Week 5 Nutrition Flashcards
What is involved in the process of nutrition?
Oral intake
Digestion
Absorption
Elimination
Cellular metabolism
How does chronic illness affect nutrition?
A change in any of the 5 aspects of nutrition
what is the physical impact of altered nutrition
Weight loss
Altered appearance
Decreased energy
What is the emotional impact of altered nutrition?
Changed meaning of food
Loss r/t inability to eat
Awareness of needing to eat
Preoccupation with food
What is the social impact of altered nutrition?
Changed interactions
Isolation at mealtimes
Family guilt
Additional time required
What is the spiritual impact of altered nutrition?
Loss of hope
Reminder of illness/mortality
What’s the first step to helping someone with altered nutrition?
Ask WHY it is being altered
- illness patho
- address all of the parts of nutrition
-revisit the goals of care
-
What’s the second step to helping someone with altered nutrition?
Figure out what CAN be done
- revisit goals of care
- consider prognosis
- think of the intent behind the intervention and does it line up with their goals?
- risk vs. benefit
**know special considerations for end of life for testing **
see slides and make notes
what is Anorexia Cachexia?
Anorexia: reduced appetite
Cachexia: Complex metabolic syndrome characterized by loss of muscle with or without fat loss (often observed by weight loss)
what is Cachexia specifically?
-inflammation
- Insulin resistance (not necessarily DM II)
- fatigue
-anorexia
why do people who have cachexia not want to eat?
- because food doesn’t help (doesn’t help gain weight)
- fatigue
What’s the most important way we can support someone with metabolic syndrome?
Psychosocial support
What are toxic/metabolic stimuli to the emetic centre?
Drugs
Organ failure- build up of metabolites
Electrolyte imbalance-
Poisoning
What are CNS stimuli to the emetic centre?
Increased intracranial pressure
Pain
Anxiety/emotions
Vestibular
