The ASPEN/AND Consensus Statement on Malnutrition defines three etiology-based types of malnutrition. Complete this table from Consensus Statement Figure 1. MEMORIZE THIS CHART Is inflammation present? Type of Malnutrition No Starvation-Related Example of disease states or conditions associated with this type of malnutrition Pure chronic starvation, Anorexia Nervosa Yes, Mild to Moderate Degree Chronic Disease-Related Organ failure, pancreatic cancer, RA, sarcopenic obesity Yes, Marked Inflammatory Acute disease or injury- Major infection, burns, trauma, Response closed head injury related Complete these tables from Consensus Statement Table 1 to determine malnutrition severity. MEMORIZE THESE CHARTS Malnutrition in the Context of Acute Illness or Injury Malnutrition in the Context of Chronic Illness Malnutrition in the Context of Social or Environmental Clinical Characteristic Energy Intake **EER = estimated energy requirement Circumstances Nonsevere Severe (Moderate) Nonsevere Severe (moderate) Nonsevere Severe (moderate) 7 days of EER for of EER for >=5 days >=1 mon of EER for of EER for >/=1 mon >/=3 mon /=1 mon Malnutrition in the Context of Acute Illness or Injury Nonsevere Severe Clinical Characteristic (Moderate) Malnutrition in the Context of Chronic Illness Malnutrition in the Context of Social or Environmental Circumstances Nonsevere Severe Nonsevere Severe (moderate) (moderate) % Time % % Time % % Time % Interpretation of weight loss 1-2 1 wk >2 5 1 mo >5 5 1 mo >5 5 1 mo >5 7.5 3 mo >7.5 7.5 7.5 3 mo >7.5 10 a 6 mo >10 10 20 1 yr 20 20 202 3 mo >7.5 6 mo >10 1 yr >20 Miss A. Sippy's intake in the hospital is meeting about 35% of her EER so you recommend a nutrition supplement. The doctor does not want to order it due to her BMI. What is your response to the doctor? • Justify your response with the calculations you made and the determination you made for type and severity of malnutrition. • What will you tell the doctor about the patient's BMI? ⚫Is it likely Miss A. Sippy suffers from sarcopenic obesity? If so, how will that affect her outcome?
The ASPEN/AND Consensus Statement on Malnutrition defines three etiology-based types of malnutrition. Complete this table from Consensus Statement Figure 1. MEMORIZE THIS CHART Is inflammation present? Type of Malnutrition No Starvation-Related Example of disease states or conditions associated with this type of malnutrition Pure chronic starvation, Anorexia Nervosa Yes, Mild to Moderate Degree Chronic Disease-Related Organ failure, pancreatic cancer, RA, sarcopenic obesity Yes, Marked Inflammatory Acute disease or injury- Major infection, burns, trauma, Response closed head injury related Complete these tables from Consensus Statement Table 1 to determine malnutrition severity. MEMORIZE THESE CHARTS Malnutrition in the Context of Acute Illness or Injury Malnutrition in the Context of Chronic Illness Malnutrition in the Context of Social or Environmental Clinical Characteristic Energy Intake **EER = estimated energy requirement Circumstances Nonsevere Severe (Moderate) Nonsevere Severe (moderate) Nonsevere Severe (moderate) 7 days of EER for of EER for >=5 days >=1 mon of EER for of EER for >/=1 mon >/=3 mon /=1 mon Malnutrition in the Context of Acute Illness or Injury Nonsevere Severe Clinical Characteristic (Moderate) Malnutrition in the Context of Chronic Illness Malnutrition in the Context of Social or Environmental Circumstances Nonsevere Severe Nonsevere Severe (moderate) (moderate) % Time % % Time % % Time % Interpretation of weight loss 1-2 1 wk >2 5 1 mo >5 5 1 mo >5 5 1 mo >5 7.5 3 mo >7.5 7.5 7.5 3 mo >7.5 10 a 6 mo >10 10 20 1 yr 20 20 202 3 mo >7.5 6 mo >10 1 yr >20 Miss A. Sippy's intake in the hospital is meeting about 35% of her EER so you recommend a nutrition supplement. The doctor does not want to order it due to her BMI. What is your response to the doctor? • Justify your response with the calculations you made and the determination you made for type and severity of malnutrition. • What will you tell the doctor about the patient's BMI? ⚫Is it likely Miss A. Sippy suffers from sarcopenic obesity? If so, how will that affect her outcome?
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
Section: Chapter Questions
Problem 1SRQ
Related questions
Question
Transcribed Image Text:The ASPEN/AND Consensus Statement on Malnutrition
defines three etiology-based types of malnutrition. Complete
this table from Consensus Statement Figure 1.
MEMORIZE THIS CHART
Is inflammation present?
Type of Malnutrition
No
Starvation-Related
Example of disease states or
conditions associated with this
type of malnutrition
Pure chronic starvation, Anorexia
Nervosa
Yes, Mild to Moderate
Degree
Chronic Disease-Related Organ failure, pancreatic cancer,
RA, sarcopenic obesity
Yes, Marked Inflammatory Acute disease or injury- Major infection, burns, trauma,
Response
closed head injury
related
Complete these tables from Consensus Statement Table 1
to determine malnutrition severity.
MEMORIZE THESE CHARTS
Malnutrition in the
Context of
Acute Illness or Injury
Malnutrition in the
Context of
Chronic Illness
Malnutrition in the
Context of
Social or
Environmental
Clinical
Characteristic
Energy Intake
**EER = estimated
energy requirement
Circumstances
Nonsevere Severe
(Moderate)
Nonsevere Severe
(moderate)
Nonsevere Severe
(moderate)
</-50%
<75%
</=75%
<75%
<75%
of EER for
>7 days
of EER for of EER for
>=5 days >=1 mon
of EER for of EER for
>/=1 mon >/=3 mon
</=50%
of EER for
>/=1 mon
Malnutrition in the
Context of
Acute Illness or Injury
Nonsevere Severe
Clinical
Characteristic (Moderate)
Malnutrition in the
Context of Chronic Illness
Malnutrition in the Context of
Social or Environmental
Circumstances
Nonsevere
Severe Nonsevere
Severe
(moderate)
(moderate)
% Time %
%
Time %
%
Time %
Interpretation of
weight loss
1-2
1 wk >2
5
1 mo >5
5
1 mo
>5
5
1 mo
>5
7.5
3 mo >7.5
7.5
7.5
3 mo >7.5
10
a
6 mo >10
10
20
1 yr 20
20
202
3 mo >7.5
6 mo
>10
1 yr
>20
Transcribed Image Text:Miss A. Sippy's intake in the hospital is meeting about 35% of her EER so you recommend a
nutrition supplement. The doctor does not want to order it due to her BMI. What is your
response to the doctor?
• Justify your response with the calculations you made and the determination you made
for type and severity of malnutrition.
• What will you tell the doctor about the patient's BMI?
⚫Is it likely Miss A. Sippy suffers from sarcopenic obesity? If so, how will that affect her
outcome?
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