Chapter four Flashcards
To provide cost-effective nutrition services in today’s healthcare environment it is first important to
Screen patients to find those who are at nutritional risk
Key considerations for nutrition screening include
- Quick and easy for any type of setting
- valid and reliable
- Established by RDN
- occur within an appropriate time for the setting
Assessment of nutrition status is the ____ of nutritional care
Foundation
Assessment of nutritional status is the base for personalizing an individuals nutrition care in the context of _____
Cause, prevention, and management of disease or promotion of health
Four steps of the nutrition care process (NCP)
Assessment
diagnosis
intervention
monitoring/evaluation
The nutrition assessment is defined as a ____ approach to _____ relevant data from patients and make a professional judgment about the nutritional status
Systematic
Collect, record, interpret
It is a comprehensive ____ carried out by an RDN
Evaluation
Nutrition assessment begin with the collection of
Dietary intake data
NIA, 24 hour recall, food diary, food frequency questionnaire
Additional things you will find under the assessment
Lab values anthropometric's medications diet recall social history past medical history past surgeries family history
Subjective information
Opinions or personal feelings
Objective information
Facts , measurable info
PES statement
Problem related to etiology as evidenced by signs and symptoms(must be measurable)
Intervention
Education counseling and nutrient delivery
Monitoring and evaluation of the effectiveness of interventions
M/E
Identification of a nutritional diagnosis
Diagnosis
Reveals the degree to which physiologic nutrient needs are met for and individual
Nutritional status
Standardized consistent structure, and framework used to provide nutrition care
Nutrition care process NCP
Four steps of the NCP
- Assessment of nutrition status (screening and assessment or part of the nutrition care process)
- Identification of nutritional diagnosis
- Interventions such as food and nutrition delivery, education, counseling, and coordination of care
- Monitoring and evaluation of the effectiveness of intervention
Specificity, sensitivity
ID patients without condition with a negative result
ID patients with a positive result
The joint commission requires that nutritional risk is identified in hospitalized patients within ____ hours of admission
24
Who can do nutrition screenings
All healthcare members
Six screening tools
- MNA long form
- MNA short for
- Malnutrition universal screening tool
- Subjective global assessment
- malnutrition screening tool
- nutrition risk screening
To do a thorough nutritional assessment you want to cover the following: (ABCD)
Anthropometric
Biochemical
Clinical
Dietary
Anthropometrics
BMI /weight
Biochemical
Lab values
Clinical
Medical diagnosis, physical assessment of skin, eyes, hair ,etc , and medications
Dietary
Diet order Dietary intake Intake/output of fluid Diet history Food diary Food frequency list 24 hour Recall
Deficiency most commonly causes night blindness
Vitamin A
Deficiencies cause risk of anemia, reduced work capacity and performance, increases risk of depression, and impaired cognitive development of children
Iron
Deficiency is a problem in industrialized countries
leads to goiter in severe cases also low birth weight, growth stunting, lethargy, and loss of IQ points
Iodine
Primarily to avoid neural tube defect’s
Folic acid
may occur in the elderly due to low gastric acid secretion which impairs release of this vitamin from protein foods
B-12
Growth stunting, occurs with chronic diarrhea and diarrheal diseases
Zinc
Help prevent bone loss and hip fractures
Vitamin D
