N 325 Lecture Notes - Lecture 12: Intubation, Food Systems, Dentures
Document Summary
Diet and health history: factors influencing nutrition, drug-nutrient interactions, patient preference, cultural and religious restrictions, alternative food diets. Physical assessment: signs of nutritional status, dysphagia. Pt"s nutrition knowledge: pt is always the best source of information. Diet history: food diary: 3-7 day food history, helps a lot with caloric intake; keep in mind their culture! Sociocultural: cultural and religious background, food preferences. Social history: alcohol, alcoholics tend to substitute food with alcohol vitamin deficiencies, tobacco, illegal substances. Medications: prescription and otc drugs, vitamins and herbal supplements. Unpleasant symptoms: which foods cause indigestion, gas, or heartburn. Environmental: access to full-service grocery stores, high cost of health food, wide spread availability of fast food and less options, lack of access to safe places to exercise and play. Socioeconomic: lack of transportation, fixed incomes. Young and middle adulthood: reduction of nutrient demands, pregnancy folic acid, calcium lactation protein, calcium, vitamin a and c.
