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nutrition
understanding how food and nutrients impact health, enabling nurses to assess, plan, and implement care to meet patients' nutritional needs and promote well-bein
clear liquids
fluids to prevent dehydration and supplies some simple carbohydrates to help meet energy needs
full liquids
All liquids included in the clear liquid diet plus any food items that are
liquid at room temperature
Foods Allowed:
The diet includes:
All liquids allowed on a clear liquid diet (water, juice, broth, tea, coffee).Â
Milk and milk products (milk, yogurt, ice cream, pudding).Â
Strained creamy soups.Â
Juices (including nectars).Â
Milkshakes.Â
Liquid nutritional supplements.Â
Thin hot cereal.Â
mechanical soft
foods that are soft, easy to chew, and swallow, suitable for individuals with difficulty chewing or swallowing, such as those recovering from surgery or with dental problems
pureed diet
foods that are blended, mashed, or strained to a smooth, pudding-like consistency, suitable for individuals with difficulty chewing or swallowing
thickened liquid
modifying the consistency of liquids to make them thicker, aiding individuals with dysphagia (difficulty swallowing) and reducing the risk of aspiration (fluid entering the lungs)
aspiration precautions
measures taken to prevent patients from inhaling (aspirating) food, fluids, or other substances into their lung
Starts with position of patient during feeding = upright (75-90 degrees)
Gastroesophageal reflux disease (GERD)
a chronic condition where stomach contents flow back up into the esophagus, potentially causing heartburn, chest pain, and other symptoms
percent of diet taken
the percentage of a meal or food item that a patient consumes and is used to assess and document a patient's nutritional intake and identify potential problem
calorie count
Ordered by HCP to monitor and document patient consumption and therapeutic response to nutrition usually done over three days – MUST ENSURE DOCUMENTATION OF ALL NUTRITIONAL INTAKE
food record/journal
a tool used to document a patient's dietary intake, helping healthcare professionals assess nutritional needs, identify potential problems, and guide dietary interventions
malnutrition
Intake of nutrients insufficient to meet metabolic needs, based on activity, sex, height, and weight.
Including unintentional weight loss, muscle wasting, fatigue, delayed wound healing, skin changes, and a weakened immune system, potentially leading to increased susceptibility to infections
blood glucose test
helps diagnose and monitor diabetes, prediabetes, and other conditions affecting blood sugar, as well as manage diabetes treatment
albumin test
helps assess liver and kidney function, nutritional status, and overall health, with normal ranges typically between 3.4 to 5.4 grams per deciliter (g/dL)
endoscopy
Direct visualization into body cavity Esophagogastroduodenoscopy (EGD)
endoscopy pre procedure
• Consent
• Need for patient education
• Vital signs, baseline labs, etc.
• NPO after midnight
endoscopy post procedure
Focuses on monitoring for complications
(which are related to the risks)
• Vital signs – changes due to sedation or complications
• Return of gag reflex – due to risk of aspiration from use of numbing agents to
suppress gagging
• Abdominal assessment (distention and/or bowel sounds) due to risk for perforation