Chapter 15

Warfarin and Vitamin K

Consume green leafy vegetables in moderation, don’t eliminate them completely

Malnutrition screening tool

Key question “have you lost weight without trying”

Dysphagia indicator

Excessive drooling during eating suggests dysphagia

Refer to Speech Language Pathologist

Substitute for high protein drinks (ensure)

Smoothie with Greek yogurt, instant breakfast mix, whole milk, and fruit

• More nutrient dense foods- high fat, protein, calories

Unreliable weight gain indicator

Edema can falsely suggest nutritional improvement

Reliable weight gain indicator

If unable to view the patient’s intake, see how much the patient has gained. If they’re eating they’ll gain weight

Nutrition screening timeline

Must be completed within 24 hours of admission of JCO relations

Consistent carbohydrate with PM snacks

Usually if someone is diagnosed with DM type 1 or 2

Can’t give snacks unless ordered by and RD or MD

Soft diet

Avoids raw, hard foods like carrots; opt for mashed or soft options

If someone has experienced oral/head/neck surgery

Easy to digest

High fiber

Helps reduce gastric activity to promote healing

Diagnosis of malnutrition

Need at least 2 of these criteria

• Inadequate calorie intake

• Unintentional weight loss

• Loss of muscle mass

• Loss of subcutaneous fat

• Localized or generalized fluid accumulation that may mask weight loss

• Diminished functional status as measured by handgrip strength