nutrition- chapter 17 Flashcards
1
Q
registered dietitian nutritionist (RDN)
A
- a.k.a. registered dietitian (RD)
- provide medical nutrition therapy
2
Q
support staff
A
nurse, dietitian, physical therapist, occupational therapist, speech therapist, respiratory therapist, radiologist, physician assistant, kinesiotherapist, pharmacist, and social worker
3
Q
roles of the nurse and dietitian
A
dietitian:
- determines needs
- plans and manages therapy
- evaluates plan of care
- documents results of nutrition therapy
nurse:
- develops, supports, and carries out plan of care
4
Q
nursing role
A
- coordinator and advocate; advocate for patient nutrition
- interpreter: explanations help reduce patient anxiety
- teacher and counselor: reinforces dietitian’s care plan with patient
5
Q
Nutrition Care Process for RDNs
A
- nutrition assessment
- diagnosis
- intervention
- monitoring and evaluation
6
Q
nutrition assessment
A
- family and medical history questionnaires
- current status and goals
- patient and family are primary sources of information
- other sources: medical chart, communication with staff, and related research
7
Q
food and nutrition related history
A
- RDN evaluates patient’s diet
- guides for gathering nutrition history
- underreporting energy intake is common
- physical activity logs
- doubly labeled water method
8
Q
anthropometric measurements
A
- height: fixed measuring stick against wall is preferred
- weight and BMI: weight should be measured at consistent times in similar clothing
- body composition: skin fold thickness using calipers, hydrostatic weighing, bioelectrical impedance analysis, dual-energy x-ray absorptiometry, BOD POD
- waist circumference: at stored in abdominal region raises risks for chronic disease
- MAC: mid-arm circumference in cm. used frequently in home health
9
Q
biochemical data, medical tests, and procedures
A
- plasma proteins
- liver enzymes
- blood urea nitrogen, serum electrolytes
- urinary urea nitrogen excretion
- creatinine height index
- complete blood count
- fasting glucose
- total lymphocyte count
10
Q
data cont.
A
- skeletal system integrity: several tests for bone integrity, osteopenia, or osteoporosis
- GI function
- resting metabolic rate: to determine total energy needs
11
Q
client history
A
- guided questioning
- dietary supplements
- socioeconomic status, religion, culture, etc
- psychologic and emotional problems
- evaluate data collected
12
Q
nutrition diagnosis
A
- problem: data is analyzed and diagnostic category assigned
- etiology: cause or contributing risk factors identified
- signs and symptoms: changes in patient’s health status that indicate nutrition problem
13
Q
nutrition intervention
A
- follows assessment and diagnosis
- written care plan addresses personal and medical needs
14
Q
food/nutrient delivery
A
- personalized: personal needs, disease, nutrition therapy, and food plan
- mode of feeding: total energy of diet, nutrients or texture may be modified
15
Q
enteral feedings
A
- patient’s GI tract is functioning, but they cannot or will not orally consume food
- done by specialized tube
