Domain II, Topic A, Screening and Assessment Flashcards
The _________ ____ _______ (NCP) is a standardized consistent structure and framework used to provide nutrition care
Nutrition Care Process
The steps of the NCP are laid out in ADIME, _____, ________, _________, _______, and ________
Assess, Diagnose, Intervene, Monitor, Evaluate
____ reviewed during the assessment step is reviewed during all steps of the NCP
Data
Preliminary nutrition assessment techniques should be used to identify people who are ____________ or who are at risk for ____________
Malnourished, Malnutrition
All health care team members can play a __________ role in nutrition screening
supportive
______ of the _________ step should include a client’s history, lab results, weight, and physical signs
Review, screening
For _________ to be accurate it must be ________ (able to identify patients without a condition), and _________ (able to identify patient’s with a condition)
screening, specific, sensitive
The _____ __________ requires nutrition risk be identified in hospitalized patients within __ hours of admission, but does not mandate a method of screening.
Joint Commission, 24
The screening tool of _________ ______ __________ (SGA) takes history, intake, GI symptoms, functional capacity, physical appearance, edema, and weight change into account
Subjective Global Assessment
The screening tool of ____ ___________ __________ (MNA) evaluates independence, medications, number of full meals consumed each day, protein intake, fruits and vegetables, fluid, mode of feeding (65 years of age and older)
Mini Nutritional Assessment
The screening tool of the _________ _________ __________ (NSI) is used in the elderly
Nutrition Screening Initiative
The screening tool of the _________ ___________ ____ _____ (GNRI) Gereiatric Nutritional Risk Index evaluates serum albumin and weight changes
Geriatric Nutritional Risk Index
The screening tool of the ___________ _________ ____ (MST) is used in acute hospitalized adult populations and evaluates recent weight loss and recent poor dietary intake
Malnutrition Screening Tool
The screening tool of the _________ ____ _________ (NRS) is used in medically and surgically hospitalized populations, evaluates % weight loss, BMI, intake, used over 70 years
Nutrition Risk Screening
The screening tool of the ____________ _________ _________ ____ (MUST) evaluates BMI, unintentional weight loss, effect of acute disease on intake for more than 5 days
Malnutrition Universal Screening Tool
Nutrition __________ is initiated by referral or screening of individuals at nutrition risk
assessment
Nutrition __________ makes comparisons between collected data and reliable standards
assessment
Nutrition __________ is an on going, dynamic process that involves continual reassessment and analysis of patient/client/group/needs
assessment
Nutrition __________ provides the basis for the nutrition diagnosis
assessment
The components of nutrition assessment include ______, _______, and ________.
review, cluster, identify
The ______ component of nutrition assessment analyzes data for factors that affect nutritional and health status
review
The ______ component of nutrition assessment assembles data for comparison with characteristics of a suspected diagnosis: food / nutrition related history, anthropometrics, lab/medical tests, nutrition focused physical findings, client history
Cluster
The ______ component of nutrition assessment uses the findings from the first two components to produce standards and criteria for interpretation and decision making. Indicators are clearly defined markers that can be observed and measured. They are also used to monitor and evaluate progress towards nutrition outcomes. Nutrition care criteria are what indicators are compared against
identify
____________ includes date, time, pertinent data and comparison with standards, patient’s perceptions, values an motivation related to problem; changes in patient’s level of understanding, behaviors, outcomes, reason for discharge
documentation
____ _______ include present eating patterns, do not ask leading question
diet history
____ ______ includes a food diary and a record of everything eaten in a specific period of time
Food record
a __ ____ _____ is a mental record of everything eaten in the previous 24 hours
24 hour recall
____ ________ _____ are how often an item is consumed. Community setting. Quick way to determine intakes on large numbers of people
Food Frequency Lists
Pertinent _______ and ______ _______ provides insight into nutrition related problems
Pertinent Medical and Family History
Medium Frame Hamwi Equation for woman = ___ lbs for first 5’, add __ lbs for each inch over and subtract __ lbs for each inch under
100, 5, 5
