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1. Nutrition Assessment and Six domains: 1.Food/nutrition related history 2 Anthropomutric measurements 3.Blochemical dato, medical tests, and procedures 4.Nutrition focused physical findings 5.Client history 6. Assessment, Monitoring and Evaluation Tools Reassessment

1. Nutrition Assessment and Six domains: 1.Food/nutrition related history 2 Anthropomutric measurements 3.Blochemical dato, medical tests, and procedures 4.Nutrition focused physical findings 5.Client history 6. Assessment, Monitoring and Evaluation Tools Reassessment

Phlebotomy Essentials
Phlebotomy Essentials
6th Edition
ISBN:9781451194524
Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Chapter1: Phlebotomy: Past And Present And The Healthcare Setting
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1. In a few paragraphs, discuss why RDNS use data from all Assessment domains in a nutrition assessment. Review the type of data in each domain. 2. From the January 30 Canvas module, access the PowerPoint entitled “2024 Assessment Domains” and thoroughly review slides 24 through 33. The U.S. Institute of Medicine specifically advises combining nutrition/food intake data with other supporting information to lend validity to a nutrition assessment. Explain why in one to two paragraphs. Use examples. Do not repeat your response from question 1 – instead, answer why FH domain information can be lacking.
Food/Nutrition History Related Domain (FH) This is where you will document all aspects of what the patient is consuming But there are issues with documenting intake.... FH Domain Issues with food and nutrient intake data: Accurate measurement for dietary intake is often difficult due to subjective nature of assessment tools So, dietary intake data can be inaccurate or wrong Also, an assessment of inadequate intake does not always lead to nutrient deficiency FH - Issues with intake data From medical charts: If a patient hasn't been eating well and feels pressure from RD, MD, RNs to eat... ...they might offer food to visitors... ...and when CNAs record 100% intake, everyone assumes the Pt ate the food FH-Issues with intake data From medical charts: FH Domain Data that is present isn't always meaningful, e.g 100% intake what does that mean? Switch To Dark Mode Because of these issues: U.S. Institute of Medicine advises combining dietary intake with: clinical, biochemical, and other supporting information to lend validity to nutrition assessment FH Domain A complete nutrition assessment: Looks at intake and food history in combination with factors from the other domains: Client history - medical diagnosis, clinica status Anthropometrics Biochemical data, tests and procedures Physical exam findings Etiology Previous FH-Issues with intake data For diet history at home: Switch To Dark Mode Patients often don't know portion sizes Patients might tell you what they think you want to hear: Example: a patient with diabetes might not tell you that they often eat desserts or drink regular sodas FH-Issues with intake data From medical charts in facilities: Inaccurate data: Example: a renal patient might not tell you about their actual intake of foods high in K+or PO4 r how much fluid they drink from everyone - patients, RNS, CNAs/PCTS Previous except for 0% and 100% intake, it is difficult to accurately estimate percentage intake Incomplete / missing data as sometimes CNAS don't record intake for every meal FH Domain Meal #1: grilled chicken breast rice Meal # 2: broccoli dinner roll with margarine fresh fruit cup 2% milk chicken noodle soup with 6 soda crackers iced tea Will 100% intake for each meal meet your patient's needs? FH Domain So due to these issues, you cannot use only Food Histor data for your Assessment per the U.S. Institute of Medicine. This is an important concept and will appear on quiz Final Exam.
Transcribed Image Text:Food/Nutrition History Related Domain (FH) This is where you will document all aspects of what the patient is consuming But there are issues with documenting intake.... FH Domain Issues with food and nutrient intake data: Accurate measurement for dietary intake is often difficult due to subjective nature of assessment tools So, dietary intake data can be inaccurate or wrong Also, an assessment of inadequate intake does not always lead to nutrient deficiency FH - Issues with intake data From medical charts: If a patient hasn't been eating well and feels pressure from RD, MD, RNs to eat... ...they might offer food to visitors... ...and when CNAs record 100% intake, everyone assumes the Pt ate the food FH-Issues with intake data From medical charts: FH Domain Data that is present isn't always meaningful, e.g 100% intake what does that mean? Switch To Dark Mode Because of these issues: U.S. Institute of Medicine advises combining dietary intake with: clinical, biochemical, and other supporting information to lend validity to nutrition assessment FH Domain A complete nutrition assessment: Looks at intake and food history in combination with factors from the other domains: Client history - medical diagnosis, clinica status Anthropometrics Biochemical data, tests and procedures Physical exam findings Etiology Previous FH-Issues with intake data For diet history at home: Switch To Dark Mode Patients often don't know portion sizes Patients might tell you what they think you want to hear: Example: a patient with diabetes might not tell you that they often eat desserts or drink regular sodas FH-Issues with intake data From medical charts in facilities: Inaccurate data: Example: a renal patient might not tell you about their actual intake of foods high in K+or PO4 r how much fluid they drink from everyone - patients, RNS, CNAs/PCTS Previous except for 0% and 100% intake, it is difficult to accurately estimate percentage intake Incomplete / missing data as sometimes CNAS don't record intake for every meal FH Domain Meal #1: grilled chicken breast rice Meal # 2: broccoli dinner roll with margarine fresh fruit cup 2% milk chicken noodle soup with 6 soda crackers iced tea Will 100% intake for each meal meet your patient's needs? FH Domain So due to these issues, you cannot use only Food Histor data for your Assessment per the U.S. Institute of Medicine. This is an important concept and will appear on quiz Final Exam.
1. Nutrition Assessment and Six domains: 1.Food/nutrition related history 2 Anthropometric measurements 3.Blochemical data. medical tests, and procedures 4.Nutrition focused physical findings 5.Client history 6. Assessment, Monitoring and Evaluation Tools Reassessment T 1. 2. 3.
Transcribed Image Text:1. Nutrition Assessment and Six domains: 1.Food/nutrition related history 2 Anthropometric measurements 3.Blochemical data. medical tests, and procedures 4.Nutrition focused physical findings 5.Client history 6. Assessment, Monitoring and Evaluation Tools Reassessment T 1. 2. 3.
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