Nutrition & Enteral Nutrition Flashcards
3 Main Functions of Gastrointestinal System
Transportation, Digestion, & Absorption
Importance of Good Nutrition
Help you reach & maintain a healthy weight
Reduce risk of chronic diseases
Such as heart disease (HTN), diabetes & cancer
Promotes overall health
Importance of Nutrition
Early recognition of someone who is malnourished is KEY!
Patients who are malnourished upon admission are a greater risk of complications
- Dysrhythmias
- Skin breakdown
- Sepsis
- Hemorrhage
- Increase length of stay
- Delayed surgical healing
Follow a healthy eating pattern across the lifespan.
Focus on variety, nutrient density, & amount.
Limit calories from added sugars & saturated fats & reduce sodium intake.
Shift to healthier food & beverage choices
Shift to healthier food & beverage choices
Support healthy eating patterns for all
Support healthy eating patterns for all
Factors Influencing Nutrition
Nursing Considerations: Older Adults
Cultural Considerations
Apply the nursing process & use critical thinking to provide an individualized plan of care
Assessment of Nutritional Status
Assessment: Screening
Assessment: Anthropometry
Assessment: Laboratory & Biochemical Tests
Nutrition Labs: Protein, Albumin, & Prealbumin
Nutrition Labs: Hemoglobin
Assessment: Nutrition History
Assessment: Physical Examination Healthy Nutrition versus Malnutrition
Assessment: Physical ExaminationHealthy Nutrition vs Malnutrition
Nutrition Nursing Problems
Planning
Nursing Implementation
Implementation: Health Promotion
Implementation: Diet Selection
Types of Diets
Regular
Liquid Diets & Special Considerations
Modified Texture diets
Therapeutic Diets Modified for Nutrients
Supplements
Regular Diet
Modified Texture Diets
Mechanical Soft
Pureed
Minced
Ground
Chopped
Clear and Full Liquid Diet
Liquid Diet: Special Considerations
Therapeutic Diet Orders
Types of Diets: NPO
Advancing Diet
Common Nutritional Issues
Anorexia
Nursing Care to Increase Appetite
Assisting Patients with Oral Feedings
Dysphagia
Complications:
-Aspiration pneumonia
-Dehydration
-Malnutrition s/t decreased intake
-Weight loss
If dysphagia is suspected:
-Make referrals to Speech Language Pathologist (SLP) & Registered Dietician (RD)
-Perform swallow evaluations
Nursing Care of Patient with Dysphagia
Dysphagia Diet
Intervention: Strict I&O
Who needs Strict I & O
Critical care patients
Unstable patients
Post-Operative patients
Pt.’s who have catheters, lines, drains, tubes
Patient’s with history of/ or current
- Heart failure, liver failure, renal failure
Malnourished or patients who are NPO
Receiving medications such as diuretics
Changes in weight
What counts as Intake and Output?
Nurse’s Role: I &O
Enteral Nutrition & Parenteral Nutrition
Enteral Nutrition
Indications & Benefits of Enteral Nutrition
Four Types of Formulas
Administration Rate of Tube Feeding
Administration of Tube Feeding:
Bolus (Intermittent) versus
Pump(Continuous)
Complications of Tube Feeding
Feeding Tubes: Placement
Feeding Tubes: Confirmation of Placement
Naso-tubes versus Surgically or Endoscopically Placed Tubes
Nursing Care: Feeding Tubes
Nursing Care: Check Gastric Residual
Nursing Care: Feeding Tubes- Administration of Medications