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Adequate food intake consists of a balance of these nutrients: (6) |
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Definition
Water, carbohydrates, proteins, fats, vitamins, and minerals |
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Nutrient content of a specified amount of food |
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Nutrients 3 major functions |
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1)provide energy for body processes and movement 2)provide structural material for body tissues 3)regulating body processes |
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Energy providing nutrients (3) |
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Carbohydrates, fats and proteins |
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Needed in large amounts to provide energy (hundreds of grams) Carbohydrates Fats Protein Minerals Vitamins Water |
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Vitamins and minerals that are required in small amounts (milligrams or micrograms) to metabolize the energy-providing nutrients |
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Nutritional Practices and Preference among Cultures -gifts of food are common and should not be rejected -diets are often high in fat, cholesterol, and sodium -being overweight may be viewed as positive -many are lactose intolerant |
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African American heritage |
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Nutritional Practices and Preference among Cultures -many spices and herbs are used such as cinnamon, allspice, cloves, mint, ginger, and garlic -meats are often skewer roasted or slow simmered; most common are lamb and chicken -bread is served at every meal -do not eat pork, and all meats must be cooked well done. -food is eaten (and clients fed) with the right hand -beverages are drunk after the meal, not during: alcohol is prohibited -fast during daylight hours during the month of Ramadan (the 9th month of the year based on the lunar calendar) |
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Nutritional Practices and Preference among Cultures -foods are served at meals in a specific order -each region has its own traditional diet -may not want ice in their drinks -foods are chosen to balance yin and yang in order to avoid indigestion -almost half are lactose intolerant |
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Nutritional Practices and Preference among Cultures -dietary laws govern killing, preparation, and eating of foods -meat and milk are not eaten at the same time; dairy substitutes (e.g. margarine) are permitted -pork is one meat that is forbidden to eat -all blood must be drained from meats -always wash hands before eating |
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Nutritional Practices and Preference among Cultures -rice, beans, and tortillas are core essential foods -many are lactose intolerant. Leafy green vegetables and stews with bones provide calcium -larger body size may be viewed as a positive attribute -sweet fruit drinks, including adding sugar to juice, are popular -main meal of the day is at noontime -foods are chosen according to hot and cold theory |
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Nutritional Practices and Preference among Cultures -rites of passage and ceremonies are celebrated with food -herbs are used to treat many illnesses -sheep are the major source of meat -squash and corn are major vegetables -many are lactose intolerant |
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Body Mass Index
BMI=weight in kilograms/height in meters |
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most abundant component in body |
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water is what percent of total body weight in adults? older adults |
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46-60% adults 50% older adults |
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water is what percent of total body weight in infants |
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Why are infants at high risk for fluid and electrolyte imbalance |
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because 70-80 % of body weight is water |
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Primary energy source- fuel that runs the body |
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How are CHO's stored in the body |
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Where is most glycogen stored |
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Definition
In the liver where it is available for conversion back into glucose also stored in muscle |
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Carbohydrate Sources -grapes, oranges, dates, corn, carrots |
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Carbohydrate Sources -honey and fruits |
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Carbohydrate Sources -milk |
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Carbohydrate Sources -wheat, corn, oats rye, barley |
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Carbohydrate Sources -granulated sugar, molasses, apricots, peaches, plums, honeydew, cantaloupe, peas, corn |
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Carbohydrate Sources - bran, apples, beans, cabbage |
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Carbohydrate Sources -apples, citrus, strawberries |
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cannot be manufactured in the body and must be supplied as part of the protein ingested in the diet necessary for tissue growth and maintenance-histidine,isoleucine, leucine, lysine, methionine, phenylanine, tryptophan,threonine and valine immune system-arginine |
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Nonessentioal Amino Acids |
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Definition
those that the body can manufacture. The body takes amino acids derived from the diet and reconstructs new ones from their basic elements -alanine, aspartic acid, cystine, glutamic acid, glycine, hydroxyproline, proline, serine, and tyrosine |
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Definition
contain all of the essential amino acids plus many nonessential ones. -most animal proteins (meats, poultry, fish, dairy product, and eggs) |
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lack one or more essential amino acids (most commonly lysine, methionine, or tryptophan) and are usually derived from vegetables |
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Definition
-building and repairing body tissues -regulating fluid balance (albumin) -producing antibodies -provides energy -kcal/g -maintaining acid-base balance -producing enzymes and hormones |
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-meats, fish -dairy products -cereal products can contribute -bread and cereals -dried beans and peas -peanut butter |
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Protein deficiencies health issues |
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-increased risk for pressure ulcers -increased wound healing time -prolonged recovery tie |
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Who are prone for protein deficiencies |
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Definition
elderly, homeless, unable to prepare meals, anorexic, low income, strict vegetarians, uneducated, unwise shoppers, chronically ill, hospitalized, draining wounds |
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-storing nutrients -conversion of simple substances into complex substances -occurring continually throughout the body -allows body to grow, build, and rebuild body tissues, muscles, bone and other cells -glucose, amino acids, and fatty acids are used to build cells |
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Definition
-breaking down of nutrients -tearing down of body tissues, muscle, bones, and other cells -during illness or chronic stress, catabolism exceeds anabolism -if body does not receive energy, it will breakdown tissues |
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measure of the degree of protein anabolism and catabolism; it is the net result of intake and loss of nitrogen. When nitrogen intake equals nitrogen output, a state of nitrogen balance exists
compares the amount of nitrogen entering the body in food protein with the nitrogen lost from the body in feces and urine |
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Positive nitrogen balance |
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Definition
