nutrition Flashcards
nurses role in pt. nutrients
- assessing the nutritional needs of the client
- monitor and intervene with clients requiring acute and chronic nutritional care
- incorporate the families nutritional habits
- teaching community groups regarding nutrition
- collaborative approach
what is deceiving about physical appearance
a client who has a healthy weight can be malnourished
a diet hisotry is an assessment of
- foods
- fluids
- supplements
what’s included in the client diet history
time
type
amount of food eaten for:
- breakfast
- lunch
- dinner
- snacks
time, type, and amount of fluids consumed throughout the day
diet manifestations
- hair that is dry or brittle, skin that has dry patches
- poor wound healing or sores
- lack of subcutaneous fat or muscle wasting
- irregular cardiovascular measurements
- enlarged spleen or liver
- general weakness or impaired coordination
calculating weight
- same time of day wearing similar clothing to ensure accurate weight
- daily fluctuations generally are indicative of water weight changes
- percentage weight change calculation
weight with sickness
- illness, weight loss is monitored to prevent or detect malnutrition
- starvation or chronic diseases, weight loss indicating severe malnutrition
- acute disease or injury, weight loss indicting severe
what is BMI
measurements compare the weight to height to estimate the effect of the individual’s body weight
factors to consider when calculating BMI
large muscle mass compared to height can have an increased BMI
healthy BMI
18.5- 24.9
underweight bmi
less than 18.5
overweight bmi
25-29.9
obesity bmi
greater than or = to 30
BMI calculation
weight divided by height
fluid intake
adults: 2,000 to 3,000 ml per day
total average output: 1,750 to 3,000 ml a day
how are protein levels measured?
albumin levels
how many adults have obesity
36.5% have obesity and an estimated 68.5% have obesity or are overweight
what is obesity
a chronic condition caused by calories intake in excess of energy expenditure
what factors can obesity be affected by
culture metabolism environment socioeconomics behaviors
what might obestiy be linked to
protective measurements within the body to prevent weight loss during calorie restrictions, which cause it to secrete hormones that stimulate the appetite to maintain a specific weight
as wight increases the body
accepts a higher weight as the expected weight and seeks to maintain it
obesity risk factors
- genetic predispositions
- hormones
- behavioral factors
obesity expected findings
- depression, low self-esteem
- avoidance of health-related appointments
- no desire to exercise
- measurements of difference between peripheral lower body obesity and central obesity
- coronary artery disease
- excess fat at the waist
men: .95 or greater
women: .8 or greater
nursing care for obesity
- maintain low-fowlers position: maximize chest expansion
- monitor respiratory status and pulse oximetry continuously
- supplement oxygen as needed
- monitor blood pressure
- monitor frequency for medication adverse effects
- use bariatric equipment