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Inman domain 2 topic A
screening and assessment
136
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Post-Graduate
06/14/2018

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Term
the joint commission mandates that hospitalized pts are screened for nutrition risk within
Definition
24h of admit
Term
The joint commission does NOT mandate
Definition
which method to use to screen pts
Term
nutrition screening initiative is used on
Definition
elderly
Term
subjective global assessment (SGA) screens based on
Definition
Hx, intake, GI sx, fx capacity, physical appearance, edema, wt change
Term
The screening tool that uses Hx, intake, GI sx, fx capacity, physical appearance, edema, wt change is called
Definition
subjective global assessment (SGA)
Term
The mini nutrition assessment (MNA) screens based on
Definition
independence, med therapy, # full meals each day, pro intake, f/v intake, fluid intake, feeding mode
Term
The screening tool that uses independence, med therapy, # full meals each day, pro intake, f/v intake, fluid intake, feeding mode is called
Definition
The mini nutrition assessment (MNA)
Term
indicators are
Definition
clearly defined markers that can be observed and measured.
Term
clearly defined markers that can be observed and measured are
Definition
indicators
Term
indicators are compared against
Definition
nutrition care criteria
Term
Something you didn't think needed to be documented
Definition
reason for D/C
Term
Do not ask this type of question
Definition
leading
Term
In the hospital you use 24h recall. In the community you use
Definition
food frequency questionnaire (FFQ)
Term
food frequency questionnaire (FFQ) is used in what setting?
Definition
community
Term
Quick way to determine intakes on large 3 of people?
Definition
food frequency questionnaire (FFQ)
Term
Hamwi for women under 5'?
Definition
subtract 5# for every inch under 5
Term
Hamwi for men under 5'?
Definition
subtract 6# for every inch under 5
Term
Entire leg is ___% body weight
Definition
16%
Term
lower leg with foot is ___% body weight
Definition
6%
Term
entire arm is __% body weight
Definition
5%
Term
forearm with hand is __% body weight
Definition
2.3%
Term
triceps skinfold thickness measures
Definition
body fat/calorie reserves
Term
Important to measure in growing children
Definition
arm muscle area AMA
Term
BMI calc
Definition
wt in # / ht in in squared *.703
Term
Waist circumference should not be above what for women/men?
Definition
>40 men, >35 women
Term
What differentiates between android and gynoid obesity?
Definition
Waist to hip ratio
Term
Waist to hip ratio differentiates between what?
Definition
android and gynoid obesity
Term
Android obesity
Definition
apple shape
Term
Gynoid obesity
Definition
pear shape
Term
Waist to hip ratio greater than 1.0 in men and 0.8 in women means
Definition
android obesity (apple shape), increased risk for HTN/DM
Term
Thin, sparse, dull, dry, brittle hair is a sign of
Definition
VC or protein def
Term
pale, dry eyes or poor vision is a sign of
Definition
VA, Zn, or riboflavin def
Term
swollen, red, dry, cracked lips are a sign of
Definition
riboflavin, pyridoxine, or niacin def
Term
smooth, slick, purple, or white coated tongue is a sign of
Definition
vitamin B or Fe def
Term
sore, red, swollen, bleeding gums are a sign of
Definition
VC def
Term
missing, loose, loss of enamel teeth are a sign of
Definition
Ca def
Term
pale, dry, scaly skin is a sign of
Definition
Fe, folic acid, Zn def
Term
brittle, thin, spoon shaped nails are a sign of
Definition
Fe or protein def
Term
Hyperalbuminemia likely d/t
Definition
dehydration
Term
Serum transferrin RISES during
Definition
Fe def
Term
Normal hematocrit in men
Definition
42-52%
Term
Normal hematocrit in women
Definition
35-47%
Term
Normal hematocrit in pregnant women
Definition
33%
Term
During pregnancy, woman's hematocrit is ___.
Definition
lower
Term
Serum ferritin normal lvl
Definition
10-150 F
12-300 men
Term
serum ferritin indicates
Definition
the size of the Fe storage pool
Term
Normal serum creatinine
Definition
0.6-1.4
Term
serum creatinine may indicate
Definition
renal disease, muscle wastage
Term
creatinine height index CHI is
Definition
ratio of 24h creatinine to ht
Term
BUN range
Definition
10-20
Term
Normal BUN:Cr
Definition
10-15:1
Term
BUN facts
Definition
r/t protein intake
indicator of renal dx
Term
Total lymphocyte count is decreased in
Definition
protein-energy malnutrition
Term
CRP is a marker of
Definition
acute inflammatory distress
Term
Declining CRP indicates ____ would be beneficial.
