N 295 lecture 4a nutrition student copy

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  • N 295 lecture 4a nutrition student copy

    1. 1. HEALTH ASSESSMENT in NURSING N 295 Spring 2012 Week 4a Revised Spring 2012
    2. 2. Nutritional Assessment <ul><li>Nutritional status = balance between nutrition requirements and intake </li></ul><ul><li>Requirements depend on daily activities and metabolic needs for growth, pregnancy and illness </li></ul><ul><li>Adequate nutrition essential to promote resistance to infection and healing </li></ul><ul><li>Poor eating habits contribute to many conditions such as obesity, coronary artery disease, osteoporosis, cirrhosis </li></ul>Revised Spring 2012
    3. 3. Macronutrients <ul><li>Carbohydrates </li></ul><ul><li>Proteins </li></ul><ul><li>Fats </li></ul>Revised Spring 2012
    4. 4. Parts of a Nutritional Assessment <ul><li>Health History </li></ul><ul><li>Body System Assessment </li></ul><ul><li>Anthropometric Measurements </li></ul><ul><li>Laboratory Tests </li></ul>Revised Spring 2012
    5. 5. Health History: Subjective Data <ul><li>Eating patterns * </li></ul><ul><li>Usual weight </li></ul><ul><li>Change in appetite, taste, smell, chewing, swallowing </li></ul><ul><li>Recent infection, surgery, or trauma </li></ul><ul><li>Chronic illness </li></ul><ul><li>Vomiting, diarrhea, or constipation </li></ul><ul><li>Food Allergies </li></ul><ul><li>Medications or Nutritional Supplements </li></ul><ul><li>Self Care Behaviors </li></ul><ul><li>Family History </li></ul>Revised Spring 2012
    6. 6. Health History <ul><li>Self Care Behaviors : </li></ul><ul><ul><li>Smoking </li></ul></ul><ul><ul><li>Alcohol/Drug Use </li></ul></ul><ul><ul><li>Exercise and Activity Patterns </li></ul></ul><ul><ul><li>Vitamin Use </li></ul></ul><ul><li>Family History : </li></ul><ul><ul><li>Obesity </li></ul></ul><ul><ul><li>Diabetes </li></ul></ul><ul><ul><li>Metabolic Disorders </li></ul></ul>Revised Spring 2012
    7. 7. Focused Nutritional History <ul><li>Weight Loss/Gain </li></ul><ul><li>Difficulty Chewing or Swallowing </li></ul><ul><li>Loss of Appetite or Nausea </li></ul>Revised Spring 2012
    8. 8. <ul><li>Total Protein 6 – 8 g/dL </li></ul><ul><li>Serum Albumin 3.4 – 5 g/dL * </li></ul><ul><li>Hemoglobin (Hb) 12 – 17 g/dL </li></ul><ul><li>Hematocrit (HCT) 36 – 49 % </li></ul><ul><li>Lipid Profile </li></ul><ul><ul><li>Triglycerides 10 – 150 mg/dL </li></ul></ul><ul><ul><li>Cholesterol < 200 mg/dL </li></ul></ul><ul><ul><ul><li>HDLs > 40 mg/dL </li></ul></ul></ul><ul><ul><ul><li>LDLs 60 – 130 mg/dL </li></ul></ul></ul><ul><li>Blood Glucose 60 - 100 mg/dL </li></ul>Revised Spring 2012
    9. 9. Clinical Examination <ul><li>Optimum Nutrition </li></ul><ul><li>Over-nutrition </li></ul><ul><li>Malnutrition </li></ul><ul><li>Body Weight / Height </li></ul><ul><li>BMI </li></ul><ul><li>Dehydration? </li></ul><ul><li>Overhydation? </li></ul><ul><li>http://www.dietitian.com/calcbody.php </li></ul>Revised Spring 2012
    10. 10. Dietary Data <ul><li>24-hour Recall </li></ul><ul><li>Food Record </li></ul><ul><li>Food Frequency Questionnaire </li></ul><ul><li>Direct Observation </li></ul>Revised Spring 2012
    11. 11. Muscle Mass <ul><li>Observe the muscle mass over temporal areas, dorsum of hands and spine for: </li></ul><ul><ul><li>Tone </li></ul></ul><ul><ul><li>Strength with voluntary movements </li></ul></ul><ul><li>Normal findings: </li></ul><ul><ul><li>firm, developed, strength equal bilaterally </li></ul></ul><ul><li>Abnormal findings: </li></ul><ul><ul><li>flaccid, wasted, underdeveloped </li></ul></ul><ul><ul><li>Weak sluggish or unequal </li></ul></ul>Revised Spring 2012
    12. 12. Body Fat <ul><li>Observe body fat for distribution </li></ul><ul><li>Normal findings: </li></ul><ul><li>Abnormal findings: </li></ul>Revised Spring 2012

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