Medical nutrition therapy exam 1 – Flashcards
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The role of a clinical dietitian
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Nutrition therapy
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MNT is covered by ____ insurance
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Medicare, sometimes medicaid
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Components of critical thinking skills
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Specific knowledge base, experience, competencies, attitudes, standards
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The Joint Commission is ___ that sets ____ and makes sure they are met and appropriate protocols are followed.
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Non profit and accredited; standards of patient care
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Factors affecting nutritional status
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Human biology, lifestyle, food and nutrient, environmental, system
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The Nutrition Care Process (also known as ____) includes a system of standardized nutrition language established by _____ for ______
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ADIME; AND; documentation and communication
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The central core of the nutrition care model
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Relationship with client is individualized
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Assessment data
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Food/nutrition-related history; anthropometric measurements; biochemical data; medical tests, and procedures; nutrition-focused physical findings, client history
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The direct link between assessment and intervention
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Diagnosis
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Three domains of a diagnosis
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Intake, clinical, and behavioral-environmental
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Main method of charting
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PES statement
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How a PES statement is created
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Evaluate assessment, identify the problem(s), validate and confirm problem(s) using signs and symptoms, explore etiology
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BMI normal/overweight/obese (adults)
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Normal: 18.5 - 24.9 Overweight: 25 - 29.9 Obese: 30-39.9
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BMI normal/overweight/obese (children)
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Less than 5th percentile= under 5th to 85th = healthy weight 85th to <95th = risk of overweight 95th = overweight
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Skin fold measurements
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Estimates energy reserves in subcutaneous tissue; (+) minimally invasive, minimal equipment (-) requires practice for reliable performance
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____ specimen is collected with anticoagulant
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Whole blood
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_____ specimen has blood clot and blood cells removed
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Serum
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Characteristics for adult malnutrition
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Insufficient energy intake Weight loss Loss of muscle mass Loss of subcutaneous fat Localized or generalized fluid accumulation that may sometimes mask weight Diminished functional status as measured by hand grip strength
