Chapter 10

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Author:
efrain12
ID:
249685
Filename:
Chapter 10
Updated:
2013-11-29 19:53:54
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Nut
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Description:
clinical/physical assessment
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  1. Purpose of clinical/NFPA assessment?
    -utilizes number of physical signs that are known to be associated with malnutrition (deficiency of vitamins and micros)
  2. Advantages of clinical assessments (3)
    -fast and easy to perform

    -inexpensive

    -non-invasive
  3. limitations of clinical assessment (2)
    -does not detect early cases

    -there are non-nutritional causes with similar findings
  4. examination technique) inspection
    • critical observation of color, shape, texture, size
    • *use senses
  5. examination technique)Palpation (2)
    -tactile exam to feel pulsations and vibrations

    • -assess body structures
    • *includes texture, size, temp, tenderness, mobility
  6. examination technique) percussion
    • -assessments of sounds to determine body's organs borders, shape, and position
    • *may not be used in nutrition focused exam
  7. examination technique) auscultation
    • listening to body sounds with ear or stethoscope
    • *heart, lung sounds, or bowels
  8. stages of pressure ulcers, venous stasis, diabetic ulcers) stage 1
    only reaches the epidermis
  9. stages of pressure ulcers, venous stasis, diabetic ulcers) stage 2
    goes through the epidermis but not the dermis
  10. stages of pressure ulcers, venous stasis, diabetic ulcers) stage 3
    goes through the dermis and reaches the adipose tissue
  11. stages of pressure ulcers, venous stasis, diabetic ulcers) stage 4
    reaches all the way to the bone
  12. what are we looking for when inspecting or palpating the following?) skin
    -dry, rough, easy bruisability
  13. what are we looking for when inspecting or palpating the following?) nails
    -changes in texture, shape, brittle
  14. what are we looking for when inspecting or palpating the following?) eyes
    -pale, spots, dryness, redness, fissuring corners of eyelids
  15. what are we looking for when inspecting or palpating the following?) mouth
    -condition of teeth, gums, lips, tongue, dentures
  16. what are we looking for when inspecting or palpating the following?)abdomen
    any fluid accumulation
  17. what are we looking for when inspecting or palpating the following?) general
    weakness, fever, fatigue, anemia, cold intolerance, weight change
  18. which nutrient deficiencies are associated with this disease) Pallor (3)
    -folic acid

    -iron

    -B12
  19. which nutrient deficiencies are associated with this disease) Xerosis/ Keratomalacia
    -vitamin A
  20. which nutrient deficiencies are associated with this disease) easily plucked hair
    -protein deficiency
  21. which nutrient deficiencies are associated with this disease) Koilonychia
    -iron deficiency
  22. which nutrient deficiencies are associated with this disease) transverse ridging of nails
    -protein deficiency
  23. which nutrient deficiencies are associated with this disease) temporal wasting
    loss of muscle mass
  24. which nutrient deficiencies are associated with this disease) Petechiae (3)
    -vitamin K

    -Vitamin C

    -folic acid
  25. which nutrient deficiencies are associated with this disease) Pale conjunctiva (2)
    -vitamin B2

    -vitamin A
  26. which nutrient deficiencies are associated with this disease) night blindness
    vitamin A
  27. which nutrient deficiencies are associated with this disease) Cheilosis (3)
    -vitamin B2

    -vitamin B6

    -niacin
  28. which nutrient deficiencies are associated with this disease) glossitis (7)
    -B2

    -B6

    -B12

    -niacin

    -folic acid

    -protein

    -iron
  29. which nutrient deficiencies are associated with this disease) Spongy/bleeding gums (5)
    -Vitamin C

    -vitamin K

    -vitamin A

    -folic acid

    -niacin
  30. which nutrient deficiencies are associated with this disease) altered taste
    -malfunctioning of olfactory or taste buds
  31. which nutrient deficiencies are associated with this disease) Pitting edema
    -fluid retention
  32. which nutrient deficiencies are associated with this disease) stomatitis (3)
    -vitamin B2

    -vitamin B6

    -niacin
  33. which nutrient deficiencies are associated with this disease) delayed wound healing
    diabetes
  34. what 3 things are we looking for in a clinical assessment?
    -things that should be there

    -things that are missing that should be there

    -situations and abnormalities that can affect food intakes

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