Small Frame Hamwi Equation for woman = ___ lbs for first 5’, add __ lbs for each inch over and subtract __ lbs for each inch under. Subtract __%
100, 5, 5, 10
Large Frame Hamwi Equation for woman = ___ lbs for first 5’, add __ lbs for each inch over and subtract __ lbs for each inch under. Add __%
100, 5, 5, 10
Medium Frame Hamwi Equation for men = ___ lbs for first 5’, add __ lbs for each inch over and subtract __ lbs for each inch under
106, 6, 6
Small Frame Hamwi Equation for men = ___ lbs for first 5’, add __ lbs for each inch over and subtract __ lbs for each inch under. Subtract __%
106, 6, 6, 10
Large Frame Hamwi Equation for men = ___ lbs for first 5’, add __ lbs for each inch over and subtract __ lbs for each inch under. Add __%
106, 6, 6, 10
Amputation adjustments to Hamwi: Entire Leg __%, Lower leg with foot __%, entire Arm __%, forearm with hand __%,
16, 6, 5, 2.3
Adjusted IBW = (100 - % amputation) / 100 x ___ for ________ ______
IBW for original height
Spinal Cord Injury adjustments to Hamwi: Quadraplegic reduced by __ - __ % of table weight; paraplegic reduced by _ - __% of table weight
10 - 15, 5 - 10
% weight change formula: ((___ - ABW) / ___) x 100
UBW, UBW
Significant weight loss is __% in last 6 months
10
_______ ________ _________ (TSF) measures body fat reserves; measures calorie reserves; standard male has _____ mm, standard female has ____ mm
Tricep Skinfold Thickness, 12.5, 16.5
___ ______ ____ (AMA) measures skeletal muscle mass (somatic protein; is determined using TSF and arm circumference; standard male = ____ cm, standard female = ____ cm; important to measure growth in children
Arm Muscle Area, 25.3, 23.2
Metric formula for BMI: (kg/______^2)
height in meters
English formula for BMI: (lbs/ (__ x ___))
in., 703
Healthy adult BMI: ____ - ____
18.5 - 24.9
Overweight BMI: __ - __
25 - 29
Obese BMI: __ and above
30
Waist Citcumference > __M and >__F is independent risk factor for disease when out of proportion to total body fat
40, 35
_____ _____________ is the best unit of measure for disease risk. _____ _____________ predicts central adiposity
waist circumference
_____ / ___ _____ (WHR) differentiates between android and gynoid obesity, WHR of 1 or greater in men or 0.8 in women is indicative of android obesity and and increased risk for obesity related diseases (diabetes, hypertension
Waist / hip ratio
_____________ _________ ________ (BIA) is used at bedside to evaluate fat free mass and total body water; must be well hydrated, no caffeine, alcohol or diuretics in the past 4 hours, no exercise int eh past 4 - 6 hours; fever, electrolyte imbalance and extreme obesity may affect reliability
Bioelectrical Impedance Analysis
___ ___ measures body composition by determining body density by measuring the amount of air displaced (as accurate as underwater weighing)
Bod Pod
_________ _________ ________ ____ (NFPE) assesses physical signs of nutritional deficiencies
Nutrition Focused Physical Exam
Hair that is thin, sparse, dull, dry, brittle, or pluckable is a sign of a vitamin _ or _______ deficiency
C, protein
Eyes that are pale, dry, poor vision are signs of a vitamin _, ____, __________ deficiency
A, inc, riboflavin
Lips that are swollen red, dry, or cracked are signs of a __________, __________, or ______ deficiency
riboflavin, pyridoxine, niacin
Tongue that is smooth, slick, purple, or has a white coating is a sign of various _______ or ____ deficiencies
vitamin, iron
Gums that are sore, red, swollen, or bleeding are signs of a vitamin _ deficiency
C
Teeth that are missing, loose, or losing enamel are signs of a _______ deficiency or ____ oral intake
calcium, poor
Skin that is pale, dry, or scaly is a sign of ____, _____ acid, or ____ deficiencies
Iron, folic, zinc
Nails that are brittle, thin, or spoon shaped are signs of ____ or _______ deficiencies
Iron, protein
Normal serum albumin is ___ - ___ g/dL. Albumin maintains collodial osmotic pressure; hypoalbuminemia associated with edema and surgery; levels above normal range likely due to dehydration; long half life; does not reflect current protein intake
3.5 - 5
Normal serum transferrin > ___ mg/dL. Visceral protein controlled by iron storage pool; rises with deficiency; can be determined from Total Iron Binding Capacity (TIBC); not useful as a measure of protein status
200
_____________ (TTHY) is also known as __________ (PAB)
Transthyretin, prealbumin
Noraml prealbumin __ - __ mg/dL; short half life; picks up changes in protein status quickly; during inflammation; liver synthesizes CRP at expense of PAB; limited usefulness in screening or assessment
16 - 40
Normal _______ - _______ _______ (RBP); circulates with prealbumin; shortest half life (__ hours); binds and transports retinol
