Dietitian's Guide to Assessment and Documentation by Jacqueline Morris

By Jacqueline Morris

Dietitian s advisor to overview and Documentation takes an investigative method of foodstuff evaluate reviewing the gathering and research of facts to figure out the true nutrition-related challenge, realizing the underlying challenge and its influence on dietary prestige, and offering intervention to handle the matter - thereby enhancing dietary healthiness. this article is going to support scholars methods to: Formulate interview questions; Create pursuits and sufferer instructing ideas; Interpret lab info; Write a care plan; record in a scientific checklist. This consultant, which makes use of average nutrients Care technique language, outlines the major steps to assist scholars and dietitians methods to administer an intensive evaluation and comprehend the correct documentation. those talents are crucial within the therapy of sufferers in addition the prevention or safety of lawsuit and the practise for Joint fee or kingdom survey. Dietitian s advisor to overview and Documentation additionally features a reference part for interpretation of lab info and an appendix with widespread abbreviations.

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Unlike Lasix, Aldactone is primarily potassium sparing. Aldactone prevents salt retention because it inhibits the production of aldosterone known to increase blood pressure. Nutritional Implications and Intervention Because of altered fluid status in the patient with congestive heart failure, weight must be interpreted with caution. The patient’s oral intake, diet, and weight history provide needed information to determine caloric needs. 32 C hapter 1 C hart r eview Fluid and electrolyte status must be monitored closely.

However, most physicians will not order this test unless the lipids associated with heart disease are also elevated, such as low-density lipoprotein (LDL), total cholesterol, and triglycerides, and also if highdensity lipoprotein (HDL) is reduced. CRP levels less than 1 mg/L are considered low risk for a cardiovascular event in the next 10 years. Depending on medical history and other factors, a person having a CRP of 1–3 mg/L could have up to a 20% risk of having a heart attack in the next decade.

Factors that contribute to malnutrition include a severely restricted diet, altered taste, portal hypertension, weakness, fatigue, early satiety in the presence of ascites, and malabsorption leading to inadequate intake of calories and protein. Protein-calorie malnutrition (PCM)—a condition of body wasting related to dietary deficiency of calories and protein—is found in 65–90% of patients with advanced liver disease and in almost 100% of candidates for liver transplantation (Henkel & Buchman, 2006).

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