Individuals and Groups Flashcards
(100 cards)
1
Q
Steps in the NCP
A
ADIME
2
Q
Who says nutrition screen must be in 48hrs?
A
Joint Commission
3
Q
What is not included in subjective global assessment?
A
labs, subjective so no objective data
4
Q
Assessment data includes
A
anthropometrics labs/medical nfpe client hx food hx
5
Q
diet history
A
patterns of eating
6
Q
food record
A
diary, tracking of everything eaten
7
Q
24-hour recall
A
mental recall, over- under- report is concern
8
Q
food frequency
A
how often time is consumed. used in community setting
9
Q
Formula for estimated desirable body weight
A
Hamwi
10
Q
Amputation percentages
A
whole leg - 16 lower leg and foot - 6 entire arm - 5 forearm and hand - 2.3
11
Q
Amputation calculation
A
Adjusted IBW = (100-% amputation)/100 x IBW for ht
12
Q
Spinal cord injury weight adjustments
A
quad - reduce by 10-15% of table weight para - reduce by 5-10%
13
Q
Arm muscle area AMA is useful in
A
measuring growing children; uses circumference and tricep skin fold
14
Q
BMI categories
A
under 18.5 underwt 25 overweight 30 obese
15
Q
Healthy BMI in elderly
A
24-29
16
Q
Waist circumference
A
M 40 W 35 independent risk factor for disease central adiposity
17
Q
Waist to hip ratio
A
risk factor for obesity diseases M 1.0 or greater is problem F 0.8
18
Q
BIA requirements
A
evals fat-free mass well hydrated, no etoh, caff, or diuretics in 24 hr
19
Q
4 parts of NFPE
A
inspection palpation auscultation percussion (not by RD)
20
Q
If hair is thin, sparse
A
low vitamin c
21
Q
If hair is easily pluckable
A
low protein
22
Q
Serum albumin:
A
3.5-5.0
low - edema, surgery
high - dehydration
23
Q
Albumin and protein status
A
not good indictor due to long half-life
24
Q
Transferrin measures
A
visceral protein, but not good measure of pro status
25
Transferrin rises with
Iron deficiency
26
TTHY transthyretin and protein status
shorter half-life, measures change pro quickly limited usefulness
27
Creatinine normal ranges
M 0.6-1.2 mg
F 0.5-1.1 mg
28
What does creatinine measure?
somatic protein
29
creatinine to height index
estimates lean body mass creatinine excreed/24hrs compared to ht
30
BUN normal
10-20 mg/dl, indicator of renal disease
31
BUN:Creatinine ratio normal
10-15:1
32
TLC total lymphocyte count normal and indication
\>2700 low in pro-energy malnut
33
CRP
indicates inflammation
34
Free erythrocyte protoporphyrin
lead poisoning. lead depletes iron and competes with calcium
35
Prothrombin time
11-12.5 seconds
36
megestrol acetate name and effect
Megase
appetite stimulant
37
Dextroamphetamine name and effect
Adderall
appetite suppressant, anorexia
38
Orlistat effect
reduce fat absorption by binding lipase
need v/m supplement
39
Marinol
appetite stimulant
40
Methylphenidate name and effect
ritalin
wt loss, anorexia, nausea
41
Statins warning
avoid grapefruit juice
42
Loop and thiazied diurectics
Deplete potassium, in creas potassium intake
43
Lithium warning
need consisten Na and caff to prevent lithium holding - toxicity
44
Anticoagulant name and warning
Warfarin
Keep Vitamin K steady
45
Propofol notice
1.1 kcal/cc because in oil
46
cyclosporin purpose and warning
immunosuppressant
hyper everything- glucose, tension, lipids, kalemia
47
Levodopa purpose and warning
Parkinson's
protein and B6 decrease effectivness
take in morning with low pro
48
Tyramine
do not take with MAOI
avoid aged cheese, sauerkraut, lunch meat
49
Curcumin name and effect
50
Educational readiness assessment looks at
51
HRA Health Risk Appraisal
52
Infant mortality
53
PPFP
54
Nutrition survey
cross-sectional, id problem, prevalence of disease
55
Nutrition surveillance
ongoing data collection
detect changes in trends
56
Common surveillance measures
ht, wt, hematocrit, hemoglobin, cholesterol
57
NSI name and purpose
Nutrition Screening initiative
improve elderly nutrition
58
NSI examples
DETERMINE
LEVEL 1
LEVEL 2 (more info on nut status)
59
PNSS: name, agency, purpose
Pregnancy Nut Surveillance System
HHS
low income, high risk pregnant
id and reduce health risk
60
WWEIA: name, agency, purpose
What We Eat in America
diet part of NHANES
61
NHANES oversamples
over 65, African Americas, Hispanics
62
BRFSS: name, agency, purpose
Bhx Risk Factor Surveillance System
HHS
adulst 18+, smoke, etoh, food
63
YRBSS: name, agency, purpose
Youth Risk Bhx Surveillance System
HHS
grades 9-12
64
What do BRFSS and YRBFSS help?
