Assessing nutrition status and nutritional intake Flashcards
(55 cards)
Comprehensive health care is best provided by
a team of health professionals and support staff
actions to promote healing and health
A personalized health care plan, evaluation, and follow-up care guide
Valid health care is centered on
the patient and his/her individual needs
Nutrition support is
- Vital to successful treatment of disease
- Often is the primary therapy
Registered dietitian provides
comprehensive nutrition care
Nurses also ________ nutrition needs
identify
The Therapeutic Process consist of
- Health care setting
- Person-centered care
- Health care team
Health care team consist of
Physician and support staff
Role of the nurse and clinical dietitian
- Dietitian develops, manages, evaluates nutrition therapy
- Nurse develops, supports, carries out plan of care
Nursing role
- Coordinator and advocate: nurse works as advocate for patient nutrition
- Interpreter: explanations help reduce anxiety
- Teacher and counselor: reinforces dietitian’s work with patient
Of all health care providers, nurses are the ones who spend the most time in direct contact with patients/families
The Care Process and Drug Interactions
- A personalized health care plan, evaluation, and follow-up care guide actions to promote healing and health.
- Drug-nutrient interactions can create significant medical complications
- Who, do you think, is the member of the health care team best placed to flag these issues, as well as provide education to the patients/families?
Nurses and dietitians provide
essential support and personalized care
A real partnership with patients and caretakers is essential to valid care.
.
Nutrition care must be person centered and constantly updated with the patient’s status.
Where is nutrition care provided
.
Despite all the methods, tools and technologies; therapeutic use of self is the most healing tool a person will ever use. The human encounter is where health care workers bring themselves and their skills.
.
What is the Nutrition Care Process
A systematic problem-solving method that dieticians use to critically think and make decisions to address nutrition-related problems and provide safe and effective quality nutrition care.
Phases of nutrition Care Process
ystematic problem-solving method with four steps
- Nutrition assessment
- Nutrition diagnosis
- Nutrition intervention
- Nutrition monitoring and evaluation
Nutrition Assessment
- Family and medical history questionnaires
- Current status and goals
- Patient and family are primary sources
- evaluation needs to be ongoing *
Food and Nutrition-Related History
- RD is responsible for evaluating patient’s diet
- Guides for gathering a nutrition history
- It is common for hospitalized patients to have eaten less in days prior to hospitalization. It is therefore important to ask questions about usual intakes, etc
- Underreporting energy intake is common
- Physical activity logs
- Energy output/physical activity also tends to be over reported in a portion of the population
Nutrition Assessment ?
Collection of data such as: patient’s nutritional status; food and alcohol habits; prescribed and over the counter medications taken on a regular basis as well as street drugs; living situation; the patient’s needs, desires and goals.
Nutrition assessment: the ABCD approach.
Includes: A for anthropometry B for biochemical tests C for clinical observation D for dietary evaluation
Anthropometric Measurements include ?
Age Gender Weight and height used to calculate body mass index (BMI) Weight Height Body frame Body composition
Weight measurements?
- Weigh patients at consistent times (in am)
- Weigh patients without shoes in light indoor clothing.
- Ask about recent weight loss or gain (refer if recent weight loss is >5% within the last month)
Height measurements?
- Use fixed measuring stick on wall or moveable measuring rod on platform clinic scale.
- Have patient stand as straight as possible with no shoes or cap.
- Other methods of getting height for immobilized patients/young children/people with amputations
Body frame measurement?
height in cm /wrist circumference
will provide estimate body frame size
For an accurate measurement of wrist circumference, the patient’s arm should be flexed at the elbow with palm facing up and hand relaxed. Measure at the joint distal to the styloid process (bony wrist protrusion)