What are the 4 parts to a Nutrition Care Process? | 1) Nutrition Assessment
2) Nutrition Diagnosis
3) Intervention
4) Monitor/evaluation |
What is a nutritional diagnosis not? | a MEDICAL diagnosis |
What does an intervention look like? | Purposeful; set goals and expectations; client driven |
During a nutrition assessment, what information are you gathering? (12) | Nutrient intake
medication
body composition
nutrition knowledge
physical activity
physical findings
readiness for change
attitude and behaviors
food access
anthropometric data
lab values
medical/social history |
Components of medical Assessment (5) | Anthropomentrics
Biochemical data
Clinical Examination
Diet History/intake
History (social/medical)
ABCDH |
What is measured in athropometrics? (4) | Height
weight/weight changes
Body circumferences
Body compositions |
Biochemical results are altered by (4) | 1) lack of nurtientes
2) medications
3) metabolic changes
4) hydration status |
Anthropometrics are inexpensive, _______, easy to obtain and should be _________ | non-invasive
repeated periodically |
Nutritional screening pros (3) | simple
easy
cost-effective |
Parts of nutritional screening (8) | diagnosis
weight/weight change
lab values
intake
dysphagia
NVDC
food intolerance/likes/dislikes
diet restricitons |
Adolescence screening specifically asks (3) | SMR (sexual maturation rating)
Meal/snacking patterns + alcohol
competitive sports/PA |
nutritional screening specifically for pediatric screening (2) | alterations to growth patterns
feeding |
________ receives a nutrition screen but only those patients that score at ________receive a nutritional assessment. | every patient
high risk |
What does HIPAA stand for? | Health Insurance Portability and Accountability Act |
3 nutrients adults don't get enough of | fiber
calcium
vitamin D |
What is the only good thing food exchanges are good for? | Nutrient estimation |
Calorie counting is best used for: | hospital/long term care |
diet history pros: | quick |
diet history cons (2) | Client accuracy
specifics undetermined |
Definition of Diet history | usual intake and pattern over extended period of time
*Usually done first |
Food frequency pros: (3) | self administered
fills in gaps
good for research |
Food frequency cons (3) | doesn't include amounts
limited foods
client willingness |
Food record pros (4) | nutrient amount,
not memory dependent
eating patterns
why eating |
Food record con (4) | client cooperation
client must be literate/accurate
may alter diet
takes time |
What is the HITECH act? | required electronic health records (2009) |
HIT con | literacy with technology required |
Dietary assessment tool pros: | large data base
instantaneous
research |
dietary analysis software vs free analysis app | software is $$$
app is slow and limited |
Dietary guidelines are updated every _____ years and are made by ______ and _______ | 5
USDA
HHS |
Sodium intake should be less than ______ | 2300mg |