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Nutrition Care > NCP specifications > Flashcards

NCP specifications Flashcards

1
Q

?: reinforcement of basic/essential nutrition related knowledge

A

Nutrition Education

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2
Q

?: nutritional diagnostic, therapy, and counseling services for purpose of disease management aided by RDN

A

MNT (Medical Nutrition Therapy)

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3
Q

?: done at entry point into the NCP and can be done by RDNs or other professionals (nurses)

A

Screening/referrals

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4
Q

Common Nutrition screening tools:

A
  • Malnutrition universal screening tool (MUST)
  • Mini nutritional assessment (MNA)
  • Geriatric nutritional risk index (GNRI)
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5
Q

?: developed in 2004 used across healthcare to assess malnutrition quickly (wt, ht, BMI, unintentional wt loss, change in nutrition intake >5 days)

A

MUST

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6
Q

?: used in older adults and assesses oral intake, wt loss, mobility, neurological/psychological status, current stress levels, BMI

A

MNA

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7
Q

?: older adults relies on changes in current body wt, previous body wt, and serum albumin

A

GNRI

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8
Q

The Joint commission:

A
  • Mandates hospital have system set in place to specify who should conduct nutrition screenings, on which patients, and which timeframe
  • specify hospital should decide what patient needs/conditions warrant nutrition screening
  • mandate nutrition screening performed within 24 hrs of inpatient admission
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9
Q

Referrals in nutrition education:

A

RDN advertise nutrition classes where pt can sign up

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10
Q

Referrals in MNT:

A

written referral from physician specifically for MNT-billable condition

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11
Q

Nutrition assessment includes:

A
  • food and nutrition-related history
  • biochemical data, medical tests and procedures
  • anthropometric measures
  • NFPE (nutrition focused physical findings)
  • relevant client history
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12
Q

During assessment, RDN:

A

collects data and information to compare against standards

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13
Q

During diagnoses, RDN:

A

identify and label actual problem of the pt/client

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14
Q

Screening determines:
Assessment determines:

A
  • risk of a problem
  • presence of a problem
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15
Q

?: clearly defined and measurable markers to be used as signs and symptoms in Nutrition Diagnoses and markers of progression during Nutrition M&E

A

Nutrition Care indicators

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16
Q

Nutrition care indicators are compared to:

A

Nutrition care criteria

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17
Q

Nutrition assessment in nutrition education:

A

ask client about nutrition concerns/fill out questionnaire/pre-test

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18
Q

Nutrition assessment in MNT:

A

use of MNT Evidence-Based guide for practice to collect relevant data

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19
Q

Food and Nutrition Related history:

A

Intake, medications, CAM (complementary and alternative medicine), knowledge/beliefs, availability of foods, physical activity, nutrition related quality of life.

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20
Q

Intake via:

A

24 hour recalls, food frequency questionnaires, food records

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21
Q

Medications Interactions can:

A
  • decrease appetite
  • decrease intake due to N/V, mouth sores
  • decrease nutrient absorption (laxatives, anticonvulsants)
  • decrease nutrient production
  • interfere nutrient metabolism
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22
Q

CDC recommends WHO charts used for children between the ages:

A

0-2 years

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23
Q

CDC recommends CDC charts used for children aged:

A

over age of 2 yrs

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24
Q

WHO 0-2 years (0-24 months) includes:

A

length-for-age
wt-for-age
head circumference-for-age
wt-for-lenght

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25
Q

WHO 0-3 years (0-36 months) includes:

A

length-for-age
wt-for-age
head cicumference-for-age
wt-for-length

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26
Q

CDC 2-5 yrs includes:

A

wt-for-stature

27
Q

CDC 2-20 yrs includes:

A

wt-for-age
stature-for-age
BMI-for-age

28
Q

which growth charts are used for nutritional risk screening:

A

wt-for-length
wt-for-stature
BMI-for-age

29
Q

Z scores Mild malnutrition

A

-1 to -1.9

30
Q

Z scores moderate malnutrition

A

-2 to -2.9

31
Q

Z scores severe malnutrition

A

> /= -3

32
Q

Short stature

A

WHO (0-2 yrs):
length-for-age <2nd percentile

CDC (+2yrs):
ht-for-age <3rd or <5th percentile

33
Q

Underwt

A

WHO (0-2yrs):
wt-for-length <2nd percentile

CDC (+2yrs):
BMI-for-age <3rd or <5th percentile

34
Q

Overwt

A

WHO (0-2 yrs)
wt-for-length >98th percentile

CDC (+2yrs):
overwt= BMI-for-age 85th-95th percentile
obese= BMI-for-age >95th percentile

