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Medical nutrition therapy case study answer
Medical nutrition therapy case study 16
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Monitoring body measurement or also known as anthropometry can be defined as a practical and immediately applicable technique for assessing patient’s nutrition and overall health. Anthropometry also helps nurses and other health care professions to evaluate progress in pregnant women, adults, children, elders, and adolescents. It also measures body composition overtime. http://www.ncbi.nlm.nih.gov/pubmed/3176514. Anthropometric measurements include weight and height, lean tissue and fat fold measurements. It also includes measuring the head circumference of an infant to assess brain development in infants. Anthropometry is also useful in measuring abdominal girth or measure enlargement of abdominal organs or fluid retention. http://www.angelfire.com/art/nutrition/CHAPTER16.html …show more content…
According to Russel and Elia (2010), one in four patients are already malnourished prior to their admission to the hospital therefore it is crucial to conduct accurate body measurement from admission onwards to ensure the right level of nutritional support is maintained. National Institute for Health and Care Excellence (2006) also recommends that all inpatients, outpatients, people who are admitted in care homes must be nutritionally screened. The fundamental part of nutritional screening is accurately recording body measurements (Clarkson, 2012). It is also essential for calculating drug dosage accurately and oedema gain or loss. Furthermore, it is also important for admitted patients who may need specialist equipment such as profiling beds for pressure relief …show more content…
BMI is one of the widely used tool in clinical settings to estimate body fat percentage. It uses height and weight to determine if an adult is at a healthy weight range, underweight, overweight, or obese http://www.healthdirect.gov.au/body-mass-index-bmi-and-waist-circumference. According to Barton (2010), BMI is a simple tool for clinicians to screen people who are at greater risk in developing weight related disease. People with high BMI are known to be more susceptible to coronary heart disease, cancer, hypertension, and diabetes mellitus. Experts also found that people with increased BMIs have higher incidences of premature death https://www.healthstatus.com/health_blog/body-fat-calculator-2/body-fat-vs-bmi/. The World Health Organisation (2006) states that the normal BMI range for a healthy adult is between 18.5 to 24.9. http://apps.who.int/bmi/index.jsp?introPage=intro_3.html& BMI can be easily gathered because measuring height and weight are inexpensive to obtain and can be easily standardised to minimize errors. BMI only requires little transformation of data to construct therefore making it an ideal tool in clinical settings
The first component of the MUST involves measuring the patient’s height and weight to establish their Body Mass Index (BMI). BMI is the’ relationship b...
Daily actions of checking and critiquing can be performed in many ways. Body monitoring offers an array of resources. Constantly weighing one’s self is a way of achieving quantitative precision. Being able to pinpoint an exact gain or loss is a necessity in this cycle. To be able to have an ideal weight and to accurately compare yourself leaves no room for misinterpretation. Counting Calories helps maintain discipline to be sure not to exceed the limit. If one eats certain “restricted” food, it is seen to be sinful or as breaking the rules. This restriction of food intake is in a highly disciplined way. This is part of a larger process of dieting and exercising which is used in an obsessive manner to obtain the “perfect” body. These diet rituals can go as far as to fast for days at a time. Another “tool” of monitoring is food watching, monitoring the intake of “good” and “bad” foods. Nutritionally healthy foods are considered good. Anything else, from sweets to foods with fat, are considered bad foods.
...r height in metres, a healthy BMI for an adult is 18.5 to 25 and if you are classed as obese, your BMI is 30 or more. (Astrup 2009)
These risk assessments include, pressure injury assessment, nutritional status, fluid balance charts, falls risks assessment, and double checking of the right medication. These are all a set of examinations that are done throughout every day of the patients stay and depending on the individual it may be assessed every 20-30 minutes or every other hour. For Mr Azikiwe, each of these assessments must be made throughout the day as his flu-like symptoms are worsening, he lacks energy and does not feel like eating. With his lack of energy and weakening body it may lead Mr Azikiwe to be dehydrated, malnourished and have pressure injury sores from lack of movement. Through the help of these risk assessments, it can be determined exactly where Mr Azikiwe is with his health and come up with possible ways to improve it. A pressure injury assessment would be crucial because at this age his skin is more prone to pressure sores, and due to his lack of energy, he will need to be checked on and turned at least every 2 hours. Other things that may reduce his chances of getting pressures injuries are by keeping the skin clean and dry, protecting the skin by applying talcum powder or cushioning at friction points. Due to the fact that Mr Azikiwe does not feel like eating much, his nutritional status and fluid balance will need to be assessed daily. By keeping track on these, it will help in achieving a healthy nutritional status and fluid balance chart so that he may regain his energy. In addition, because of Mr Azikiwe’s condition, a set of falls risks assessment must be made each time before leaving the room to ensure there is no chance of him accidentally falling in the absence of a nurse. Along with this, it is crucial that he receives
Nearly two-thirds of the United States population is overweight. There are several ways to determine if a person is obese or overweight. Experts say that a person’s body mass index is the best way to determine an adults weight in relation to their height. A BMI from 18.5 to 24.9 kg/m2 is considered normal, adults with a BMI of 25 to 29.9 kg/m2 are considered overweight. There are exceptions with peoples BMI, an athlete can have a high BMI and not be overweight or obese. Adults with a BMI of 30 kg/m2 or higher are considered obese. A person with a high BMI can have a normal amount of body fat if they have more muscle tissue. However, the risk of death and disease is increased for adults who are overweight and obese (Kolata 1)
Nurses are pivotal in hospital efforts to improve quality because they are in the best position to affect the care patients receive during their hospitalization. Data collection and analysis is the core of quality improvement assisting in understanding how the system work, identifying potential areas in need for improvement, monitoring the effectiveness of change and outcome. Nurses are also the eyes and ears of the hospital to positively influence patient outcome. For example, nurses are the ones catching medication errors, falls, and identifying barriers to delivering care. In this nurse’s facility, in order to minimize patient falls the hospital implemented a falls risk assessment tool called, “The Humpty Dumpty Scale” upon admission
technological advances on the trueness and precision of DXA to assess body composition. Obesity, 20(1), 30-39.
