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Jean Inman Domain II- Topic A - Questions with Explanations of Answers
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Jean Inman Domain II- Topic A - Questions with Explanations of Answers
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Nutrition Care Process - ✅✅ -Standardized, consistent structure and frameworkused to provide nutrition care.
Different from standardized care (not all patients will get the SAME care in NCP)
Steps in NCP - ✅✅-ADIME; Assess, Diagnose, Intervene, Monitor, Evaluate
Critical Thinking - ✅✅-Integrates facts, informed opinions, active listening,
observations
Reasoning process- ideas are produced and evaluated.
Includes ability to conceptualize, think rationally, think recreationally, be inquiring,
think autonomously.
Nutrition Screening is used to identify - ✅✅ -preliminary nutritional assessment
technique to identify people who are malnourished or who are at risk of malnutrition.
ALL health care providers can participated (brief 5-10 minutes)
What do you review in nutrition screening? - ✅✅-hx, labs, wt, physical signs
Nutrition Screening- Specificity Vs Sensitivity - ✅✅-Specificity- ID patients w/out a
condition
Sensitivity- ID those who have the condition
Nutrition Screening without emerging nutrition problem - ✅✅-document that
discharge from nutrition care is appropriate
Joint Commission rules for Nutrition Screening - ✅✅ -Nutrition risk identified in
hospitalized patients within 24 hours hours of admission but does not mandate a
method of screening.
Screening Tools- SGA - ✅✅-Subjective Global Assessment:
hx, intake, GI symptoms, functional capacity, physical appearance, edema, wt
change.
Screening Tools- MNA - ✅✅-Mini Nutritional Assessment:
For those 65 years +
Independence, meds, # of full meals per day, protein intake, fruits/vegetables, fluid,
mode of eating.
,Screening Tools- NSI - ✅✅-Nutrition Screening Initiative
For the elderly
Screening Tools- GNRI - ✅✅-Geriatric Nutritional Risk Index
serum alb, wt changes
Screening Tools- MST - ✅✅-Malnutrition Screening Tool
Acute hospitalized adult population
Recent weight loss, recent poor po intake
Screening Tools- NRS - ✅✅-Nutrition Risk Screening Tool
Medical-surgical hospitalized
% wt loss, recent poor po intake
Screening Tools- MUST - ✅✅-Malnutrition Universal Screening Tool
BMI, unintentional wt loss, effect of acute disease on intake for more than 5 days.
Nutrition Assessment
initiated by ?
✅✅
an on-going, dynamic process with continual __ and analysis of pt __
Provides basis for ___ ____ - -Initiated by referral.screening for nutr risk factors
an on-going, dynamic process with continual reassessment and analysis of pt needs.
Provides basis for nutrition diagnosis.
Nutrition Assessment- What are indicators? - ✅✅
-clearly defined marker that can
be observed and measured; also used to monitor and evaluate progress towards
nutrition outcomes.
Nutrition indicators are compared to nutrition care criteria
Documentation for nutrition assessment - ✅✅ -date/time, pertinent data and
comparison with standards, pts perceptions, values and motivation related to
problem, changes in petients level of understanding, behaviors and outcomes,
reason for discharge
, 24 hour recall
food record
✅✅
diet hx
- do not ask? - -for clinical setting
-mental recall, quick tool
food diary, record everything eaten certain time
present patterns of eating
-leading questions
food frequency lists - ✅✅ -community setting
-quick way to determine intake on large numbers
how often item is consumed
Hamwi formula for desirable body weight - ✅✅-IBW
M/F:
100/106 first 5 inches + 5/6 every inch after
+/- 10% for small or large frame
Entire leg amputation -✅✅-16%
low leg with foot - ✅✅-6%
entire arm - ✅✅-5%
forearm with hand - ✅✅-2.3%
adjusted body weight - ✅✅-(100 -% amputation)/ 100 x IBW
Spinal cord injury - ✅✅-Quadriplegic- reduce by 10-15% table weight
Paraplegic- reduce by 5-10% of table weight
% weight change - ✅✅-usual weight - current weight /
usual weight x 100
What % weight loss is considered significant - ✅✅-10% in 6 months
Triceps Skinfold Thickness (TSF) - Measures?
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