Retinol binding protein, 12
__________ (Hct) is volume of packed cells in whole blood.
Hematocrit
Normal male hematocrit __ - __%
42 - 52
Normal female hematocrit __ - __%
37 - 47
Normal pregnant hematocrit __ - __
44 - 64
__________ (Hgb) is iron containin pigment of red blood cells; eryhrocytes are produced in bone marrow
Hemoglobin
Normal male hemoglobin __ - __ gm / dL
14 - 17
Normal female hemoglobin __ - __ gm / dL
12 - 15
Normal pregnanat hemoglobin greater than or equal to __ gm/dL
11
Serum _______ indicates size of iron storage pool
ferritin
Normal female serum ferritin __ - ___ ng/mL
10 - 150
Normal male serum ferritin __ - ___ ng/mL
12 - 300
Serum _________ related to muscle mass; easures somatic pressure; may indicate renal disease, muscle wastage
creatinine
Normal serum creatinine ___ - ___ mg/dL
0.6 - 1.4
_________ ______ _____ (CHI) ratio of creatinine excreted / 24 hours to height; estimates lean body mass - somatic protein; 60 - 80% mild muscle depletion
Creatinine Height Index
Normal Creatinine Height Index __%
80
_____ ____ ________ (BUN) related to protein intake; indicator of renal disease
Blood Urea Nitrogen
Normal BUN __ - __ mg/dL
10 - 20
Normal BUN:creatinine ratio __ - __ : _
10 - 15 : 1
_______ __________ _________ measures glomular filtration rate; renal function; estimate includes body surface area
Urinary Creatinine Clearance
Normal Urinary Creatinine Clearance: ___ +- __ mL /minute
115 +- 20
_____ __________ _____ (TLC) measures immunocompetency; moderate depletion 900 - 1800; severe depletion less than 900; decreased in protein energy malnutrition
Total Lymphocyte Count
_ - ________ _______ (CRP) marker of acute inflammatory stress; as it declines, indicate when nutritional therapy would be beneficial; when elevated CRP decreases, PAB increases
C - Reactive Protein
____ ___________ _____________ (FEP) direct measure of toxic effects of lead on heme synthesis; increased in lead poisoning; lead depletes iron leading to anemia
Free Erythrocyte Protoporphyrin
___________ ____ (PT) anticoagulants prolong PT; evaluates clotting adequacy; change in vitamin K intake will alter rate
Prothrombin Time
Normal Prothrombin Time ___ - ___, __ - ___% of normal
11.0 - 12.5, 100
Activity factors: ___ (sedentary), ___ (active), ___ (stressed)
1.2, 1.3, 1.5
_________ _____ ___________ (EER) average dietary intake predicted to maintain energy balance in a healthy adult of a defined age, gender, weight, height, and level of physical activity consistent with good health
Estimated Energy Requirements
Megestrol acetate is an appetite _________
stimulant
Dextroamphetamine (Adderall) is an appetite ___________, and can lead to anorexia, nausea, an weight loss
suppressant
Orlistat _________ fat absorption by binding to lipase
decreases
Marinol is an appetite _________
stimulant
Methylphenidate (Ritalin) can cause _______, weight loss, and nausea
anorexia
Statins (HMG CoA reductase inhibitors) can lead to __________ LDL and TG, and _________ HDL
decreased, increased
Chemotherapy can cause _____________
Malabsorption
Mineral Oil and cholestyramine _________ fat abosrption and fat soluble vitamins
decrease
Glucocorticoids and antibiotics may cause protein ________
deficits
Oral contraceptives ________ absorption of folate, B6, and vitamin C
decrease
Loop diuretics _______ thiamin, potassium, magnesium, calcium, and sodium
deplete
Thiazide diuretics ________ potassium and magnesium and ______ calcium
decrease, absorb
Antibiotics _________ vitamin K
decrease
Steroids ________ bone growth, cause CHO intolerance
decrease
Methotrexate _________ folate absorption
folate
Lithium carbonate (antidepressant) may cause __________ appetite, weight _____. Maintain consistent sodium and caffeine intake to stabilize levels. If sodium o caffeine are restricted, lithium excretion decreases, leading to toxicity
increase, gain
Anitcoagulants (warfarin sodium) ___________ vitamin K (consistent intake essential; avoid ginkgo biloba extract, garlic, ginger, avoid hugh dose of vitamin _ and _
antagonize, A, E
Propofol administered in ___, consider ___ calories, ___ cals/CC, check TG
oil, fat, 1.1
Phenobarbital __________ folic acid, B12, D, K, and B6
decreases
Cyclosporine (immunosuppressant) may cause _____lipidemia, ____glycemia, _____kalemia, _____tension.
hyper, hyper, hyper, hyper
