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Nutrition Essentials for Nursing Practice

Nutrition in Nursing

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Nutrition - Implications for health care workers Keeping ourselves healthy

Field is rapidly changing and growing

Clients need information to make better food choices

Nutrition affects many diseases

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Food Choices for your client

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Current Influences on Nutrition

Changing society Changing lifestyle of the American family Changing consumer Influencing in health care

• including the client as a member

• wellness programs

• HMO’s

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Dietary Guidelines

Eat less cholesterol and fat especially saturated fat

– recommendations – 30% of total calories come from fat– <10% of total calories come from saturated fat

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Dietary Guidelines

Eat a variety of foods Maintain healthy body weight Eat more vegetables, grains and breads Eat less sugar and sodium

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The Food Guide Pyramid

The pyramid has variety, emphasizes moderation and proportion

Largest part of the pyramid is bread, cereal, rice and pasta (6-11 servings)

Next is fruit and vegetable, fruit (2-4 servings) vegetable (3-5 servings)

Then milk, meats, poultry, fish, nuts and beans (2-3 servings)

Lastly fats, oils and sweets - use sparingly

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Recommended Daily AllowancesRDA Guide as to how much nutrients the body

needs Developed during a war time nutrition

program Is the only guide that gives us specific

nutrient, calorie recommendations based on age and sex

Evaluates the nutritional value food has

Food Pyramid

Lets look at the 2011 food pyramid.

What do you see?

www.mypyramid.gov

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Start Reading Labels

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Nutrition densityA food that has a high nutrition

density has more nutrients per calorie than a food with low density.

Example: an orange vs. orange sherbet - there are more vitamins in

the orange than in the sherbet

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Factors that Influence Diet

Culture Economics Age Media

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Nutrition: The Nursing Process

An organized plan for problem solving Has 5 Steps

– Assessment– Nursing Diagnosis– Planning– Nursing Interventions– Evaluation

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Nursing Assessment

Gathering Data

– Objective - what you see and hear– Subjective - what comes from what the client

tells you

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Objective data?

Subjective data?

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Nursing Diagnosis

Involves interpreting data Is a framework for the plan of care that

follows Example for nutrition

– Alteration in Nutrition: less than body requirements

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Planning

What are your goals?

What should you do for your client?

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Nursing Interventions

Refers to nursing action– client teaching– what are you doing to help your client get better

Is goal directed

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Nursing Evaluation

What happened to my client?– Did my interventions work?

What is the outcome? Were the goals met?

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The Nursing Process

Assessment Nursing Diagnosis Planning Nursing Interventions Evaluation

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The Nursing Process and You

Assessment – Help too much work, I’m already overwhelmed!

Nursing Diagnosis - Anxiety related to time management

Intervention - Learning Assessment Tool Evaluation – Finding out what type of

learner am I and how best to use my time