RNSG 1430 Exam 3 2020 – San Antonio College
e & Integrated Process & Concept
Exemplar
y when nutrition imbalance (negative Nutritional status has a significant impact on both health and disease. F
nce) is developing patients, good nutritional status can help to maintain health, promote no
nstrate basic nursing measures to growth and development, and protect against disease. During illness, go
necessary optimal nutritional balance, nutritional status can reduce the risk for complications and speed recove
t on patient needs related to health Conversely, poor nutritional status can increase the risk for illness or de
ess or disorder; alterations of
ical-psychological function. Like other aspects of nursing care, nutritional assessment is a systematic
te-Teach overweight and obese used to identify the patient’s actual or potential needs, formulate a plan
he importance of lifestyle changes to those needs, initiate the plan or assign others to implement it, and evalu
health. effectiveness of the plan. The level of assessment may range from simple
to a comprehensive, in-depth assessment, depending on individual circu
Process: Planning Regardless of the level of assessment, nutritional assessment is appropri
patients. Nurses can collect assessment data through history taking (diet
ional assessment medical, socioeconomic data), physical assessments (anthropometric an
data), and laboratory data. When performing a nutritional assessment, n
ION to be aware of the specific changes in older people that may reflect on th
of the assessment process (T 1214)
, rinciples of Nutrition 1195-1208 Nutritional screening is an important part of the nursing assessment. Sc
actors Affecting Nutrition 1209- looks for cues associated with nutrition problems to determine if a perso
malnourished or at risk for malnutrition. The Mini Nutritional Assessme
(MNA) is an example of a screening tool used to detect older adults at ris
: malnutrition before changes in albumin level and the BMI. The MNA is
ge related changes 186-9 combination of screening questions followed by anthropometric measur
tritional Assessment 69-74 including BMI, midarm and calf circumference, and weight loss. The MN
anscultural Nursing, Diet 100 and easy, and recommended for use with all older adult patients, whethe
Management of Patients with community dwelling, hospitalized, or in long-term care settings
ignant Hematologic Disorders, After a screening tool identifies a patient at risk, such as in a group of old
900-6 is imperative to complete a nutritional assessment as a follow-up. These
Maintaining Feeding Equipment & usually referred to a dietitian for a comprehensive nutritional assessmen
nal Balance 1229-34 is combined with other methods of assessing nutritional status, the nurs
ysphagia 1984-85 prepared to coordinate a focused strategy to combat malnutrition.(T1214
Nursing process: assessment
verweight and Obesity 231-4 3 basic components:
ndernutrition and Eating Nutritional history- incudes:
rs 234- 7 Age, sex, activity level
damentals for Nursing Ch. 39 Difficulty eating – chewing, swallowing, mouth, teeth, dentures
,Changes in appetite and weight
Physical disabilities that affect purchasing, preparing and eating food
Cultural/religious beliefs that affect food choices Living
arrangements/socioeconomic issues
Medical condition, medication history
Physical exam
Diagnostic and lab data
Nursing Management: assessment
Nutritional Assessment and Screening:
Purpose
Performed to identify patients at risk for malnutrition or with poor nutri
Carry out nutritional screens through routine nursing histories and phys
Patients found to be at moderate or high risk are followed with a compre
assessment by a dietician
Nursing homes residents whose percent of meals eaten falls below 75% r
nutritional assessment by a nurse
DETERMINE can be used to screen for warning signs of poor nutritiona
Disease: any disease, illness or chronic condition that causes a change in
Eating poorly: eating too little or too much
, Tooth loss/mouth pain: missing, loose, or rotten teeth or dentures that d
Economic hardship: having less or choosing to spend less on food
Reduced social contact: being with people has a positive effect on eating
Multiple Medicines: polypharmacy Involuntary Weight Loss/Gain
Needs Assistance in Self-Care
Elder Years Above Age 80
Nursing history
Physical examination
Calculating percentage of weight loss
Dietary history
Anthropometric measurements:
Measuring triceps skinfold: measures body composition
Measuring mid-arm circumference
Measuring skinfold
Laboratory data
Serum protein
Prealbumin
“gold standard” in assessing possible protein malnutrition responses t
