Domain II Flashcards
SGA
Subjective Global Assessment
- history
- intake
- GI symptoms
- functional capacity
- physical appearance
- edema
- weight change
MNA
Mini Nutritional Assessment
- evaluates independence, medications, number of full meals consumed each day, protein intake, fruits and vegetables, fluid, mode of feeding
- 65+
NSI
Nutrition Screening Initiative
- elderly
GNRI
Geriatric Nutritional Risk Index
- serum albumin
- Weight changes
MST
Malnutrition Screening Tool
- acute hospitalized adult population
- recent weight loss, recent poor dietary intake
NRS
Nutrition Risk Screening
- medical-surgical hospitalized
- % wt. loss, BMI, intake
- > 70 yeras old
MUST
Malnutrition Universal Screening Tool
- BMI, unintentional weight loss, effect of acute disease on intake for more than 5 days
Nutrition Indicators
clearly defined markers that can be observed and measured
also used to monitor and evaluate progress toward nutrition outcomes
Nutrition Care Criteria
what indicators are compared against
24 hour recall
best tool for a clinical setting when the dietitian is involved because the RD can clarify amounts and other factors
Critical Thinking - Nutrition Care Process
Integrates facts, informed opinions, active listening, and observations.
A reasoning process where ideas are produced and evaluated.
Includes ability to conceptualize, think rationally, think creatively, be inquiring, and think autonomously
Joint Commission
Nutrition risk in hospitalized patients should be identified within 24 hour of admission, but no mandate of a method for screening
Critical thinking skills needed for nutrition assessment
- observe verbal/nonverbal cues that can guide effective interviewing methods
- determine appropriate data to collect
- select tools and procedure sand apply in valid, reliable ways
- distinguish relevant from irrelevant and important from unimportant data
- validate, organize and categorize data
amputation percentages for IBW adjustment
entire leg = 16%
lower leg = 6%
entire arm = 5%
forearm = 2.3%
spinal cord injury IBW adjustment
quadriplegic: reduce by 10-15%
paraplegic: reduce by 5-10%
TSF
tricep skinfold thickness
measures body fat and calorie reserves
Male: 12.5mm
Female: 16.5mm
AMA
arm muscle area
Measures skeletal muscle mass = somatic protein
Use TSF and AC (arm circumference)
Male: 25.3cm
Female: 23.2cm
*Important for growing children
Waist circumference
M: >40
F: >35
independent risk factor for disease when out of proportion to total body fat (with BMI 25-34.9)
WHR
waist/hip ratio
1.0 or greater in men
0.8 or greater in women
indicative of android obesity and increased risk for obesity-related diseases
BIA
measures fat-free mass and total body water
well hydrated, no caffeine, alcohol, or diuretics in past 24 hours
no exercise in past 4-6 hours
Bod Pod
air displaced
accuracy = underwater weighting
NFPE - hair
thin, sparse, dull dry brittle, easily pluckable
vitamin C, protein deficiency
NFPE - eyes
pale, dry, poor vision
Vitamin A, zinc or riboflavin
NFPE - lips
swollen, red, dry, cracked
riboflavin, pyridoxine, niacin