Definition
Nutrition therapy
Term
What lab to check for lead poisoning?
Definition
Free erythrocyte protoporphyrin FEP
Term
Hair analysis is less useful for nutrition assessment and more useful for
Definition
measuring intake of toxic metals
Term
sedentary activity factor
Definition
1.2
Term
active activity factor
Definition
1.3
Term
stressed activity factor
Definition
1.5
Term
megestrol acetate
Definition
appetite stimulant - cant do if hx of dvt
Term
dextroamphetamine or ritalin (both tx ADHD)
Definition
appetite suppressant, anorexia, nausea, wt loss
Term
Orlistat
Definition
decreases fat absorption by binding lipase
Term
marinol
Definition
appetite stimulant
Term
Remeron (mirtazapine)
Definition
appetite stimulant and antidepressant
Term
Statins
Definition
Decrease LDL/TG, increase HDL
Term
chemotherapy causes
Definition
malabsorption
Term
mineral oil/cholestyramine
Definition
decrease fat/fsv absorption
Term
glucocorticoids/ABX
Definition
Protein def
Term
birth control pills
Definition
decreased folate, B6, VC
Term
Loop diuretics
Definition
deplete thiamin, K, Mg, Ca, Na
Term
Thiazide diuretics
Definition
Decrease K, Mg, absorb Ca
Term
ABX
Definition
Decrease VK
Term
Steroids
Definition
decrease bone growth, CHO intolerance
Term
methotrexate (immunosuppressive or chemo drug)
Definition
decrease folate
Term
Lithium carbonate
Definition
increased appetite/weight gain, need consistent Na/caffeine intake or drug will build up to toxic lvls
Term
phenobarbitol
Definition
decreased folic acid, vitamins B12, D, K, B6
Term
cyclosporine (immunosuppressant)
Definition
hyperlipidemia, hyperglycemia, hyperkalemia, hypertension
Term
Isoniazid (tx TB)
Definition
Can't take w/ food, depletes pyridoxine, peripheral neuropathy, interferes w/ VD, Ca, phos
Term
Elavil (antidepressant)
Definition
sedative effect, weight gain, increased appetite
Term
HRA health risk appraisal
Definition
survey categorizing a population's general health status. questionnaire, calcs that predict disease risk, educational msg to recipient
Term
Demographics
Definition
population by age, ethnic groups, sex, birth/death rates
Term
socioeconomic stratification
Definition
census data, housing statistics
Term
Infant mortality rate
Definition
# of deaths per 1000 live births
Term
incidence
Definition
((# of NEW cases of a disease over a time period) x 100,000 )/ total # ppl at risk
Term
prevalance
Definition
((Total # of ppl with a disease over a time period) x 100,000 )/ avg # of ppl
Term
Food security
Definition
access by all people at all times to sufficient food for an active and healthy life. the ready availability of nutritionally adequate and safe foods and an assured ability to acquire them in a socially acceptable way without using assistance programs.
Term
PPFPs - prepared and perishable food programs
Definition
nonprofit programs that get unused, cooked and fresh foods to the hungry
Term
Nutrition survey
Definition
examination of a population group at a particular point of time
Term
Nutritional surveillance
Definition
continuous collection of data
Term
What organizations conduct nutritional surveillance
Definition
WIC, CDC
Term
NSI, nutrition screening initiative
Definition
promote nutrition and improve nutritional care for the elderly to identify nutritional problems early
Term
How many people should be in a focus group?
Definition
5-12
Term
National nutrition monitoring and related research program NNMRRP
Definition
any and all nutrition related research done by the government, jointly run by DHHS and USDA
Term
NHANES National health and nutrition examination survey
Definition
ongoing survey to determine health of american people
Term
WWEIA What we eat in america is the dietary intake component of
Definition
NHANES
Term
USDA conducts over-sampling of these populations because they are more likely to participate in surveys.
Definition
=/> 60 y/o, AAs, hispanics
Term
USDA Nationwide food consumption surveys (NFCS)
Definition
To obtain info on food intake of individuals and total households from entire US
Term
Which survey only evaluates 7 nutrients?
