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Nutritional Assessment
Exam 1 Study Guide
60
Nutrition
Undergraduate 4
09/17/2017

Additional Nutrition Flashcards

 


 

Cards

Term
24-hour food recall
Definition
is the dietary intake for the last 24
includes proportions, asking about activities can help jog memories, inexpensive, quick 20 min or less, only short-term memory, limitations is a person has a poor memory, withhold info, or false info
Term
Food recoed
Definition
does not depend on memory, provides detail info on eating, multiply day record up to 7 days, limits, lots of cooperation, low response rates, more time to get data recording may alter diet (eat better) work estimated portions
Term
Food questionnaire
Definition
self-administrated, machine readable, inexpensive, more representative of usual intake (UI), limits not represent portions, abilitie to describe dieat and read
Term
Simple or nonquanitative
Definition
ask how many times a week, month, year or day eats a certain food
Term
semiquantitative
Definition
idea of portion size
Term
quantitative food frequency
Definition
describes the size of serving as small, medium, large
Term
MEDFICS
Definition
M-meats, E-eggs, D-dairy, F-fried foods, I-in baked goods, C-convenience foods major contributor to total fat
Term
Photographic and video
Definition
good validity, let time thatn 24-recall, less of a burden, accepticable to people, limits expensive, how meals are prepared, techinal problems
Term
Food Accounts
Definition
are used to measure dietary intake within households and institution where congregate feeding such as nursing homes homes boarding schools, prisons, good for large sample sizes, long periods, less likely to alter diets, limits, does not account for loss or food, able to read, does not measure comsumption
Term
Food Balance Sheet
Definition
is a method of indirectly eastimating the amounts of food consumed by a country's population at a certain time. can give a view of a coutnries total food supply, indicate food habits, plan interanational nutrition policies, may be the only data availabe
Term
Difference Between Significant and Severe Wt Loss
Definition
wt loss<5% is small, 5% to 10% significant, wt loss > 10% is definitly significant severe wt change over 1 pound a day is fl changes
Term
calorie count
Definition
calculation of the energy and nutrient value of food eaten by a subject, such as a hospital patient
Term
Food Label & nutrient claims
Definition
all processed foods must have nutrient labels if the food is fortified it must be listed and health claims, serving size, list of ingredients, nutrients, vitamins, and minerals, nutrient claims like cholesterol fee, low fat, there are guidelines for these claims ex: low-sodium must contain less than 25% per serving than appropriate food used in comparison
Term
Anthropometry
Definition
is the measurement of body size, wt, and proportions
Term
Measurmemnts
Definition
head circumference, good indicator of health in infants brain abnormalities up to 36 months during 1 year routine, lenth, wt, ht recumbent lenght lying down, stature (ht) for 2 to 20 years of age start a 2-3, wt most important in measurements,non-amulatory bed or sclae chair 100g (1/4 lb)
Term
Growth charts
Definition
develope by CDC, compares growth to other children birth to 36 months, wht lenght and hc for age based on the National health and nutrition examination survey I-III
Term
Pediactric wt
Definition
BMI-for-age
<5th percentile - underweight
>/=5th percentile - < 85th percentile – healthy weight
>/= 85th percentile >/=95th percentile OR >/= 30 kg/m2 BMI - obese
Term
Ideal body wt
Definition
For men:
106# first 5 feet
6# for every inch over 5 feet
If < 5 feet tall, subtract 6# for each inch under 5 feet
+/- 10% for frame
For women:
100# for first 5 feet
5# for every inch over five feet
If < 5 feet tall, subtract 5# for each inch under 5 feet
+/- 10% for frame
Term
Percent ideal body wt
Definition
Percent ideal body weight or relative body weight
Actual weight / ideal body weight X 100
Example: a woman who is 5’6” tall weighs 155#
155#/130# (ideal body weight) x 100 = 119%
Woman is 119% of her ideal body weight
Term
IBW
Definition
> 200% Morbid Obesity
> 120% Obesity
110-120% Overweight
101-109% Normal
80-90% Mild Malnutrition
70-79% Moderate Malnutrition
< 69% Severe Malnutrition
Term
BMI
Definition
< 18.5 – Underweight
18.5-24.9 – Normal
25.0-29.9 – Overweight
30-34.9 – Obesity Grade I
35-39.9 – Obesity Grade II
High correlation with estimates of body fat
>/= 40 – Extreme Obesity (Grade III)
Term
BMI
Definition
Wt(lb)/ht (inches)/ht (inches) x 703
140# 5'5"
140/65/5x703=23.3
Term
Difference between gynoid (women) and android (men) body types and risks
Definition
ANDRIOD obesity
Upper body
Male-type
GYNOID obesity
Lower body
Female-type
weight close to heart associate to heart disease
visceral fat-surrounds the organs
retroperitoneal- outside the of the peritoneal cavity
Term
Waist Circumference
Definition
Waist-to-hip ratio (WHR)
Divide waist circumference by hip circumference
Recommendation to have WHR <1
