Exam 1: Assessment of Food and Nutrition Related History Flashcards
Define Nutritional Status
optimal= Nutrients intake & absorption + nutrients required
physiologic state or condition of an individual based on the balance between the individual’s intake and unique requirement for nutrients
What 6 factors play a role in determining nutritional status? A FML BS
- Aborption
- Food Intake
- Medical utilization
- Life Cycle
- Body maintenance & well-being
- Stress
Purpose of nutrition screening
to identify clients who currently have or are at risk for nutrition problems
When and where are nutrition screening used?
Inpatient setting: hospital, post-acute, or longterm
Who completes Nutrition Screening?
DTR or RN
Nutrition screening tools
⚬ Malnutrition Universal Screening Tool (MUST)
⚬ Nutritional Risk Screening (NRS)
⚬ Simple Two-Part Tool
⚬ Malnutrition Screening Tool (MST)
⚬ Mini Nutritional Assessment (MNA): Figure 4-4
5 Nutritional Risk Factors
- Food & Nutrition Related History
- Anthropometric Measurements
- Biochemical Data, Medical Tests and Procedures
- Nutrition-Focused Physical Findings
- Client History
Describe the nutritional Risk factor: Food & Nutrition Related History
- food nutrient intake
- dietary practice
- medication
- knowledge, beliefs, attitudes
- behavior
- access
Describe the nutritional risk factor: Anthropometric Measurements
- Weight status: loss or gain, BMI, wt, ht, history
- Body composition: fat or muscle wasting, ratios
Describe the nutritional risk factor: Biochemical Data, Medical Tests and Procedures
- laboratory values
- medical tests
Describe the nutritional risk factor:Nutrition-Focused Physical Findings
muscle & fat wasting, swallow function, appetite
Describe the nutritional risk factor: Client History
personal, medical, social history
When will the patient be assessed by RD?
Risk level determined by nutrition screening
What is Nutrition Assessment? key - Identify
- Post Nutrition Screening
- it is step one of NCP
- a “systematic method for obtaining, verifying, and interpreting data needed to identify nutrition-related problems, their causes, and significance”
Purpose of nutrition assessment
Collect classify and synthesize important relevant data needed to identify nutrition related problems, and their causes
Process of nutrition assessment
- food/Nutrition related history
- Biochemical data, medical tests, procedures
- Anthropometrics
- NFPE
- Client History
4 Tools of assessing food and nutrient intake during the NCP Step 1 Nutrition Assessment
- Food record or diary
- Food Frequency Quesitonaire
- 24H recall
- calorie count
Strength food record or diary
- quatitative and qualitative
- preparation, time, setting, source
- portion size
- real time
- modest time
Limitations food records
- client training
- multiple days
- client burden
- change in diet
- time consuming
Strength food frequency questionaire
- qualitative
- less burden
- complete at home
limitation food frequency questionaire
limit quantitative data
- limit data
- incomplete
- memory skills
- time consuming
strength 24 hour recall
- quantitative and qualitative
- food preparation, time, setting, source
- quick and easy
- low effort
- low burden
limittion 24 hour recall
- multiple days
- not capture the full picture
- expertise interview
- time-consuming for professional
- client memory
strength calorie count
- actual food intake
- quick
- low time and effort
- low client burden
limitation calorie count
- not representative of typical food
- time consuming to analyze
nutrient analysis tracking software program
- yourfood photo food and hournal
- recovery frecord
-calio
-myfitnesspal
-calorie mama and bitesnap
-ea tracker
-makeme
-fitday
-my food record
-cronometer
-
software with subscription
- nutrition data system for research
- esha food process nutrition analysis
- nutritionist pro
