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Clinical Nutrition Quiz
In the clinical setting nutritional assessments focus on
Quizlet on nutrition ageing
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Geriatric Nutrition Assessment
Nutrition status is always an important element that we have to look for when we assess older adults. It has a big impact on the recovery as well as the maintaining of a healthy lifestyle. It can help determine if the recovery progress run faster or will be delayed base on patients’ nutrition status. There are different aspects that we need to look at when we are talking about nutrition status of one patient. For example, we need to look at the patient’s history, clinical data, anthropometric data, and lab data that relevant to his or her nutrition status. In this paper, I will talk about Mrs. Mary Doe, whose I had a chance to take care of during my clinical hours. She is a sixty-six years old alien lady. She was admitted on May 1st, 1617.
First of all, her history which is including medical diagnosis, medication, and food intake can gives us a brief understanding of her nutrition status. She came to the hospital because of a Cardio Vascular Accident. Besides, she had history of Diabetes Mellitus type 2, hypertension, kidney disease, and another CVA in 1616. CVA can cause a significant change in her ability to maintain a healthy nutrition status. According to the physical assessment, she has a weakness in her lower extremity and the right side of her face. Both of those condition cause en affect on her ability to assume the recommended nutrition for a regular 56-year-old woman. She stated that she has a difficult eating problem after the CVA happened. She also felt depress and lost her appetite. Besides that, because of her other existing conditions such as DM, hypertension, and kidney disease, she also has to maintain a strictly low sodium and fat diet while she was in hospital. This strict diet...
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...as not met her ingestive need and she is in the state of malnutrition. My nursing diagnosis for her is imbalance nutrition - less than body requirement related to her limited mobility, and ability to ingest nutrition as evidences by only 50% of her meal was consumed, losing weights, and decreased in serum albumin level(3g/dL). Her goal is:” Patient will be able to consumed at least 80% of her lunch in my shift.” My intervention for her is that I talk to her in Vietnamese about the important of the low sodium diet that would make her prevent future health problem. I also encourage her to eat more to help speed up her healing progress, and make sure she understand that she can go home earlier if she eats more. And my last intervention is I assist her while she eating, and make sure her food is small enough for her since she has the right side weakness of her face.
The purpose of this essay is to explore nursing care priorities for a patient with a common health condition. A common health condition is a disease or condition which occurs most often within a population. The author has chosen scenario 3 for this essay and will describe the nursing assessment and care planning provided to a patient with Chronic Obstructive Pulmonary Disease (COPD). The WHO definition of COPD is a lung disease which has a chronic obstruction of the airways that impedes normal breathing and is not fully reversible (). According to), there are estimated to be over 3 million people in the UK with COPD. It is common in later life and there are approximately 25,000 deaths each year, with 15% of COPD being work related (The identity of the patient will remain anonymous in adherence with the Nursing and Midwifery Council, Code of Conduct on patient confidentiality (). However, the patient will be referred to as Mr B in this essay. The author has chosen the priority of eating and drinking for Mr B. Patients with COPD are at increased risk of malnutrition and nurses must make certain they screen patients and offer advice or refer as necessary (). If this priority is managed well it will have a positive effect on the other priorities (, 2012). In accordance with NICE Guideline 101 (), the treatment and care provided should consider each persons’ individual requirements and preference. Care and treatment should take into account people’s individual needs and choices. To allow people to reach informed decisions there must be good communication, supported by evidence-based practice (). This essay will provide an evidence based discussion on how care will be implemented in relation to Mr B and his eating and drin...
family of difficult task journey. On that event, her health is getting weaker every day on
...is family has a history of lifestyle diseases like hypertension, hence, he should be careful on his diet and lifestyle. Though the family claims to walk frequently, engaging a regular exercise program is advisable (Stahl, 2010). Moreover, Linda admits to dislike fruits and vegetables which should be considered while teaching on healthy diet. A healthier diet plan will help to prevent a high blood pressure.