Definition
USDA Nationwide food consumption surveys (NFCS)
Term
BRFSS Behavior Risk Factor Surveillance System
Definition
conducted on adults 18 y/o or older w/ home phones
Term
YRBS Youth Risk Behavior Survey
Definition
high school age. smoking, alcohol use, weight control, exercise, eating habits
Term
Health and Diet Survey by FDA
Definition
Telephone survey of randomly selected adults. tracks nutrient intake, fats knowledge, prevalence of supplement use
Term
Use food models and demonstrations when clients
Definition
speak a different language
Term
Emergency food programs do not provide ___ meals.
Definition
balanced
Term
Feeding homeless ___ is especially difficult.
Definition
infants
Term
Obesity is epidemic among these 2 ethnicities
Definition
Native Americans and Alaskan Natives
Term
Strong heart diet study on native americans/alaskans could not determine
Definition
why they were obese
Term
TANF - Temporary Assistance for Needy Families
Definition
state determines eligibility for services
Term
USDA Commodity Food Donation /Distribution Program
Definition
Provides food for children/adults, strengthens market for american farming
Term
USDA Commodity Food Donation /Distribution Program gives food to
Definition
school lunch program, elderly, supplemental feeding programs
Term
NSLP National School Lunch Program of the USDA Food and Nutrition Service (FNS)
Definition
reimburses schools on basis of # of meals served. sets dietary for lunch/breakfast programs
Term
School lunch program much provide
Definition
on avg over the week: 1/3 rec intake for pro, VA, VC, Fe, Ca
Term
SBP School Breakfast Program must provide
Definition
on avg over the week: 1/4 daily rec lvls for pro, Ca, Fe, VA, VC
Term
ASP After School Snack Programs
Definition
Provides healthy snacks, same eligibility as NSLP, school srecieve cash subsidies for snacks served
Term
Special Milk Program USDA
Definition
to encourage milk consumption by kids
Term
SFSP Summer Food Service Program USDA
Definition
to get food service programs to kids when school is not in session in poor areas
Term
CACFP Child and Adult Care Food Program USDA
Definition
Supports public and nonprofit food service programs for family daycare centers, neighborhood houses, homeless shelters, nonresidential adult daycare centers; eligibility same as NSLP
Term
Fresh Fruit and Vegetable Program FFVP
Definition
Free in nationwide selected schools to introduce kids to fresh f/v
Term
WIC Special Supplemental Nutrition Program for Women, Infants, and Children by the USDA
Definition
Health exam required for benefits, provides SUPPLEMENTAL food
Term
EFNEP Expanded Food and Nutrition Education Program by the USDA
Definition
Teaches skills + educates low income public; provides grants to universities to assist in community development
Term
Healthy Start
Definition
Reduce infant mortality and improve low income health
Term
Older Americans Nutrition Program
Definition
1 hot meal each day 5 days a week regardless of income =/>60 y/o; includes Meals on Wheels for the home-bound
Term
SNAP Supplemental Nutrition Assistant Program by the USDA
Definition
Entitlement. Assist low income w/ monthly benefits for food items, can be educated by SNAP nutrition education program
Term
CMS Centers for Medicare and Medicaid Services by the DHHS
Definition
has medicare and medicaid
Term
Medicare
Definition
Health insurance for =/>65, or any age w/ ESRD, employers/employees pay. Part A is hospital insurance, Part B is optional for supplemental benefits
Term
Medicaid
Definition
Federal law administered by states. Payment for medical care for all eligible needy: all ages, blind, disabled, dependent children
Term
CHIP Children's Health Insurance Program
Definition
for uninsured children with families that make too much for medicaid but too little for private insurance
Term
Headstart by the DHHS
Definition
Helps low income children 3-5, introduces new foods and teaches good food habits; child's participation in food activities is important
Term
NET Nutrition Education Training Program USDA 1977
Definition
Provides nutrition education training to teachers and school foodservice personnel
Term
SFMNP Senior Farmers Market Nutrition Program
Definition
provides old people farmers market coupons; nutrition education/info provided
Term
What organization developed RDAs?
Definition
National Research Council - Food and Nutrition Board (federal and private funds)
Term
FAO Food and Agricultural Organization
Definition
International organization that increases efficiency of production and distribution of foods
Term
What organization developed RDAs for developing countries?
Definition
WHO World Health Organization
Term
Grant
Definition
an award of financial or direct assistance, anyone can apply, usually lasts a few years
Term
Entitlement program
Definition
requires payment of benefits to all eligible people as established by law; usually for a finite time
Term
Entitlement program examples
Definition
SNAP, Medicare, NSLP, SFSP, SBP
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