monitor change in risk behaviors and target helath promotion efforts for most at risk groups
65
Which two programs are part of USDA Commodity Food donation/distribution programs?
CSFP, TEFAP
66
CSFP: name, agency, purpose
Commodity Supplemental Food Program
USDA
monthly commodity canned/packaged
low income, 60+
67
TEFAP: name, agency, purpose
The Emergency Food Assistance PRogram
USDA
commondity, short term hunger relief for low income
68
NSLP: name, agency, purpose
National School Lunch Program
USDA, entitlement
children, low income, uses surplus foods
69
What nutrient requirements for NSLP at lunch?
1/3 avg of weekly requirement for pro, A, C, iron, Ca
70
SMP: name, agency, purpose
Special Milk Program
USDA
children in schools who do not participate in other federal meal programs
71
SFSP: name, agency, purpose
Summer Food SErvice Program
USDA, entitlement
food in summers for low income, \<18
72
CACFP: name, agency, purpose
Child and Adult Care Food Program
USDA
public and nonprofit
commodity foods, education
73
FFVP: name, agency, purpose
Fresh Fruit and Vegatble Program
USDA
intro produce to kids to prevent chronic disease and obesity
74
WIC: name, agency, purpose
Women, INfant Children
USDA, not entitlement
low income, nut risk
75
WIC priorities
priority: pregnant, breastfeeding, babies under 1
76
EFNEP: name, agency, purpose
Expanded Food and Nutrition Edu Prgram
USDA
grants to univesities, edu to low income homemakers
no food!
77
NSIP: name, agency, purpose
Older Americans Nutrition Act Nutrition
78
NSIP provides what types of meals?
Nutrition services incentives program
60+, regardless of income
congregate: ambulatory elderly
Meals on Wheels: homebound elderly
79
SNAP: name, agency, purpose
Supplmental Nutrition Assistance Program
USDA, entitlement
low income, nut risk not considered
80
IBT: name, agency, purpose
Intensive Behavioral therapy
Medicare B
physician required, continuation based on wt at month 7
81
Medicaid: agency, purpose
HHS
all ages, blind, disabled, dependent children
82
Medicare requirements
65+, any age with ESRD
83
Headstart: agency, purpose
HHS
child participation in food edu
low income, ages 3-5
84
NETP: name, agency, purpose
Nutrition Edu and Training Program
USDA
edu to teachers and foodservice staff
85
SFMNP: name, agency, purpose
Seniors Farmer's Market Nutrition Program
USDA
grants to state for low income 60+
coupons, edu
86
Nutrition diagnosis
nutrition problem Rd is responsible for treating independently
87
Medical diagnosis
disease that does not change as long as condition lasts
88
Diagnosis domains (3)
Clinical, Intake, Bhx/Environmental
89
PES
problem related to etiology as evidenced by s/s
90
Altered GI Funtion NC-1.4
problem inside GI tract
digestion, absorption, elimination
91
Impaired Nutrient Utilization NC-2.1
metabolism problem after nutrient in circulatory system
92
Choosing intervention priorities
Resolve etiology
Or reduce s/s
93
If no nutrition problem now that needs intervention
"No nutrition diagnosis at this time"
94
Primary Prevention
health promotion
reduce exposure to disease promotor
95
Secondary prevention
risk reduction
program for those with elevated risk factors
96
FTC: name and purpose
federal trade commission
truth in advertising
no bogus weight claims
tv, radio, internet
97
Tertiary prevention
rehabilitation efforst
reduce severity of symptons, manage complications
98
When diet orders are incorrect?
Contact who wrote the order
99
Largest domestic hunger-relief org
Feeding America
100
Who cannot participate in CSFP?
Those in WIC at same time
