Term
| Four Factors Influencing Diet |
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Definition
| Habits, Finances, Culture, and Religion |
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Term
| Factors Influencing the Eating Habits of the Elderly |
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Definition
arthritis/osteoporosis/presbyopia: limited visual acuity/functional ability prevents food preparation
Taste fails, medications, greater ease of satisfaction, and memory loss |
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Term
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Definition
Personal Habits: i.e. eating habits, exercise, and drug use
Personal Hx: food allergies, usual weight, and family hx
Recent Changes: appetite/chewing/swallowing changes, drastic weight changes, N/V/D/C |
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Term
| 4 signs of poor nourishment |
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Definition
skin: dry, cracking hair and skin
Musculoskeletal: posture, deformity (bow-legs) |
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Term
| 2 major nutritional status measurements |
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Definition
waist to hip ratio (want one or less)
BMI (18-25): >30 obese, >40 morbidly obese |
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Term
| Decreased serum albumin is indicative of |
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Definition
| low visceral protein content, and therefore malnourishment |
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Term
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Definition
marasmus: starvation, or inadequate intake of protein and carbs
kwashiorkor: inadequate intake of protein, but plentiful calories from carbs |
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Term
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Definition
WHAT is wrong is more important than NUMBERS: WiTH BiG body comes big problems
Waist Circumference > 35-40
Trigs > 150
HDLs < 40-50
BP > 130/85
Glucose > 100 |
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Term
| Metabolic Syndrome is related to which diseases? |
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Definition
| CVD, Renal Disease, DM, and hyperlipidemia |
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Term
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Definition
| Intake (eating, drinking, etc) < Output (exercise) |
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Term
| Surgeon puts pt on Clear Liquid Diet immediately post-op, and "solid food as tolerated." Pt reports they feel like they can eat solid food. What do you do? |
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Definition
| Give them water, juice, Jell-O, but NOT solid food immediately post-op |
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Term
| progressive diets (in order) |
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Definition
NPO--> clear liquid--> full liquid--> soft food--> solid food
intolerance of any one indicates the need for the one prior |
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Term
| if pt is coughing during feeding, the nurse... |
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Definition
| ...orders a swallow eval (speech therapist) |
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Term
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Definition
| NG-tube (short term), G-tube & PEG tube (long term), J-tube (either, no bolus) |
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Term
| 4 considerations for enteral tube feeding |
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Definition
you've got food in your PACC
Placement must be ensured via aspiration
Aspiration risk must be reduced by putting pt's head at 30 deg or higher
Clogging must be prevented by flushing before & after
Clean procedure should be used to prevent N/V/D/C |
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Term
| ppl w/ large PICC or central line are at increased risk for... |
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Definition
| ...thromboembolism and phlebitis |
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Term
| possible complication from electrolyte additives to TPN |
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Definition
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