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What are you checking for in a clinical assessment of a patients nutritional risk
- Socioeconomic status
- Comorbid disesae status
- Age: Adults over 75, kids under 5
- Physical condition
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When looking at physical conditin for the clinical assessments what are you looking for
Stress or burns which can increase metabloic demands
Mechanical ventilation which increses demand since they aren't able to eat
Theraputic bowel rest: nothing in GI
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When doing a dietary evaluation what is looked at
- 24 hr food recall
- Food records
- Kcal count
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What type of feeding modalities are a high nurtitional risk
- Parenteral feeding
- Tube feeding
- NPO
- Clear liquids over 3 days
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Transition from a restrictive intervention to a regular dietary intake and modified diets that can cause nutrient deficiencies are ________ risk
moderate
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What type of diet maintains optimal nutritional status for those who don't need a modified diet, promotes health by reducing risk for chronic diet related issues, and may uses supplements
Regular/general diet
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What diet is used to prevent dehydration and keep colon contents to a minimum
clear liquid diet
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What are you allowed to eat on a clear liquid diet
foods that are clear and liquid at room temp
see through foods
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A clear liquid diet is a good source of what
- fluids and water
- jello, pop,broth
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A clear liquid diet is a bad source of what
protein, fat, energy, fiber
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When is a liquid diet recommended
short term(3-5 days)
before surgery/procedures
during acute illness stages
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What can you have on a full liquid diet
clear fluid plus milk, pudding, ice cream, soups, yogurt
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What is a full fluid diet used for
oral nourishment in patients who have a hard time chewing or swallowing solid food
transition to a solid diet
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Why are nutritional supplements often used in a full liquid diet
supply enough energy & nutrients
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What is a mechanically altered diet
regular diet with attention to texture
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What should the food consistancy be for a mechanially altered diet
depends on patients ability to chew and swallow
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What is a mechanically altered diet used for
transitional
long-term for patients that have special needs
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What is a pureed diet
essential nutrients in blenderized form
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Who has to be put on a pureed diet
clients unable to chew or swallow
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Can a pureed diet be long term
yes
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What types of food can be eaten on a soft diet
easy to absorb, chew and digest foods
low fiber, light seasoning
hamburger, cooked carrots, mac&cheese , mashed potatoes, white(not wheat) bread
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What are soft diets used for
transition from liquid to general
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Would a soft diet be appropriate for a patient on a pureed or mechanical soft diet
NO
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When is a "diet as tolerated" normally ordered
postoperatively
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What is the purpose of a "diet as tolerated"
allows patients preference and situation to be taken into consideration
allows diet to progress at patient's tolerance
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