WEEK 5: Nutrition and Urinary Elimination Flashcards
How does malnutrition develop?
Develops because of decreased intake of nutrients, increased nutrient requirements and complications due to the disease process
What are some principles of practice for nutrition health?
- Screening are time sensitive
- Document weight and appetite loss
- Assist in eating as needed
- Follow dietary guidelines
Which type of patients experience more complications in terms of nutrition?
Obese pt’s
How long after admission is nutritional support recommended?
48 hours
Who gets screened for nutritional risk?
All hospitalized patients
In terms of geriatric protocols what precautions can we take/
- Limit staff break before and after eating
- Assist with mouth care and dentures prior to meal
- Small, frequent meals
Define aspiration
Entry of oropharyngeal secretions or gastric contents into the larynx and respiratory tract
What factors best predict the risk of aspiration?
Impaired or decreased gag reflex or dysphagia which is difficulty swallowing
What is dysphagia evaluation?
To ensure that the pr will be able to safely swallow oral fluids and foods
What is the single most important measure to prevent aspiration?
Please the pt on NPO until a dysphasia evaluation by an SLP is performed then a safe diet can resume
What other precautions can be taken to manage dysphagia?
Dietary modification by altering the consistency of foods and liquids
What is the average output range for a patient in terms or urine elimination?
Averages 1-2L in 24 hours approx. 0.5 to 1.0mL
What case would you infer that output needs further investigation/
If the output is less than 30 mL/hr for 2 consecutive hours then further assessment is required
When are urinals used?
Only when access to a toilet is restricted