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NUTR 406 > Exam 1: Nutrition Diagnosis and Intervention > Flashcards

Exam 1: Nutrition Diagnosis and Intervention Flashcards

1
Q

Purpose of nutrition assessment

A

assess, identify, verify malnutrition signs

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2
Q

Domains of nutrition assessment

A
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3
Q

Purpose of nutrition diagnosis

A
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4
Q

Domains of nutrition diagnosis

A
  • Intake
  • Clinical
  • Behaviors
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5
Q

Describe the components of a PES statement

A

Problem
Etiology
Signs/Symptoms

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6
Q

Purpose of nutrition intervention

A
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7
Q

Steps of nutrition intervention

A
  1. Planning
  2. Implementation
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8
Q

Nutrition Intervention should

A

target etiology, be specific and include goals/objectives

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9
Q

Types of nutrition interventions

A

⚬ Food and/or nutrient
delivery
⚬ Nutrition education
⚬ Nutrition counseling
⚬ Coordination of care
⚬ Population-based
nutrition action

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10
Q

Purpose of monitoring and evaluation

A
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11
Q

steps of monitoring and evaluation

A
  • Provide evidence
  • Compare findings
  • Resolve or revise
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12
Q

categories of monitoring and evaluation

A

⚬ Food/nutrition-
related history
⚬ Biochemical data,
medical tests and
procedures
⚬ Anthropometric
measurements
⚬ Nutrition-focused
physical findings

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13
Q

What is evidence-based practice?

A

“the conscientious, explicit and judicious use of current best
evidence in making decisions about the care of individual
patients.”

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14
Q

how to recognize resources for practice using evidence baed guidelines

A

properly designed and executed prospective
randomized controlled trials, systematic reviews of literature, and
meta-analysis

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15
Q

how to utilize resources for practice using evidence baed guidelines

A

Conducting systematic review and using conclusion to develop
practice guidelines
* Academy of Nutrition and Dietetics Evidence Analysis Library
Evidence-Based Nutrition Practice Guidelines

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16
Q

CMS

A

Centers for Medicare and Medicaid Services regulate and review subacute facilities

17
Q

role of the joint commission and CMS in regulating healthcare institutions

A
18
Q

characteristics of nutritional care record

A
  • Legal document
  • Identifies problems and sets criteria to evaluate care
  • Allows entire health care team to understand the rationale for
    nutrition care, how it will be provided, and the role of each team
    member
  • Communication tool
  • Important for accreditation and peer review
19
Q

list of guidelines for charting and documentation

A
  • Health Insurance Portability and Accountability Act (HIPAA)
  • Standards to maintain privacy and security of personal health
    information
  • Paper-based or electronic
  • Black pen or typewritten
  • Complete, clear, concise, objective, legible, and accurate
  • Include date, time, and service
  • Complete sentences are not necessary but use correct spelling and
    grammar
  • Entries should be consistent and noncontradictory
  • Sign all entries and include credentials
  • No personal opinions or criticism
  • Document at the time of service, never in advance
  • Identify late entries
  • Do not correct errors with correction tape, correction fluid, or self-
    adhesive labels; thick pen lines to obliterate the error, or replacing
    original with a copy
  • Correct minor errors with a single line through the error and initialed
    correction
  • For omissions, write “see addendum,” date, and initial
20
Q

explain CMS final rule related to therapeutic diet orders

A
  • Qualified dietitians will be permitted to become
    privileged by the hospital staff to:
  • Order patient diets
  • Order lab tests
  • Make subsequent modifications to diets based
    on lab test results
  • Subject to state laws governing licensing and
    scope-of-practice
21
Q

explain nutrition care considerations for hospitalized

A
  • Honor patient preferences
  • Imagination and ingenuity in menu planning
  • Attention to color, texture, composition, and temperature of foods
  • Sound knowledge of therapeutic diets
  • Patient selection of menus increases consumption
22
Q

explain nutrition care considerations for terminally ill/hospice patient

A
  • Main goals: maintain comfort and quality of life
  • Dietary restrictions are rarely appropriate
  • Palliative/comfort care
  • Advanced directive: legal document specifying decisions regarding
    end-of-life issues

NUTR 406 (9 decks)

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