Chapter 13 � Nutrition Care and Assessment by MfT85YYG


									Chapter 13 – Nutrition Care and Assessment

I.   Nutrition in Health Care
     A. How Illness Affects Nutrition Status
     B. Responsibility for Nutrition Care
        1. Physicians
        2. Nurses
        3. Registered Dietitians
        4. Registered Dietetic Technicians
        5. Other Health Care Professionals
     C. Identifying Risk for Malnutrition
     D. The Nutrition Care Process
        1. Nutrition Assessment
        2. Nutrition Diagnosis
        3. Nutrition Intervention
        4. Nutrition Monitoring and Evaluation
II. Nutrition Assessment
     A. Historical Information
        1. Medical History
        2. Social History
        3. Diet History
     B. Dietary Assessment Methods
        1. The 24-Hour Recall
        2. Food Frequency Questionnaire
        3. Food Record
        4. Direct Observation
     C. Anthropometric Data
        1. Height (or Length)
             a. How to Measure Length and Height
        2. Body Weight
             a. How to Measure Weight
             b. How to Estimate and Evaluate %IBW and %UBW
        3. Head Circumference
        4. Circumferences of Waist and Limbs
        5. Anthropometric Assessment in Infants and Children
        6. Anthropometric Assessment in Adults
     D. Biochemical Analyses
        1. Plasma Proteins
        2. Albumin
        3. Transferrin
        4. Prealbumin and Retinol-Binding Protein
     E. Physical Examinations
        1. Fluid Imbalances
        2. Functional Assessment
     F. Integrating Assessment Data
III. Nutrition in Practice – Nutritional Genomics
     A. What is a genome?
     B. How did research in nutritional genomics begin?
C.   How do nutrients alter gene expression?
D.   How much genetic variation is there among people?
E.   What are some examples of single-gene disorders?
F.   How are multigene disorders different from single-gene disorders?
G.   Can genomic research be used to explore the differences in nutrient needs among people?
H.   Will knowledge about the human genome substantially change the manner in which health care
     is provided?
I.   What ethical concerns are raised by having extensive knowledge about an individual’s genome?

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