Waist Circumference
< 40 males
< 35 females
great the waist increase chance for heart attack, hypertension
Term
Skinfolds measurements
Definition
Estimating body fat and protein reserves common in assessing nutritional status
Skinfold measurements
Inexpensive
Easy and quick
Fairly accurate
Best assesses when measuring at least 3 sites
Skinfold measurement sites:
Chest
Triceps single fold
Subscapular
Midaxillary
Spurailiac
Abdomen
Thigh
Medial Calf
two site skin folds 6-20 triceps and subscapular (sum)
Term
Percent body fat
Definition
Females 9-23% - Acceptable (lower end)
24-31% - Acceptable (higher end)
>/= 32% - Unhealthy/Too High
males
6-15% - Acceptable (lower end)
16-24% - Acceptable (higher end)
>/= 25% - Unhealthy/Too High
Term
Target wt
Definition
Example: A woman – 185# and 22% body fat wishes to have 15% body fat
Weight of fat = 185 lbs x .22 = 41 lbs body fat
Fat-free weight = 185 lbs – 41 lbs = 144 lbs
Target weight = 144 lbs / (100 - 15)  144 / .85 = 169 lbs
Term
ABCD's
Definition
Anthropometric-phycical ht/lenght,wt,circumfernce, skinfold
Biochemical-labs, tissue, fluids,excrections blood, urine
Clinical-finding from physical hair&skin
Dietarty-food intake 24-hour recall, food frequancy, food diary, food record
Term
Measruing frame size
Definition
Elbow breadth
Wrist circumference
r=H/C
R = ratio of body height to wrist circumference
H – height in centimeters
C = circumference of right wrist in centimeters
Term
EAR
Definition
EAR-estimated average requirement
intake value estimated to meet the requirements for 50% of life stage and gender group, you need EAR for RDA
Term
RDA
Definition
RDA- recommended dietary allowence
intake value sufficient to meet the requirements of 97% to 98% of individuals in a life stage, if EAR can't be determine than RDA can
Term
AI
Definition
AI- aduquate intake, recommend intake for infants, intakes of vit k, pantothenic acid, sodium and chloride for all life-stages are expressed a AI used when RDA can't be set
Term
UL
Definition
Upper tolerable upper level intake
Term
overnutrition
Definition
or hyperalimentation is a form of malnutrition in which the intake of nutrients is oversupplied. The amount of nutrients exceeds the amount required for normal growth, development, and metabolism. The term can also refer to: ... Oversupplying a specific nutrient, such as dietary minerals or vitamin poisoning.
Term
time frame for nurtional screening
Definition
doctors, nurses and DTR can complete nutrtional screenings
done with in 24-48 hours of hospital stay best done by a diet tech
Term
NCP
Definition
NCP-nutrtion care process
nutrition assessment and reassessment
nutrition diagnosis
nutrition intervention
nutrition monitoring and evaluation
Term
Nutritional assessment and reassessment
Definition
obtain/collect date timely and appropriatly, analyze and interpret data, document
Term
nutritional diagnosis
Definition
identify and label problem, determine cause, cluster signs and symptoms, document
Term
nutrition intervension
Definition
plan nutrition intervention, formulate goals, implement nutrition intervention, care delivered and actions are carried out, document
Term
nutriton monitoring and evaluation
Definition
monitor progress, measure out come, evaluate out come, document
Term
PES
Definition
format used to write nutritional diagnosis NCP
P-problem
E-etiology
s-signs and symptoms
Term
PES
Definition
p- what
e-why
s-how do i, how severe is the problem
Term
PES
Definition
Ex:Inadequate energy intake r/t poor appetite AEB weight loss of 1 pound in the
past month.
o Food- and nutrition-related knowledge deficit r/t lack of prior nutrition related
education regarding infant/toddler feeding practices AEB MOI reports not
knowing when to introduce complementary foods.
o Inadequate energy intake r/t routinely providing pureed fruit and milk as primary
part of diet AEB inadequate gain 7 oz in 2 months, w/l <2nd %ile.
Term
PES
Definition
related to and as evident by
61 yr old male who has a poor appetite and unitemtional wt loss of 15% during the past 3 months has colon cancer anf gets chemo,
inadequate oral intake related to chemo-associated to dysgeusia as evidenced by oral intake of 60% estimated needs
Term
Nutrition Diagnosis
Definition
the identification and descriptive labeling of a nutrition problem that the dietetics practitioneris responsible for independently addressing, it is different than medical diagnosis, it is written in terms of a client problem for which nutrition related activities provide the primary intervention
Term
PES
Definition
PES statements are a written diagnosis of a patient’s nutritional problem.
A PES is a simple statement that identifies the Problem, gives the Etiology of the diagnosis and states the Signs/Symptoms that support the diagnosis.
Always use the words “related to” and “as evidenced by.”
Term
PES
Definition
“Inadequate energy intake related to calorie intake not meeting calculated needs as evidenced by 15lb weight loss in 3 months.”
Term
Hawmi method
Definition
Females: 100# for first 5 ft plus 5# for each additional inch above 5 ft