Isoniazid (treats TB) ________ pyridoxine, causes peripheral neuropathy, don’t take with food, interferes with vitamin _, calcium, and phosphorus
depletes, D
Elavil (antidepressant) has a sedative effect, may cause weight ____ and _________ appetite
gain, increased
Vitamin B6 and protein may ________ the effectiveness of L-dopa (leveodopa) which controls the symptoms of parkinson’s disease. Take drug in morning with limited protein (competes with drug for absorption sites)
Decrease
Calcium binds to the antibiotic ____________
Tetracycline
Tyramine may cause hypertension if eaten while on a _________ _______ _________ (MAOI)
Monoamine Oxidase Inhibitor
________ is an amino acid found in aged, fermented, dried, pickled, smoked, and spoiled foods that interferes with MAOIs
Tyramine
Curcumin (tumeric) may ______ inflammation, is an antioxidant, and is also found in curry powder
reduce
Income, price of food, and time spent on food activities are all ______________ factors to consider in assessment
Socioeconomic
A _______ ________ __________ is a process that involves being aware of better health and actively working towards that goal it includes physical health and well being, mental and spiritual health
General Wellness Assessment
An ___________ _________ __________ depends on a client’s needs and readiness, motivation, education, and situation
Educational Readiness Assessment
The _____ step of a community nutrition needs assessment is to obtain an overview to determine whether nutritional resources are adequate, what groups are at risk, and how well health risks are being me by the existing population
first
The _____ step of a community nutrition needs assessment is to identify target population and nutritional problem of concern
second
The _____ step of a community nutrition needs assessment is to set parameters of the assessment, collect data, analyze and interpret data, share finding, and set priorities
third
The _____ step of a community nutrition needs assessment is to define goals and objectives, develop plans, and define management system of the intended program
fourth
______ ____ ________ (HRA) is a survey categorizing a population’s general health statues (used in worksites, government agencies, and as a health education or screening tool); consists of a questionnaire, calculation that predict risk of disease, educational message to the participant
Health Risk Appraisal
Sources of assessment information include ___________ (population by age, ethnic group, sex, birth rates, deaths) and _____________ ______________ (census data, housing statistics)
demographic, socioeconomic stratification
_________ is the rate of disease, __________ is the rate of death
Morbidity, Mortality
______ _________ ____ is defined as infant deaths under 1 year of age, expressed as the number of deaths per 1000 live births
Infant mortality rate
________ is the (number of new cases of a disease over a period of time / total number of people at risk) x 100,000
Incidence
__________ is the (total number of people with a disease during a period of time / average number of people) x 100,000
Prevalence
____ ________ is the access by all people at all times to sufficient food for an active and healthy life. It is ready availability to acquire them in a socially acceptable manner (without resorting to emergency food programs, stealing, or scavenging)
Food Security
A _________ ____ ________ Initiative requires the development of a sustainable community based strategy to ensure that all have access to culturally acceptable, nutritionally adequate food at all times
Community Food Security Initiative
_______ _______ increase access to fresh produce
Farmer’s Markets
____ ________ and ________ _______ collect excess wholesome foods that would otherwise be thrown away (from farms, packing houses, caterers, cafeterias, and restaurants) for delivery to hungry people
Food recovery, Gleaning Programs
_________ and __________ ____ ________ (PPFPs) are nonprofit programs that link sources of unused, cooked and fresh foods with social service agencies that serve the hungry
Prepared and Perishable Food programs
____ __________ is prevalent among emergency food recipients. It affects all ages, ethnicities, and locations. It impacts the working poor. It extends to government food assistance recipients, and those with poor health status
Food Insecurity
