Chapter 12: Nutritional assessment lab manual questions – Flashcards
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Nutritional status
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is the degree of balance between intake and nutrient requirements. This balance is affected by income, education, an individual's broad physical and social environments, nutritional literacy, and access to protective foods
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Describe the unique nutritional needs for various developmental periods throughout the life cycle of infants and children.
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breast milk is ideally formulated to promote normal infant growth and development and natural immunity. Should be receiving a daily vit. D supplement, solid foods can be introduced as the infant becomes physically able to handle them. Whole cow's milk should not be offered until the end of the first year, lower fat milk should be avoided until the age of two because it's not enough to support optimal growth and development
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Describe the unique nutritional needs for adolesence
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Energy and protein requirements increase, calcium and iron requirements increase during this time. Careful meal and snack planning is essential to meet the increase nutrient demands.
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Describe the unique nutritional needs for pregnancy and lactation
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essential that sufficient calories, protein, vitamins, and minerals are met.
Vitamin supplement containing 400mcg folic acid daily.
Taking colic acid at least 3 months before pregnancy and continuing throughout postpartum period.
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Describe unique nutritional needs for adulthood
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diet that is rich in fruits and vegetables, low in total and saturated fat, and high in fibre.
regular snacks, meals manage their weight better than those that have more irregular or erratic eating patterns.
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Describe unique nutritional needs for older adults
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more prone to undernutrition and overnutrition.
after age of 50 energy requirements decrease by 5% per decade.
Normal physiological changes of aging directly affect nutritional status, diminished olfactory and taste sensitivity, medication use may interact with nutrients, vitamin supplements, and other prescription drugs.
Synthesis of vitamin D decreases older adults need to take daily supplement.
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Describe the role cultural heritage and values play in an individual's nutritional intake
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cultural definition of food, frequency and number of meals eaten away from home, form and content of cermonial meals, food preparation methods, and amount and types of foods eaten, and regularity of food consumption.
Other factors to consider include fasting and other religious observations that may limit a person's food or liquid intake during specified times.
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State three purposes of a nutritional assessment
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Identify individual nutritional requirements
Provide information for designing a nutrition plan of care that will optimize nutrition and meet individual nutrient requirements.
Establish a baseline data for evaluating the efficacy of nutritional care.
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State the purpose of nutritional labelling of food products
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convey information about the nutrient content of food in a standardize format, which allows comparison among goods before purchase. Provides information on energy and 13 nutrients based on stated serving size.
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Define the term percent daily value.
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reflects the needs of a healthy individual who consumes 2000 to 2500 calories daily. It is used to express the food's content of nutrients rather than just serving as a weight measurement.
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Describe the 4 sources of error that may occur when using the 24 hour diet recall
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The individual or family member may not be able to recall type of amount of food eaten.
intake within the past 24 hours may be atypical of usual intake.
The individual of family member may alter the truth or a variety of reasons.
Snack items and the use of gravies, sauces, and condiments may be underrreported.
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Explain the clinical concerns associated with obesity.
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linked to diabetes, hypertension, cardiovascular disease, and some forms of cancer.
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Explain the clinical concerns associated with central obesity.
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body fat that collects deep within the central abdominal area of the body is called visceral fat, is associated with increased risk for diabetes, stroke, hypertension, and cardiovascular disease. The risk of death from all causes may be higher in people with central obesity than those whose fat accumulates elsewhere in the body.
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Explain the clinical concerns associated with Diabetes
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chronic condition characterized by elevated blood glucose levels, often leads to other diseases or contributes to their development.
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Describe type 1 diabetes.
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the result of pancreatic B cell destruction of which the causes is unknown. Are at risk of ketoacidosis, result of autoimmune process for which the beta cell destruction is unknown
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Describe type 2 diabetes.
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has manifestations ranging from predominant insulin resistance with relative insulin deficiency to a predominant secretory defect within insulin resistance
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Describe the clinical concerns associated with metabolic syndrome
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is a prevalanet, multifaceted condition characterized by distinctive collection of abnormalities, including abdominal obesity, hypertension, dyslipidemia, insulin resistance, and dysglycemia. Are at risk for developing diabetes and cardiovascular disaese.