Males: 106# for first 5 ft plus 6# for each additional inch above 5 ft

+ 10% for large frame
- 10% for small frame
Term
IBW
Definition
(Actual Wt / IBW) x 100
> 200% Morbid Obesity
> 120% Obesity
110-120% Overweight
101-109% Normal
80-90% Mild Malnutrition
70-79% Moderate Malnutrition
< 69% Severe Malnutrition
Term
UBW
Definition
(Actual Wt / UBW) x 100
85-90% Mild Malnutrition
75-84% Moderate Malnutrition
<74% Severe Malnutrition
Term
% Wt change
Definition
[(UBW – Actual BW) / UBW] x 100

Significant Weight Loss Severe Weight Loss
5% over 1 month > 5% over 1 month
7.5% over 3 months > 7.5% over 3 months
10% over 6 months > 10% over 6 months
Term
Adjusted Body Weight
Definition
[(Actual BW – IBW) x 25%] + IBW
Term
Amputations
Definition
Ideal amputee weight = preamputation ideal body weight (IBW) – IBW x % amputation)

Segmental Body Weights:
Hand 0.7%
Lower arm and hand 2.3%
Entire arm 5.0%
Foot 1.5%
Lower leg and foot 5.9%
Entire leg 16%
Term
Blood pressure
Definition
Optimal <120/80
Normal <130/85
High Normal 130-139/85-89
Hypertension:
Stage 1 140-149/90-99
Stage 2 160-179/100-109
State 3 >180/>110
Term
Harris-Benedict
Definition
Females: REE = 655.1 + 9.6W + 1.9S – 4.7A
Males: REE = 66.5 + 13.8W + 5.0S – 6.8A
* W = weight in kg, S = height in cm, A = age in years
Term
Calculating energy needs
Definition
Mifflin-St. Jeor Equation
Females: 10(W) + 6.25(Ht) – 5(Age) – 161

Males: 10(W) + 6.25(Ht) – 5(Age) + 5
Term
Estimating protein needs
Definition
Healthy, non pregnant, nonlactating adults need 0.8 grams/kg
Lose protein in trauma, burns, and other instances/injury
Measured through urinary nitrogen losses
Protein needs are estimated
Based on body weight
Based on calorie intake
Based on nitrogen balance
Term
Estimating proteins based on calories
Definition
Calorie to Nitrogen Ratio
1 gram of nitrogen = 6.25 grams of protein
1 gram of nitrogen for every 150 NPC (nonprotein calories) usually adequate for critically ill adults and adults with 1 gram of nitrogen for every 100 NPC when severely injured or burns >10%
NPC / kcal:N x 6.25
Ex: 1500 calorie diet (NPC) with 150:1 calorie:N would need 63 grams protein
1500 / 150 x 6.25
Term
Estimated proteins based on bw
Definition
normal- 0.8 healthy
mild-0.8-1.2 minor surgery mild indefction
moderate-1.2-1.8 mjor sugery, moderate skeletal trama, infection
severe 1.6-2.2 major burns severe trama multiple injuries
Term
Fluid needs
Definition
100 mL/kg for the first 10 kg of body weight
50 mL/kg for the second 10 kg of body weight
Age adjustment
If = 50 yrs old: 20 mL/kg for each of the remaining kg body weight
If > 50 yrs old: 15 mL/kg for each of the remaining kg body weight
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