A _________ ______ is an nutritional examination of a population group at a particular point of time; considered a cross sectional exam; pin points problems; determine prevalence of condition or characteristic at a specific time
Nutrition survey
___________ ____________ is the continuous collection of nutrition data; identifies problems; sets baseline; sets priorities; detects changes in trends; uses height, weight, hematocrit, hemaglobin, and serum cholesterol; on going system linked to active health program (WIC, CDC); data identifies needs and kind of intervention needed
Nutritional surveillance
The _______ _________ _________ (NSI) is meant to promote nutrition and improve nutritional care for the elderly to identify nutritional problems early
Nutrition Screening Initiative
Determine Checklist D\_\_\_\_\_\_E T\_\_\_\_ \_\_\_\_ E\_\_\_\_\_\_\_ \_\_\_\_\_\_\_\_ R\_\_\_\_\_\_ \_\_\_\_\_\_ \_\_\_\_\_\_\_ M\_\_\_\_\_\_ \_\_\_\_\_\_\_\_\_\_\_ I\_\_\_\_\_\_\_\_\_\_ \_\_\_\_\_\_ \_\_\_\_/\_\_\_\_ N\_\_\_\_ \_\_\_\_\_\_\_\_\_\_ \_\_ \_\_\_\_-\_\_\_\_ E\_\_\_\_ \_\_\_\_\_ \_\_
DiseasE Tooth loss Economic hardship Reduced social contact Multiple medications Involuntary weight loss/gain Needs assistance in self - care Elder above 80
Level __ NSI screen identifies those who need more comprehensive assessments
1
Level __ NSI screen provides more specific diagnostic info on nutritional status
2
A _____ _____ is 5 - 12 people brought together to talk about concerns, beliefs, problems; obtain advice, insights, information; contributes attitudinal data
Focus Group
_________ _________ __________ and _______ ________ _______ (NNMRRP) includes all data collection and analysis activities of the federal government; jointly run by USDHHS and USDA
National Nutrition Monitoring and Related Research Program
_________ _________ ____________ ______ (PedNSS) monitors low income, high risk children, birth - 17 years, emphasis on birth - 5 years; height, weight, birth weigh, hematocrit, hemoglobin, cholesterol, breast feeding, monitors growth and nutritional status, infant feeding practices
Pediatric Nutrition Surveillance System
_________ _________ ____________ ______ (PNSS) monitors low income, high risk pregnant women; maternal weight gain, anemia, pregnancy behavioral risk factors (smoking, alcohol), birth weight, counts # of women who breast feed; identify and reduce pregnancy related health risks
Pregnancy Nutrition Surveillance System
________ ______ and ________ ___________ ______ (NHANES) is an ongoing survey to obtain info on health of the American people; evaluates clinical, chemical, and anthropometric nutritional data
National Health and Nutrition Examination Survey
_______ III: oversampling of adults greater than or equal to 65 years of age with no upper age limit
NHANES
____ __ ___ __ _______ (WWEIA) dietary intake component of NHANES (also known as National Food and Nutrition Survey)
What We Eat in America
The USDA conducts __________ ____ ___________ _______ (NFCS) to obtain info on food intake of individuals and total households from entire US; evaluates 7 nutrients - protein, calcium, iron, thiamin, riboflavin, vitamins A and C; diets rated good if intakes equaled or surpassed RDA; rated poor if less than 2/3 of RDA for 1 or more nutrients
Nationwide Food Consumption Surveys
__________ ____ ______ ____________ ______ (BRFSS) monitors adults 18 and older residing in households with phones; telephone interviews collect info on height, weight smoking, alcohol use, food frequency of fat, fruits and vegetables, preventable health problems, diabetes
Behavioral Risk Factor Surveillance System
_____ ____ ________ ___________ ______ (YRBSS) monitors grades 9 - 12, smoking, alcohol use, weight control exercise, eating habits; prevalence of health risk behaviors among young people
Youth Risk Behavior Surveillance System
The FDA’s ______ and ____ Survey is a telephone survey of randomly selected aduls; tracks self perception of relative nutrient intake levels, use of food labels, knowledge of fats and cholesterol, prevalence of supplement use, awareness of diet and disease
Heath and Diet Survey
_______ _________ for _____ ________ (TANF) states determine the eligibility and the benefits and services provided
Temporary Assistance for Needy Families
