Lecture 2

Question 1

how does NCP help improve nutr outcomes?

Answer 1

systematic method, provides common language, evidence based, critical thinking

Question 2

what is a nutrition intervention?

Answer 2

purposefully planned action designed with intent of changing nutr related behaviour, risk factor, enviro condition, or aspect of health status to resolve or improve the identified nutrition diagnosis or nutr probs

Question 3

nutr intervention usually alter/eliminate ___

Answer 3

nutrition etiology

Question 4

4 domains of nutr intervention:

Answer 4

food and nutr delivery, nutr education, nutr counselling, coordination of nutr care, population based nutr action

Question 5

nutr intervention goals provide basis for:

Answer 5

monitoring progress, measuring outcomes

Question 6

prioritize nutr intervention by:

Answer 6

urgency, impact, available resources

Question 7

pt and client requirements based on:

Answer 7

reference standards, condition specific practice guidelines

Question 8

when defining time and frequency of care, consider:

Answer 8

intensity, duration, followup

Question 9

implementation (action phase) involves:

Answer 9

collaboration with pt/client, communicating nutr care plan, modify plan as needed, followup/verify plan, revising strategies

Question 10

role of the clinical dietitian is to:

Answer 10

advocate for nutritional health of pt

Question 11

what is the optimal nutr state?

Answer 11

diet intake sufficient to promote healthy body comp and normal physical fxn

Question 12

overarching term to describe form of nutrition, nutrient delivery, and system of education required for meal service or to treat any nutr related condition in both preventive nutrition and clinical nutrition

Answer 12

nutritional care

Question 13

nutrition therapy describes:

Answer 13

how nutrients are provided to treat a nutr-related condition; can be provided orally, DN, or PN to prevent / treat malnutrition

Question 14

components of nutr care plan:

Answer 14

energy/nutr/fluid rqts, measurable nutr goals, instructions for implementation of therapy, most appropriate route of admin, anticipated duration, discharge planning/education

Question 15

goals that you use to develop nutr care plan comes from:

Answer 15

nutr assessment and diagnosis

Question 16

4 components of evidence informed practice

Answer 16

research evidence, pt preferences and values, resources available, clinical expertise

Question 17

__% of pt admitted to Canadian hospitals are malnourished upon admission

Answer 17

45

Question 18

malnutrition is associated with:

Answer 18

prolonged LOS, ^ mortality, ^ costs, ^ infection risk, delayed wound healing, ^ morbidities

Question 19

factors associated with nutr decline in med patients:

Answer 19

lower admission BMI, cancer, >2 diagnoses, new in hospital infection, reduced food intake, dissatisfaction with food quality, illness related factors affecting food intake

Question 20

4 types of barriers to food intake in acute care hospitals

Answer 20

physiological, food quality/satisfaction, organizational, physical ability to eat

Question 21

4 types of texture mods

Answer 21

soft, diced, minced, pureed

Question 22

3 types of fluid mods

Answer 22

nectar, honey, pudding