Your energy expenditure is simply the number of calories your body uses. Energy requirements are the amount of food energy that should be eaten to compensate for caloric expenditure. It’s important to learn these energy requirementes to have a good energy balance.
Introduction of Nutritional requirements ( according to RDA data ), different methods for assaying nutritional requirements, interaction with other nutrients and Antagonists & Analogues of vitamins.
NutritionIntroduction, Balanced Diet, Calorie, Caloric Value, Energy Content...Maryam Fida
NutritionIntroduction, Balanced Diet, Calorie, Caloric Value, Energy Content of Food, Use of Food Energy, BMR
(Lippincott Biochemistry
Chatterje Biochemistry)
Nutrition, Carbohydrates, Proteins, Fats, Vitamins and MineralsTiffy John
A WIDE OVERVIEW OF NUTRITION - Types of nutrition – autotrophy, heterotrophy. Nutritional requirements – carbohydrates,
proteins, lipids, minerals (Ca, Fe, I), vitamins (sources and deficiency disorders), nutritional disorders, Body Mass index, functions of food, good carbohydrates, bad carbohydrates, good fats, bad fats, regulation of blood sugar, structure of proteins, structure of fats, vitamins and mineral deficiency chart
Your energy expenditure is simply the number of calories your body uses. Energy requirements are the amount of food energy that should be eaten to compensate for caloric expenditure. It’s important to learn these energy requirementes to have a good energy balance.
Introduction of Nutritional requirements ( according to RDA data ), different methods for assaying nutritional requirements, interaction with other nutrients and Antagonists & Analogues of vitamins.
NutritionIntroduction, Balanced Diet, Calorie, Caloric Value, Energy Content...Maryam Fida
NutritionIntroduction, Balanced Diet, Calorie, Caloric Value, Energy Content of Food, Use of Food Energy, BMR
(Lippincott Biochemistry
Chatterje Biochemistry)
Nutrition, Carbohydrates, Proteins, Fats, Vitamins and MineralsTiffy John
A WIDE OVERVIEW OF NUTRITION - Types of nutrition – autotrophy, heterotrophy. Nutritional requirements – carbohydrates,
proteins, lipids, minerals (Ca, Fe, I), vitamins (sources and deficiency disorders), nutritional disorders, Body Mass index, functions of food, good carbohydrates, bad carbohydrates, good fats, bad fats, regulation of blood sugar, structure of proteins, structure of fats, vitamins and mineral deficiency chart
Food, Nutrition, Nutrients, Diet, Energy consumption & BMIDr.Subir Kumar
Chemistry of nutrition, Dietary principles of food, Basic energy consumption, Total calorie requirements, Energy providing foods, Nutrition balance, Body mass index
This presentation talks about energy balance, shows how to calculate your total energy expenditure and explains the different Dietary Reference Intakes (DRIs).
Empowering ACOs: Leveraging Quality Management Tools for MIPS and BeyondHealth Catalyst
Join us as we delve into the crucial realm of quality reporting for MSSP (Medicare Shared Savings Program) Accountable Care Organizations (ACOs).
In this session, we will explore how a robust quality management solution can empower your organization to meet regulatory requirements and improve processes for MIPS reporting and internal quality programs. Learn how our MeasureAble application enables compliance and fosters continuous improvement.
Explore our infographic on 'Essential Metrics for Palliative Care Management' which highlights key performance indicators crucial for enhancing the quality and efficiency of palliative care services.
This visual guide breaks down important metrics across four categories: Patient-Centered Metrics, Care Efficiency Metrics, Quality of Life Metrics, and Staff Metrics. Each section is designed to help healthcare professionals monitor and improve care delivery for patients facing serious illnesses. Understand how to implement these metrics in your palliative care practices for better outcomes and higher satisfaction levels.
Leading the Way in Nephrology: Dr. David Greene's Work with Stem Cells for Ki...Dr. David Greene Arizona
As we watch Dr. Greene's continued efforts and research in Arizona, it's clear that stem cell therapy holds a promising key to unlocking new doors in the treatment of kidney disease. With each study and trial, we step closer to a world where kidney disease is no longer a life sentence but a treatable condition, thanks to pioneers like Dr. David Greene.
The Importance of Community Nursing Care.pdfAD Healthcare
NDIS and Community 24/7 Nursing Care is a specific type of support that may be provided under the NDIS for individuals with complex medical needs who require ongoing nursing care in a community setting, such as their home or a supported accommodation facility.