The USDA’s _________ ____ _______ / Distribution Program provides foods to help meet nutritional needs of children and adults and strengthens agricultural market for products produced by American farmers
Commodity Food Donation
_________ ___________ ____ _______ (CSFP) administered by the state health agencies; monthly commodity canned or packaged foods; low income women (pregnant, breast feeding, post partum), infants and children up to 6 years, some elderly; all at nutrition risk
Commodity Supplemental Food Program
___ _________ ____ ___________ _______ (TEFAP) quarterly distributions of commodity foods by local, public, or private nonprofit agencies, food banks, soup kitchens, homeless shelters; supplements diets of low income households
The Emergency Food Assistance Program
________ ______ _____ _______ (NSLP) entitlement program to improve nutrition of children, especially from low income families; utilize surplus production of foods; cash grants and food donations; dollars reimburse schools on basis of numbers of meals served; implement the dietary guidelines into the lunch and breakfast programs
National School Lunch Program
Breakfast and lunch provided by the NSLP must meet ___ of the recommended intake for protein, vitamins A and C, iron, and calcium
1/3
The NSLP must provide a 2 oz meat serving combined with nuts (which are only used for half the requirement) for grades _-__
9 - 12
The NSLP must provide ___ cup of vegetables to grades K - 5
3/4
___% fruit juice may be used as 1/2 of weekly serving of fruit for the NSLP
100
____ _________ is meant to implement school meal initiatives for healthy children; motivate children to make healthy choices; helps school meet guidelines; provides recipes, training, support
Team Nutrition
________ ______ _________ ______ (NSBP) entitlement program, meals must meet dietary guidelines; brakfast must provide on average over each school week: 1/4 daily recommended levels for protein, calcium, vitamin A, vitamin C
National School Breakfast Program
_____ ______ _____ ________ (ASP) USDA; provides healthy snacks; cash subsidies for each snack served, same eligibility bases as NSLP
After School Snack Programs
_______ ____ _______ (SMP) purpose is to encourage consumption of milk by children; objective is to provide subsidy for milk served to children in participating schools, residential child care centers, summer camps not participating in other federally subsidized meal programs, and free milk to needy
Special Milk Program
______ ___ _______ ______ (SFSP) is an entitlement program whose purpose is to initiate, maintain, or expand food service programs to children when school is not in session; objective is to provide meals or snacks to children at participating institutions in poor areas; administered by FNS, state educational agencies, public or private nonprofit residential summer camps
Summer Food Service Program
_____ and _____ ____ ____ _______ (CACFP) Supports public and non profit food service programs for family day care centers, neighborhood houses, homeless shelters, nonresidential adult daycare centers; reimburses operators for meal costs, provides commodity foods and nutrition education material; meals must meet guidelines, must offer free or reduced price to eligible; eligibility standards same as NSLP
Child and Adult Care Food Program
_____ _____ and _________ _______ (FFVP) introduces children to fresh fruits and vegetables; help develop eating habits that improve health, prevent obesity and subsequent chronic disease; free to children nationwide in selected schools
Fresh Fruit and Vegetable Program
WIC _______ ____________ _________ _______ for _____, _______, and ________ for pregnant, postpartum, breast feeding women, infants and children up to 5, provides food for low income mothers at nutritional risk; provides food, nutrition education, referrals to other agencies; health exam is required; must meet income standards, be at nutritional risk; NOT an entitlement program
Special Supplemental Nutrition Program for Women, Infants, and Children
________ ____ and _________ _________ ______ (EFNEP) provides grants to universities that assist in community development; trains nutrition aides to educate the public; improves food practices of low income homemakers with young children, works with small groups; teaches skills needed to obtain a healthy det
Expanded Food and Nutrition Education Program
