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Name 3 reasons why nutrition is important |
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- helps fight disease -helps prevent injury - gives strength for performing ADL's |
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it's estimated that ---% of hosiptailized clients suffer from protein / calorie malnutrition (or risk for the same)due to faulty assessment or inadequate nutritional support |
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What 7 factors affect nutrition |
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functional ability suppressed diet impaired swallowing Metabolism Finances Cognitive ability Adherense to alternative food patterns |
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What is functional ability |
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(hands, teeth)- half of 65 and over wear dentures |
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for example respiratory or sinus infections can reduce sense of taste ad smell. Liver disease, GI problems, and cetain medications can also cause anorexia ( loss of appetite) |
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dysphasia. Damage to cranial nerves, such as occurs with patients who have had a stroke (SVA), Parkinsons disease and other neurologic problems are frequently responsible. Swollen passages in the throat ( tonsilitis ) can cause it as well. |
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inhaling foreign material into the airways, usually results in pneumonia and increased mobility, mortality and a lengthy stay in the hospital |
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What are a major danger to patients who have aspiration problems |
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thin fluids, and often a thickening agent is needed ; nectar ( medium), honey ( high), or pudding ( highest), they dont alter the taste just the consistancy |
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Who write prescriptions for aspiration thickness medicaion or dysphagia |
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speech langauage pathologists ( SLP's) - the swallowing experts |
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what should you be alert for in case of dysphagia or aspirations |
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wet coughing while the patient is eating, use a penlight to look in their mouth before and after eating to check for pocketing ( unswollowed food in nooks and crannies of the mouth) |
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silent, paticularly in patients with neurological difficulties. Often they dont cough; even though they have inhaled food of liquid |
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patients at risk for aspiration should be sitting in --- when eating, and ----- while swallowing |
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high fowlers position, flex the head in a chin-down position while swallowing |
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if the patient is at risk for aspiration and the patient has hemiplegia the food then should be placed |
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in the uneffected side of the mouth for chewing |
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why can metabolism effect nutrition |
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some diseases, for example hyperthyroidism, raise the metabolic rate to such a degree that injesting sufficient fuel becomes difficult. Fever increases metabolism by 7% for each degree F |
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how does adherence to alternative food patterns interfere with nutrition |
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an exmple would be vegitarism- vegitarians will not eat the flesh of animal. Protein deficiency is a major concern. It is entirely possible t obtain sufficient protein with a vegitarian diet, but it requires strong knowledge about alternative protein sources |
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what groups are vegitarians divided into |
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ovolactovegitarians lactovegitarians vegans |
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will eat eggs and milk/milk products |
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will eat milk and milk products, but not eggs |
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will eat no animal products |
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albumin has ahalf life of |
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prealbumin has a half life of |
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hematocrit (Hct) normally is |
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37-49% for Males 36-46% for females |
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Hemoglobin (Hgb) normally is |
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14-17 G/Dl for males 12-15 G/Dl for females |
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