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RNSG 1430 Exam 3 2020 San Antonio College
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Nutritional status has a significant impact on both health and disease. For w patients, good nutritional status can help to maintain health, promote norm growth and development, and protect against disease. During illness, good nutritional status can reduce the risk for complications and speed r...

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  • March 16, 2022
  • 45
  • 2021/2022
  • Exam (elaborations)
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RNSG 1430 Exam 3 2020 – San Antonio College

e & Integrated Process & Concept

Exemplar

y when nutrition imbalance (negative Nutritional status has a significant impact on both health and disease. F

nce) is developing patients, good nutritional status can help to maintain health, promote no

nstrate basic nursing measures to growth and development, and protect against disease. During illness, go

necessary optimal nutritional balance, nutritional status can reduce the risk for complications and speed recove

t on patient needs related to health Conversely, poor nutritional status can increase the risk for illness or de

ess or disorder; alterations of

ical-psychological function. Like other aspects of nursing care, nutritional assessment is a systematic

te-Teach overweight and obese used to identify the patient’s actual or potential needs, formulate a plan

he importance of lifestyle changes to those needs, initiate the plan or assign others to implement it, and evalu

health. effectiveness of the plan. The level of assessment may range from simple

to a comprehensive, in-depth assessment, depending on individual circu

Process: Planning Regardless of the level of assessment, nutritional assessment is appropri

patients. Nurses can collect assessment data through history taking (diet

ional assessment medical, socioeconomic data), physical assessments (anthropometric an

data), and laboratory data. When performing a nutritional assessment, n

ION to be aware of the specific changes in older people that may reflect on th

of the assessment process (T 1214)

, rinciples of Nutrition 1195-1208 Nutritional screening is an important part of the nursing assessment. Sc

actors Affecting Nutrition 1209- looks for cues associated with nutrition problems to determine if a perso

malnourished or at risk for malnutrition. The Mini Nutritional Assessme

(MNA) is an example of a screening tool used to detect older adults at ris

: malnutrition before changes in albumin level and the BMI. The MNA is

ge related changes 186-9 combination of screening questions followed by anthropometric measur

tritional Assessment 69-74 including BMI, midarm and calf circumference, and weight loss. The MN

anscultural Nursing, Diet 100 and easy, and recommended for use with all older adult patients, whethe

Management of Patients with community dwelling, hospitalized, or in long-term care settings

ignant Hematologic Disorders, After a screening tool identifies a patient at risk, such as in a group of old

900-6 is imperative to complete a nutritional assessment as a follow-up. These

Maintaining Feeding Equipment & usually referred to a dietitian for a comprehensive nutritional assessmen

nal Balance 1229-34 is combined with other methods of assessing nutritional status, the nurs

ysphagia 1984-85 prepared to coordinate a focused strategy to combat malnutrition.(T1214



Nursing process: assessment

verweight and Obesity 231-4 3 basic components:

ndernutrition and Eating Nutritional history- incudes:

rs 234- 7 Age, sex, activity level

damentals for Nursing Ch. 39 Difficulty eating – chewing, swallowing, mouth, teeth, dentures

,Changes in appetite and weight

Physical disabilities that affect purchasing, preparing and eating food

Cultural/religious beliefs that affect food choices Living

arrangements/socioeconomic issues

Medical condition, medication history



Physical exam

Diagnostic and lab data

Nursing Management: assessment

Nutritional Assessment and Screening:

Purpose

Performed to identify patients at risk for malnutrition or with poor nutri

Carry out nutritional screens through routine nursing histories and phys

Patients found to be at moderate or high risk are followed with a compre

assessment by a dietician

Nursing homes residents whose percent of meals eaten falls below 75% r

nutritional assessment by a nurse

DETERMINE can be used to screen for warning signs of poor nutritiona

Disease: any disease, illness or chronic condition that causes a change in

Eating poorly: eating too little or too much

, Tooth loss/mouth pain: missing, loose, or rotten teeth or dentures that d

Economic hardship: having less or choosing to spend less on food

Reduced social contact: being with people has a positive effect on eating

Multiple Medicines: polypharmacy Involuntary Weight Loss/Gain

Needs Assistance in Self-Care

Elder Years Above Age 80



Nursing history

Physical examination

Calculating percentage of weight loss

Dietary history

Anthropometric measurements:

Measuring triceps skinfold: measures body composition

Measuring mid-arm circumference

Measuring skinfold

Laboratory data

Serum protein

Prealbumin

“gold standard” in assessing possible protein malnutrition responses t

changes

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