more nitrogen is retained in the body than excreted -the nitrogen is used to form new cells for growth and healing -growing children, pregnant women, individuals recovering from illness or injury |
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Negative nitrogen balance |
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Definition
more nitrogen is excreted from the body than is retained from dietary protein sources. -breakdown of proteins within the body, such as muscles or organs, caused by aging, physical illness, extreme stress, starvation, surgery, or eating disorders, infection, sepsis, burns, fever, trauma |
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organic substances that are greasy and insoluble in water but soluble in alcohol or ether -contain same elements ( C, H, O) as carbohydrates but they contain a higher proportion of H -fats, oils |
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lipids that are solid at room temp |
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lipids that are liquid at room temp |
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made up of carbon chains and hydrogen, are the basic structural units of most lipids -saturated or unsaturated according to the relative number of hydrogen atoms they contain |
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those in which all carbon atomsare filed to capacity with hydrogen |
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one that could accommodate more hydrogen atoms than it currently does. It has at least 2 carbon atoms that are not attached to a hydrogen atom; instead there is a double bond between two carbon atoms |
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monounsaturated fatty acids |
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Definition
fatty acids with one double bond |
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polyunsaturated fatty acids |
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Definition
fatty acids with more than one double bond (or many carbons not bonded to a hydrogen atom) |
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simple lipid consists of glycerol molecule with up to 3 fatty acids attached |
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glycerol with 3 fatty acids attached -account for more than 90% of the lipids in food and in the body -may contain saturated or unsaturated fatty acids -saturated triglycerides are found in animal products, such as butter and are usually solid at room temp -unsaturated triglycerides are usually liquid at room temp and are found in plant products, such as olive oil and corn oil |
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fatlike substance that is both produced by the body and found in foods of animal origin -most of the body's cholesterol is synthesized in the liver; however some is absorbed from the diet (milk egg yolk, organ meats) -needed to create bile acids and synthesize steroid hormones |
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Fats/Lipids should not be more than ____% of our diets
energy source ____kcal/g |
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-protection of internal organs -helps maintain body temperature -enhances absorption of fat-souluble vitamins -provides essential fatty acids |
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Energy liberated from the metabolism of food for: carbohydrates protein fat alcohol |
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Definition
carbohydrates = 4Kcal/g protein = 4Kcal/g fat = 9Kcal/g alcohol= 7Kcal/g |
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Fat Sources -beef and lard -luncheon meats -hard yellow cheese -butter -oils containing saturated fats-palm and coconut |
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Fat Sources -olive and peanut oils, canola |
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Fat Sources -vegetable, corn, and sunflower oils |
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Fat Sources -egg yolks, liver, organ meats |
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organic compound that cannot be manufactured by the body and is needed in small quantities to catalyze metabolic processes |
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-C -B-complex vitamins: B1 (thiamine), B2(riboflavin), B3 (niacin), B6 (pyridoxine), B9(folic acid), B12 (cobalamin), pantothenic acid, and biotin -body cannot store so need daily supply in the diet -can be affected by food processing, storage, and preparation -excess is excreted -easily absorbed in stomach and intestines |
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include A, D, E, and K -stored in the body -excess can cause toxicity -absorbed with bile and fats |
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maintains skin and eyesight -sources- yellow and green vegetables |
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helps body absorb calcium -sources-sunshine, fortified milk, and cereals |
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antioxicant, good for skin -sources- vegetable oils, nuts |
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needed for blood clotting -sources-green leafy vegetables -antidote=Coumadin (Warfarin) |
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helps with wound healing -sources-citrus fruits, broccoli, tomatoes |
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prevents neural tube disorders -sources-green leafy vegetables, beef fish, citrus fruits |
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those that people require daily in amounts over 100 mg -calcium, phosphorus, sodium, potassium, magnesium, chloride and sulfur |
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those that people require daily in amounts less than 100mg daily -iron, zinc, manganese, iodine, fluoride, copper, cobalt, chromium, and selenium |
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bone and teeth formation, muscle contraction -sources-milk and milk products, fortified OJ, yogurt, cheese, sardines, salmon |
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Elderly need at least _____mg calcium daily to prevent bone loss |
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component of Hemoglobin, prevents anemia -sources-liver, meats, dark green vegetables, fortified cereals |
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Teaching interventions for client with Iron deficiency anemia taking Ferrous Sulfate or Gluconate |
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-take 1 hour before or 2 hours after meals -if upset stomach, take with food (except coffee, tea, eggs or milk -stools turn green/black -dilute liquid forms in water/juice and use straw to prevent staining of teeth -common SE: n/v, cramps, constipation |
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Factors affecting Nutrition |
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-development -gender -ethnicity and culture -beliefs about food -personal preference -religious practices -lifestyle -medications and therapy -health -alcohol consumption -advertising -psychologic factors |
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used to determine whether a person's weight is appropriate to their height <16 = malnourished 16-19 =underweight 20-25 = normal 26-30 = overweight >30 = obese |
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clear full soft high fiber low sodium low cholesterol diabetic |
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Therapeutic Diets -coffee, tea, bouillon, popsicles, hard candy |
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Therapeutic Diets -milk and cream, ice cream, puddings, butter, yogurt |
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Therapeutic Diets -scrambled eggs, mashed potatoes, breads, cereals, cake |
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Therapeutic Diets -diet with additional fresh uncooked fruits, bran, steamed vegetables, oatmeal, dried fruits |
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Therapeutic Diets Low Sodium |
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no added salt, 2g, 1g, or 500mg |
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Therapeutic Diets Low Cholesterol |
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Therapeutic Diets Diabetic |
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ADA Guidelines/Food exchanges (around 1800 calories) |
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400 mcg per day pregnancy 600 mcg |
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