Obesity is a global problem (Tremolieres 1973; WHO 2000) (6). It increases numerous health risks including coronary heart disease, hypertension, stroke (WHO 2000) (7) and is a major risk factor for musculoskeletal pain (Nantel, Mathieu and Prince, 2011) (8) and osteoarthritis of weight bearing joints (WHO 2000; Felson et al, 2000) (9). Obesity rates are growing high every year and in the last 15 years twofold increase is recorded (10). Obesity is categorised on body mass index (BMI). Body mass index is used to measure obesity and is calculated by dividing a person’s weight (in kilograms) by the square of their height (in metres). Overweight is taken as BMI of 25 to 29.9kg/m2 and BMI...
Webster’s dictionary defines obesity as an increase in body weight due to excessive accumulation of body fat. It is a condition or disease in which “the natural energy reserve of humans or mammals, which is stored in fat tissue, is expanded far beyond usual levels to the point where it impairs health.” Obesity is most often measured by using the BMI (body mass index), which is calculated by dividing the weight in kilograms by the height squared in meters. A desirable BMI for children to sustain a healthy life is between 18.5 and 25. A child with a BMI over 25.0 kg/m 2 is considered overweight, while a BMI over 30.0kg/m 2 is considered obese, and a BMI over 40 is morbid obesity.
We live in a world where we are always busy doing something. We are doing so much in such little time that we often forget or do not have time to take care of ourselves. Our body should be our temple. If we do not take care of it, we will not be able to do the works that need to do, that always keeps us busy. In modern era being overweight has become a normal thing. People are not expected to have a perfect body. However, they are expected to be healthy. Some people are underweight. Some are overweight and some are obese. When a human body has more than 30.0 BMI is considered obese. BMI represents body index mass. BMI is body to height ratio. Having higher BMI doesn’t always mean someone is unhealthy. A lot of bodybuilder have higher BMI. However their BMI is higher because of their muscle mass and not body fat. Obesity is on the rise and it is growing fast. North America has the highest rate of obese people in the world and the number is going up every day. Different things causes obesity. For example sleep deprivation, lack of fresh food, food, cost of fresh food, lack of time, fast food at ease and lack of
Kaitani et al. (2010) show clearly details that the majority of patients admitted to a nursing home should be assessed, regardless of their aged, gender or weight, and the results need to be documented. Each patient will then be given a date for regular assessment (Kaitani et al. 2010). Kaitani et al. (2010) also pointed out that nursing assessment is a dynamic and continuous process involving synthesis of information from a variety of sources including underpinning knowledge, previous experience, and specialty based knowledge, recognition of important indicators and knowledge of the patient. Meanwhile, many aspects should be assessed in preventing pressure ulcer, such as nursing assessment of nutrition, wound assessment, risk assessment and assessment of quality of life. Immobility, altered consciousness, greater age and weight (BMI) are important risk factors for pressure ulcers. Factors identified included altered level of consciousness, impaired nutritional intake, faecal incontinence and factures (Kaitani et al. 2010).
The official definition of obesity, is having a BMI of greater than 29.9. (Obesity and overweight). For example for a 5’10” male, a weight of 160lbs would yield a BMI of 23.0. Perfectly within the BMI range of healthy weight, 18.5- 24.9. But if that 5’10” male weighed say 230lbs, they would have a BMI of 33.0, and would be considered Obese.
There are different ways to determine your body composition and the risks that they involve. In this lab, body measurements are taken to find the body percent fat, waist-to-hip ratio, body mass index (BMI), and basal metabolic rate (BMR). Skin folds for the chest, abdomen, and thigh were taken for males, and triceps, iliac crest, and thigh for females. Age, height, and weight for each person were recorded as well as the waist and hip circumference.
Sustenance direction is critical in light of the fact that many individuals trust that they can eat pretty much anything, and as much as they need, as long as they avoid concentrated dessert. Many are exceptionally astounded to find that different sustenances separate into sugars, as well. Instructing about segment control is another imperative piece of the training procedure. The part of activity in controlling blood glucose, circulatory strain, and lipid levels is likewise focused. Nursing care inside the hefty populace additionally requires the part of "guide" in that one frequently actualizes intercessions that energize family inclusion and advance confidence. The part of the teacher has changed massively finished the years. Medical attendants are never again just "specialists" who give out data. The part has advanced into that of a facilitator who causes the patient to learn, as well as backings them through the progressions expected to best deal with their disease(s). When working with any constantly sick populace, including large customers, nurture frequently end up assuming the part of the "supporter" with numerous intercessions including referral to different pros, (for example, dieticians, social laborers, and advocates). Backing assumes a noteworthy part because of the money related limitations that numerous customers confront. In view of CDC insights, corpulence influences racial and ethnic minorities and also individuals at bring down pay and instructive levels. Sadly, many individuals in our group have no medicinal protection, and little, assuming any, reserves for therapeutic care. Medical caretakers who work with the large populace
In this assignment the writer is going to discuss the role of the nurse with the multidisciplinary team in providing holistic nursing care to meet the nutritional needs of a patient in the hospital setting. The writer aims to greater the reader’s understanding about what nutrition, the nurse’s role in assessing and caring for the patient, the signs and symptoms of malnutrition, the roles of other multidisciplinary members in providing care for the patient, issues around nutrition in the hospital,