
Often a complication of pituitary gland and hypothalamus lesions. Volume status and hyponatremia are part of the medical diagnosis
dysphagia
Difficulty swallowing
International Dysphagia Diet Standardisation Initiative (IDDSI)
IDDSI has created a system for naming, describing, and testing various texture modifications for liquids and solids
speech-language pathologists (SLPs)
A group of professionals knowledgeable about swallowing difficulties and other speech related topics.
aspiration pneumonia
May result from the bacteria in saliva that is carried into the lungs; a common misconception is that pneumonia results from the food or liquid
aspiration
Inhalation of foreign material, such as food and liquid, into the lungs
Frazier Free Water Protocol
Allows for drinking water in those who otherwise require thickened liquids, is being increasingly used in long-term care
Wernicke-Korsakoff syndrome (WKS)
Severe and acute thiamin deficiency and its neurological effect occur secondary to alcoholism
cerebrovascular accident (stroke)
Occurs either when the brain’s blood supply is interrupted, or when a blood vessel in the brain bursts
transient ischemic attacks (TIAs)
Brief attacks of cerebral dysfunction of vascular origin with no persistent neurologic defect