35
Q

Ht measured:

A

directly: stadiometer
indirectly: knee-ht measurements, arm spans, recumbent length

36
Q

Wt measured:

A

IBW using Hamwi
Usual body wt (pt reported)
Current body wt (measured)
Adjusted body wt

37
Q

ABW

A

ABW (kg)= [(CBW-IBW) x 0.25] + IBW

38
Q

IBW (Hamwi men and women)

A

Men:
106 lbs + (6lbs per inch over 5 feet)

Women:
100 lbs + (5lbs per inch over 5 feet)

39
Q

Amputations

A
  • Arm= 5%
  • Forearm + Hand= 2.3%
  • Hand= 0.7%
  • Leg= 16%
  • Lower leg + Foot= 5.9%
  • Foot= 1.5%
40
Q

BMI

A

= wt(kg)/ ht (m)^2

41
Q

Kilograms to pounds=
Pounds to Kilograms=

A

x 2.2
/ 2.2

42
Q

Convert Inches to meters=

A

divide inches by 39.37

43
Q

Category and BMI

A

underwt= <18.5
normal wt= 18.5-24.9
overwt= 25-29.5
obese= >/= 30
class 1= 30-34.9
class 2= 35-39.9
class 3= >/= 40

44
Q

Percent wt change=

A

(previous wt-current wt)/previous wt X100
OR
wt loss/previous wt x 100

45
Q

Degree of wt loss and time frame
(SIGNIFICANT)

A

1 week= 1-2%
1 month= 5%
3 months= 7.5%
6 months= 10%

46
Q

Degree of wt loss and time frame
(SEVERE)

A

1 week= >1.2%
1 months= >5%
3 months= >7.5%
6 months= >10%

47
Q

Body composition measures:

A

fat mass to fat-free mass

48
Q

Direct methods for body compositions include:

A
  • BOD-POD: air displacements rather than body water content
  • Bioelectrical impedance analysis: lean body tissue has higher electrical conductivity and lower impedance than fatty tissue (dependent on water, so must hydrate no caffeine or diuretics)
  • DEXA: measures bone, fat, muscle compartments using xrays
  • Underwater weighing: uses water displacement to estimate body volume
49
Q

Indirect methods for body composition:

A

skin folds, midarm muscle circumference, midarm circumference

50
Q

Nitrogen Balance=

A

1) 24hr urinary urea nitrogen= (protein g 24 hrs/6.25 g) - (urinary urea nitrogen + 4)

2) 24hr total urinary nitrogen=
(protein g 24hrs/6.25g) - (total urea nitrogen + 2)

51
Q

NFPE

A

overall appearance, hair, face, eyes, mouth, nails, legs/feet, neurological, skin

52
Q

Hair thin, sparse, dull, dry brittle OR easily pluckable

A

vit C and protein deficiency
OR: protein deficiency

53
Q

eyes pale, dry, poor vision

A

vit A, zinc, riboflavin deficiency

54
Q

Lips swollen, red, dry, cracked

A

riboflavin, pyridoxine, niacin def

55
Q

Gums sore, red, swollen, bleeding

A

Vit C def

56
Q

Teeth missing, loose, loss of enamel

A

Calcium def, poor intake

57
Q

Skin pale, dry, scaly

A

iron, folic acid, zinc def

58
Q

Nails brittle, thin, spoon-shaped

A

iron or protein def

59
Q

Auscultation

A

listening to bowel using stethoscope on RLG (ileocecal valve)
- NORM: gurgling high pitched every 5-15 sec
- HYPOACTIVE: sounds every 15-20 sec (could indicate paralytic ileus or peritonitis)
- HYPERACTIVE: continuous high pitched, diarrhea/intestinal obstructoin

60
Q

Food security:

A

Access by all people at all times, no food access problems or limitations

61
Q

Marginal food security:

A

some anxiety over food sufficiency or shortage in household, little or no indication of diet change or reduced food intake

62
Q

Low food security:

A

food quality, variety, diet desirability of household members reduced because household lacks money, little to no indication of reduced intake

63
Q

Very low food security:

A

food intake of household reduced and normal eating patterns are disrupted multiple times

Nutrition Care (4 decks)

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