________ and _____ ______ _____ _____ under title V of the Social Security Act; fosters public health nutrition programs at the state and local levels; provides training, consultation, funding; women of child bearing age, infants, children; state eligibility requirements
Maternal and Child Health Block Grant
_______ _____ reduce infant mortality and improve health of low income women, infants, children, and families
Healthy Start
_________ ________ _________ _______ (NSIP) developed services to foster independent living; cash and commodities to state agencies
Nutrition Services Incentive Program
_____ _________ ___ _________ _______ (OAA) formerly Eldeerly Nutrition Program; one hot meal each day, 5 days/week, provide 1/3 recommended intake; eligibility: all aged 60 and older plus spouse regardless of income; congregate meals: ambulatory, transportation essential for rural elderly; home delivered meals: meals on wheels - must be homebound; counseling, nutrition education, referrals, social interaction
Nutrition Services Incentive Program
___________ _________ __________ _______ (SNAP) largest food assistance program; entitlement; assist low income with monthly benefits; net income must be at or below certain % of poverty level; income limits vary by household size and are adjusted to the cost of living; designed to increase their purchasing power; not for non food items; figures are adjusted to reflect cost of food in Thrifty Food Plan for June of preceding year - least costly of USDA four food plans
Supplemental Nutrition Assistance Program
_______ for ________ and ________ ________ (CMS)
Centers for Medicare and Medicaid Services
________ health insurance program for people over 65; of any age with end stage renal disease; employers and employees pay; Part A: hospital insurance; Part B: Optional insurance for supplementary benefits
Medicare
________ _____ (AWV) is provided by the ACA to Medicare beneficiares. RDs are listed as an eligible medical professional who may screen and counsel beneficiares
Wellness Visit
_________ __________ ________ (IBT) benefit for obese in Medicare Part B. Coverage is granted only in primary care setting, BMI must be greater than 30, continued treatment contingent on weight loss assessed at the seventh month of treatment. Can only be provided by a physician
Intensive Behavioral Therapy
________ - federal law administered by states: Payment for medical care for all eligible needy: all ages, blind, disabled, dependent children
Medicaid
_________ ______ ________ ______ (CHIP) under social security act, partnership between federal and state government; expands health coverage to uninsured children whose families earn too much income to qualify for medicaid but too little to afford private coverage
Children’s Health Insurance Program
_________ helps low income children ages 3 - 5; introduces new foods, teaches good food habits; child’s participation
Headstart
_________ _________ and ________ ______ (NETP) amendment to the School Lunch Act; provides nutrition education training to teachers and school food service personnel
Nutrition Education and Training Program
______ _______ _______ _________ _______ (SFMNP) grants to states to provide low income seniors with coupons to be exchanged for eligible foods at farmer’s markets, roadside stands, community supported agriculture programs (CSA; fresh, nutritious, unprepared fruits, vegetables, herbs and honey; may be limited to specific and locally grown foods; nutrition education and information is provided
Senior Farmer’s Market Nutrition Program
_____ - ____________ agencies; receive both federal and private funds; American Red Cross; National Research Council - Food and Nutrition Board
Quasi - governmental
___ - ____________ agencies - voluntary health agencies: private, non profit organizations, chartered and licensed by a government agency, funded by contributions from citizens or organizations: American Heart Association; Professional Organizations- Academy of Nutrition and Dietetics; foundations, business, industry
Non governmental
_____________ agencies: FAO - Food and Agricultural Organization: raising world wide levels of nutrition by increasing efficiency of production and distribution of foods
International