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdfSachin Sharma
This content provides an overview of preventive pediatrics. It defines preventive pediatrics as preventing disease and promoting children's physical, mental, and social well-being to achieve positive health. It discusses antenatal, postnatal, and social preventive pediatrics. It also covers various child health programs like immunization, breastfeeding, ICDS, and the roles of organizations like WHO, UNICEF, and nurses in preventive pediatrics.
CHAPTER 1 SEMESTER V - ROLE OF PEADIATRIC NURSE.pdfSachin Sharma
Pediatric nurses play a vital role in the health and well-being of children. Their responsibilities are wide-ranging, and their objectives can be categorized into several key areas:
1. Direct Patient Care:
Objective: Provide comprehensive and compassionate care to infants, children, and adolescents in various healthcare settings (hospitals, clinics, etc.).
This includes tasks like:
Monitoring vital signs and physical condition.
Administering medications and treatments.
Performing procedures as directed by doctors.
Assisting with daily living activities (bathing, feeding).
Providing emotional support and pain management.
2. Health Promotion and Education:
Objective: Promote healthy behaviors and educate children, families, and communities about preventive healthcare.
This includes tasks like:
Administering vaccinations.
Providing education on nutrition, hygiene, and development.
Offering breastfeeding and childbirth support.
Counseling families on safety and injury prevention.
3. Collaboration and Advocacy:
Objective: Collaborate effectively with doctors, social workers, therapists, and other healthcare professionals to ensure coordinated care for children.
Objective: Advocate for the rights and best interests of their patients, especially when children cannot speak for themselves.
This includes tasks like:
Communicating effectively with healthcare teams.
Identifying and addressing potential risks to child welfare.
Educating families about their child's condition and treatment options.
4. Professional Development and Research:
Objective: Stay up-to-date on the latest advancements in pediatric healthcare through continuing education and research.
Objective: Contribute to improving the quality of care for children by participating in research initiatives.
This includes tasks like:
Attending workshops and conferences on pediatric nursing.
Participating in clinical trials related to child health.
Implementing evidence-based practices into their daily routines.
By fulfilling these objectives, pediatric nurses play a crucial role in ensuring the optimal health and well-being of children throughout all stages of their development.
Global launch of the Healthy Ageing and Prevention Index 2nd wave – alongside...ILC- UK
The Healthy Ageing and Prevention Index is an online tool created by ILC that ranks countries on six metrics including, life span, health span, work span, income, environmental performance, and happiness. The Index helps us understand how well countries have adapted to longevity and inform decision makers on what must be done to maximise the economic benefits that comes with living well for longer.
Alongside the 77th World Health Assembly in Geneva on 28 May 2024, we launched the second version of our Index, allowing us to track progress and give new insights into what needs to be done to keep populations healthier for longer.
The speakers included:
Professor Orazio Schillaci, Minister of Health, Italy
Dr Hans Groth, Chairman of the Board, World Demographic & Ageing Forum
Professor Ilona Kickbusch, Founder and Chair, Global Health Centre, Geneva Graduate Institute and co-chair, World Health Summit Council
Dr Natasha Azzopardi Muscat, Director, Country Health Policies and Systems Division, World Health Organisation EURO
Dr Marta Lomazzi, Executive Manager, World Federation of Public Health Associations
Dr Shyam Bishen, Head, Centre for Health and Healthcare and Member of the Executive Committee, World Economic Forum
Dr Karin Tegmark Wisell, Director General, Public Health Agency of Sweden
3. Energy intake
•Type of energy: Quality of food taken
•Amount at one time: Quantity of food taken
•Timing of meals: Early vs. Late
4. Food Intake is regulated by
Appetite
Hunger
Satiation
Satiety
5. Homeostatic Mechanisms Contribute to
Energy Balance
A feedback Mechanism is involved
Hormonal influence acts on “satiety
centre” in brain
Hormones involved are: Insulin,
Gherlin, PYY, Leptin.
6.
7. Energy expenditure
Metabolism: low or high
Daily activity: sedentary vs. busy life
Exercise: Aerobic vs. resistant training
Thermal effect of meals: Specific dynamic
action (SDA)
8. Metabolic rate: The amount of energy
an animal uses in a unit of time. Energy
is measured in Joules or Calories.
