NUTRI 130 Lecture Notes - Lecture 27: Joint Commission, Unlicensed Assistive Personnel, Dietitian

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Poor nutrition: affects immune function, affects wound healing, prolongs length of stay. Body defenses: skin and mucous membranes, phagocytosis - neutrophils and macrophages. Immune system - stimulates the production of antibodies. Important: zinc, vitamin a, and vitamin c important in promoting healing. Vicious cycle: malnutrition impairs immune function. Percent weight loss: usual body weight current body weight x 100. % of unplanned weight loss in past 3 to 6 months: < 5% = 0 (low risk, 5-10 % = 1 (moderate risk, > 10% = 2 (high risk) (see pictures) Alcohol/cage: cut down, annoyed, guilty, eye opener. Ldl (bad: damaging, contributes to atherosclerosis, promotes vasoconstriction, blood clotting. Lifestyle modifications/diet to lower ldl and raise hdl: tlc (stop smoking, weight loss, exercise, alcohol moderation, etc), dash. Total fat intake of 25 to 35% of total calories. Trans fat intake as low as possible.

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