diets. When the last one-third of the period in the hospital was analyzed it was found
As mentioned previously we can do without food for weeks but without oxygen, we will die within a few minutes this is why nutrient imbalance is given second priotiy.Our bodies need a balanced nutritious diet to produce, substitute and repair cells and tissues; produce energy to stay warm and movement; carry out chemical processes such as the digestion of food and protect against infection and recover from sickness. (Fao, n.d.)Without balanced nutrition we won’t have the necessary energy to perform our ADLs. If we look at Mr Cooper he has a background of reflux and hypercholesterolemia. Mr Cooper has a high risk of nutrition imbalance due to inadequate nutrients due to constant vomiting up of foods, indigestion, and feeling of fullness in the upper abdomen all of which leads to loss of appetite thus loss of essential nutrients. (Nanda nursing care plan, 2012) Hypoxia also has an anorexic effect and is a key catabolic stimulus. (Mason, Parker and Lott,
For instance, there have been several nutritional interventions implemented in health care facilities. Specifically, screening can be effective in health care facilities to aid in identifying poor nutrition among the elderly, which is often undetected. Additionally, screening tools has been used to establish appropriate nutritional meals. One study by researchers Babineau, Jolyne, Villalon, Laporte, Manon, & Payette (2008) showed that the introduction of screening in a general hospital raised awareness of nutrition-related care. In this intervention dietitians conducts a full nutritional assessment and implemented a nutritional care plan for patients aged 65 or older (Babineau et al., 2008). The nutrition care program included nutritional screening, timely intervention, and close dietitian
In addition, one of them was 10 year old girl, who was just diagnosed with type 1 diabetes. Patient was a young girl, from different culture and religion, and parents had language barrier; however, while taking care of the child, I could see that family had really good interaction with each other. Parents were at bedside all the time, and they were very supportive and attentive. Patient and family did well with diabetic care. The mother was participated in cares and eager to learn. Moreover, to provide highest quality of care, nurses did a lot of great job. They provided information about the child’s chronic illness and taught about insulin administration. Consequently, from caring that patient I understood that most important nursing interventions are to assess patient's ability to copy with new life and role change, patient’s reaction to chronic illness, support system, cultural issues, and available
Ridley, E. J., Dietet, B. N., & Davies, A. R. (2011). Practicalities of nutrition support in the intensive care unit: the usefulness of gastric residual volume and prokinetic agents with enteral nutrition. Nutrition, 27(5), 509-512. doi:10.1016/j.nut.2010.10.010
Dietitian meeting the needs if the patients’ needs as ordered from a nutritional point of view.
Proper nutrition is important in maintaining a long and healthy life. Most Americans are rushed due to their busy work schedules, and do not take the time to plan their diets properly. Like me, most Americans are unaware of the importance of eating a healthy diet and consume too many foods without the proper nutrients. Throughout my life I have been fortunate. I have not had any major health problems, and have been able to consume most foods without having to worry about gaining weight. These last two years, however, I started to gain weight and have become concerned with my diet. Changing my poor eating habits has been difficult for me, however, having this assignment has taught me that it is not as difficult as I previously imagined.
was well organized, efficient and effective. She was compliant with 83% of the new plan regimen by the end of the four weeks project. She was also in compliant of her weekly weight regimen and documentations throughout the course of the project. Even though C.M skipped imputing some caloric intake and meal times in her journal, at the end, she was able to achieve 90 % compliance of healthy eating through label reading food planning and the use of the national dietary guidelines. She was also able to reduce her intake of fast foods noted by a marked reduction in weight of 7 lbs. at the end of the third week. While C.M made a lot of progress in most of the itemized plan of care, she was non-compliant in the area of meeting with a nutritional counsellor. She attributed this to lack of time and financial
This piece of work will be based on the pre-assessment process that patients go through on arrival to an endoscopy unit in which I was placed during my second year studying Adult Diploma Nursing. I will explore one patient’s holistic needs, identifying the priorities of care that the patient requires; I will then highlight a particular priority and give a rationale behind this. During an admission I completed under the supervision of my mentor, I was pre-assessing a 37 year old lady who had arrived at the unit for an upper gastrointestinal endoscopy. During the pre-assessment it was important that a holistic assessment is performed as every patient is an individual with unique care needs as the patient outlined in this piece of work has learning disabilities it was imperative to identify any barriers to communication (Nursing standards 2006). There were a number of nursing priorities identified, the patient also has hypertension.
D. standing near her room, breathing sharply. While asked what has just happened, she answered, ‘I feel dizzy and can faint!’ Mrs. D. then explained that she rose up from her chair in the television room and felt lightheaded. I decided to bring her to the room hoping she would feel less dizziness if she could sit. After consultation with my mentor and third year unit nursing student, I decided to perform measurement of her vital signs. Since only electronic sphygmomanometer was available for me that time, I had to use it for my procedure. Gladly, I discovered that I have already used such equipment in my previous nursing practice. Using the standard sized calf, I found that her blood pressure was 135/85, respirations were 16, and her pulse was 96 beats per minute (bpm). However, I decided to recheck the pulse manually, founding that it was irregular (78 bpm). The patient stated that she felt better after rest. Immediately after the incident I made a decision to explore carefully the medical chart of Mrs. D., along with her nursing care plan. That helped me to discover multiple medical diagnoses influencing her
Rationale: These laboratory test results have been shown to be fair indicators of malnutrition. Ackley and Ladwig p. 576
Since we have been learning about nutrition in class, our task was to record a food log. Nutrition requires a well-balanced diet containing nutrient and vitamins like amino acids and fatty acids. Over the past seven days I have been recording and have been looking very carefully at my intake of nutrients, minerals, vitamins, and fats. In our task, the objective was to record the basic foods we ate during the period of seven, but it did not require recording every single detail or our intake of food. Doing this food log was a pain and it was disturbing because I never wrote about what I ate like breakfast, lunch, dinner, or additional meals. I found this food log useful because it helped me learn what I can change in my intake of foods to make my diet healthy and to see what about my diet is affecting me from being healthy because I could affect me in the future.