Basal Metabolic Rate or BMR
Resting Metabolic Rate or RMR
TYPES:
9. Energy Requirements of a normal
person depends on:
Maintenance of BMR (50-65%)
Specific Dynamic Action (10%)
Physical Activities (30-50%)
11. Since BMR is affected by body surface area, it
is usually expressed in kilocalories per
hour/square meter of body surface.
Body surface area is calculated using the
formula:
(A = W × H × 71.84)
• where A = area in sq cm,
H = height in centimetres
and W = weight in kilograms
12. NORMAL VALUE OF BMR:
For adult men normal value for BMR is 34- 37
kcal/square meter/hour, and for adult women,
30-35 kcal/Sq.m./hour.
For easier calculations, BMR for an adult is
fixed as 24 kcal/ kg body weight/day.
13. SDA:
This refers to the increased heat production or diet
induced thermogenesis.
Part of this is due to the expenditure of energy for
digestion; absorption and active transport of products of
the digestion.
Another reason for this expenditure of energy is that
reserve materials such as glycogen, triacyl glycerol,
protein, etc. are synthesized from small molecules
available after digestion.
SDA can be considered as the activation energy needed
for a chemical reaction.
14. CALCULATED VALUES OF SDA
The values of SDA are:
For proteins 30%
For lipids 15%
For carbohydrates 5%
For a mixed diet, 10%
15. PHYSICALACTIVITY AND
ENERGY
Most variable and changeable
Voluntary
It can be significant in weight loss and
weight gain
The energy requirements would depend
on the occupation, physical activity and
lifestyle of the individual
16. CLASSIFICATION OF PHYSICAL
ACTIVITY
For sedentary work, +30% of BMR
For moderate work, +40% of BMR
For heavy work, +50% of BMR should be
added .
17. Calculation for Energy Requirement for a 55 Kg
Person, Doing Moderate Work:
1)For BMR = 24 × 55 kg = 1320 kcal
2) + For activity = 40% of BMR = 528 kcal
3) Subtotal = 1320 + 528 = 1848 kcal
4) + Need for SDA = 1848 × 10% = 184 kcal
5) Total = 1848 + 184 = 2032 kcal
18. ARE YOU HEALTHY?
Can be known by your BMI
BMI or Body Mass Index is a
person’s weight in kilograms
divided by his or her height in
metres squared.
22. Over nourishment & Obesity
Consumption of more calories than
body needs leads to obesity
Can be due to hormonal imbalance
Fat accumulates at different body
regions
23. Body fat can be measured by:
Skinfold measurements
Hydrodensitometry
Bioelectrical Impedance
Air displacement plethysmography
DEXA Scan
24. Skinfold measurements
Skinfold measurements are done using callipers on
several sites across the body. They take into
account the amount of subcutaneous (directly
under the skin) fat an individual has and use it to
predict total body fat percentage by applying
certain formulas.
25. Hydrodensitometry
Hydrodensitometry measures body fat by first weighing
person on the land and then again while submerged in
water. The difference between person’s actual weight and
underwater weight provides a measure of body’s volume.
A mathematical equation is then applied to calculate
body’s density which is then used to determine percentage
body fat
26. Bioelectrical Impedance
Bioelectric impedance analysis (BIA) works by
passing a low-intensity electric current through the
body and measuring its resistance. The faster the
current travels from one lead to another, the more
muscle and less fat the person has
27. Air displacement plethysmography
This method estimates body composition
by having a person sit inside a chamber
while computerized sensors measure the
air displaced by persons body.
28. DEXA (Dual-energy X-ray Absorptiometry) Scan
This method uses two low dose X-rays to
differentiate among fat free soft tissue (lean
tissue), bony tissue and fat tissue. This method
provides precise measurement of total fat and its
overall distribution in body.
29.
30. Other Health Disorders:
Anorexia Nervosa: restricted or limited
eating
Bulimia Nervosa: Binge eating or
overeating
Cardiovascular problems
Type 2 diabetes
31. Prevention:
Calculate your BMR and set your “Calories goal”
Have Cheat Days!
Engage in Cardio
Consult Dieticians
Become social and try reducing stress.
Most Importantly, Love Yourself (:
32. •Apple shaped: high fiber food, avoid milk.
•Pear Shaped: high protein diet.
•Rectangle shaped: olives, nuts, high fat and protein
diet
•Hourglass shaped: avoid carbs. Go on a detox diet