N 326 Nutritional Assessment

N 326 Nutritional Assessment - Nutritional health can...

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Nutritional health can influence a person’s body response to illness and treatment. Is a critical part of your total assessment Helps you plan patient’s care more effectively Must consider cultural influences
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Nutritional Assessment Normal Nutrition : Sum of the processes by which an organism ingests, digests, absorbs, transports, uses and excretes nutrients. Must receive proper nutrients and have a working digestive system to make use of the nutrients Balance between nutrient intake and nutrient requirements
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Breakdown Nutrients are broken down into simpler compounds for absorption in the stomach and intestines. Now …or later Nutrients can be used for the body’s immediate needs, or stored up for later use. Protein power Body usually preserves protein to ensure normal growth and function and maintain body tissues. Protein is used as a source of energy only when supply of carbs and fats are inadequate. Carbs and fats are primary sources of energy for the body. Lipids Lipids and fats are needed for body function.
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Nutritional Assessment Purposes Identify individuals malnourished or risk of developing malnutrition Provide data to develop a nutrition plan of care to prevent/minimize malnutrition development Establish baseline data for evaluating effectiveness of nutritional care
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Nutritional Assessment Nutrition Screening Identify those at nutrition risk Weight loss, inadequate food intake, recent illness Perform comprehensive nutrition assessment for those at risk Screening Tools Admission Nutrition Screening Tool Nutrition Screening Initiative
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4 parts of a nutritional assessment Health history Clinical signs - body system assessment Laboratory tests Anthropometric measurements
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A patient may relate various nutrition-related complaints, such as weight gain, loss, changes in energy level, appetite, or taste, dysphagia, GI tract problems (nausea, vomiting or diarrhea). In obtaining info ask patient about: Previous med problems Surgical hx: recent surgery, trauma, burns Current meds Weight loss/gain Allergies Alcohol or tobacco use Eating patterns; food choices
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Ask about family hx Obesity, diabetes, metabolic disorders (↑ chol) The 24 hour recall Recount what and how much eaten in the past 24 hours
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