changes
e & Integrated Process & Concept
Exemplar
y when nutrition imbalance (negative Nutritional status has a significant impact on both health and disease. F
nce) is developing patients, good nutritional status can help to maintain health, promote no
nstrate basic nursing measures to growth and development, and protect against disease. During illness, go
necessary optimal nutritional balance, nutritional status can reduce the risk for complications and speed recove
t on patient needs related to health Conversely, poor nutritional status can increase the risk for illness or de
ess or disorder; alterations of
ical-psychological function. Like other aspects of nursing care, nutritional assessment is a systematic
te-Teach overweight and obese used to identify the patient’s actual or potential needs, formulate a plan
he importance of lifestyle changes to those needs, initiate the plan or assign others to implement it, and evalu
health. effectiveness of the plan. The level of assessment may range from simple
to a comprehensive, in-depth assessment, depending on individual circu
Process: Planning Regardless of the level of assessment, nutritional assessment is appropri
patients. Nurses can collect assessment data through history taking (diet
ional assessment medical, socioeconomic data), physical assessments (anthropometric an
data), and laboratory data. When performing a nutritional assessment, n
ION to be aware of the specific changes in older people that may reflect on th
of the assessment process (T 1214)
, rinciples of Nutrition 1195-1208 Nutritional screening is an important part of the nursing assessment. Sc
actors Affecting Nutrition 1209- looks for cues associated with nutrition problems to determine if a perso
malnourished or at risk for malnutrition. The Mini Nutritional Assessme
(MNA) is an example of a screening tool used to detect older adults at ris
: malnutrition before changes in albumin level and the BMI. The MNA is
ge related changes 186-9 combination of screening questions followed by anthropometric measur
tritional Assessment 69-74 including BMI, midarm and calf circumference, and weight loss. The MN
anscultural Nursing, Diet 100 and easy, and recommended for use with all older adult patients, whethe
Management of Patients with community dwelling, hospitalized, or in long-term care settings
ignant Hematologic Disorders, After a screening tool identifies a patient at risk, such as in a group of old
900-6 is imperative to complete a nutritional assessment as a follow-up. These
Maintaining Feeding Equipment & usually referred to a dietitian for a comprehensive nutritional assessmen
nal Balance 1229-34 is combined with other methods of assessing nutritional status, the nurs
ysphagia 1984-85 prepared to coordinate a focused strategy to combat malnutrition.(T1214
Nursing process: assessment
verweight and Obesity 231-4 3 basic components:
ndernutrition and Eating Nutritional history- incudes:
rs 234- 7 Age, sex, activity level
damentals for Nursing Ch. 39 Difficulty eating – chewing, swallowing, mouth, teeth, dentures
,Changes in appetite and weight
Physical disabilities that affect purchasing, preparing and eating food
Cultural/religious beliefs that affect food choices Living
arrangements/socioeconomic issues
Medical condition, medication history
Physical exam
Diagnostic and lab data
Nursing Management: assessment
Nutritional Assessment and Screening:
Purpose
Performed to identify patients at risk for malnutrition or with poor nutri
Carry out nutritional screens through routine nursing histories and phys
Patients found to be at moderate or high risk are followed with a compre
assessment by a dietician
Nursing homes residents whose percent of meals eaten falls below 75% r
nutritional assessment by a nurse
DETERMINE can be used to screen for warning signs of poor nutritiona
Disease: any disease, illness or chronic condition that causes a change in
Eating poorly: eating too little or too much
, Tooth loss/mouth pain: missing, loose, or rotten teeth or dentures that d
Economic hardship: having less or choosing to spend less on food
Reduced social contact: being with people has a positive effect on eating
Multiple Medicines: polypharmacy Involuntary Weight Loss/Gain
Needs Assistance in Self-Care
Elder Years Above Age 80
Nursing history
Physical examination
Calculating percentage of weight loss
Dietary history
Anthropometric measurements:
Measuring triceps skinfold: measures body composition
Measuring mid-arm circumference
Measuring skinfold
Laboratory data
Serum protein
Prealbumin
“gold standard” in assessing possible protein malnutrition responses t
changes
