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Nutrition Ch.13: Lecture 1 (Effect of Illness (reduces intake, interfere…
Nutrition Ch.13: Lecture 1
HC Nutrition
correcting nutrition problem may improve short and long-term outcome of medical treatment
helps prevent complications malnutrition is frequently reported in pts with acute illness
Health problems
alters nutritional needs
can lead to malnutrition b/c of sickness
weak immune system
don't heal as well
both influence disease and response to treatment
longer hospital stays with poor status increase overall cost of care
Effect of Illness
reduces intake
interfere with digestive absorb can alter metabolism and excretion
dietary restriction needed for some surgery
example is diabetes have to change diet and watch fluid
drains financial resources
unable to prep food
can cause emotional upset
as HC worker we have challenge to help pt and look at nutrition therapy and benefits and accept those changes
Responsibilities
HC team work together to meet pts nutrition needs
developed by whole team and the plan is critical for specific medical
Registered Dietician
food and nutrition expert
assess, diagnose, evaluate, implement plans
plan and approve menus
educate
Dietetic
implement, monitor pt
work with dietician
Physician
orders the diet your on
ex: fluid liquid diet
Nurses
screen pt and medical history
participate in assessment
encourage pt to eat
find solutions
record intake and out
answer questions
Pt at risk
do nutrition screening
done 24 hours after admitted
screening takes 10-15 minutes
use the data to develop plan and correct or prevent nutrition imbalance
screen: medical record, diagnose, physical measurements, lab reports, diet history, interview pt or caregiver
Plan Care
nutrition care process use to medically give nutrtion therapy
nutrition assessment
nutrition diagnosis: has to have specific nutrient problem where it comes from, s/s
intervention: counseling or education; goals stated in terms and measurements
monitoring and evaluation to check on pt
History Info
gives clues about nutrition status and require of pts
look at: age, complaint, chronic dis risk, allergies, family medical history, mental status
social history: cultural heritage, socioeconomic status, cognitive ability, living situation, educational level, employment status, religious