How do you assess a client’s nutrition? Changes in Appetite/symptoms that interfere with proper nutritional intake Clinical signs of malnutrition including lab work Albumin Hbg Fe 12-15, Male 13-17, Child Cholesterol- 40 Triglycerides< 150 Glucose

How do you assess a client’s nutrition? Ideal Body Weight Females- 5 ft--100 lb. + 5 lb./inch 5’4 = 120 lb Males- 5 ft--106 lb. + 6 lb./inch 5’4 = 130 lb

How do you assess a client’s nutrition? 1. Weight loss CBW/UBW x /140 x 100 = 85 = mild malnutrition

How do you assess a client’s nutrition? Body Mass Index normal compares well to body fat used to screen population to detect risk of health or nutritional disorder A high BMI is predictive of CV disease

How do you assess a client’s nutrition? Dietary Needs related to age Calcium/osteoporosis child- 800 mg adolescent mg adult

How do you assess a client’s nutrition? Toddler cal common deficiences- iron, calcium, C & A

How do you assess a client’s nutrition? Adolescent Increased need for protein, calories, calcium, iron, B & D

Dietary Guidelines r/t Cancer Prevention Heart Healthy Diet Cholesterol- animal fats saturated fats- animal fats, tropical oils, margerine monounsaturated fats- olive oil, nuts polyunsaturated fats- vegetable oils, fish Diabetic Diet How do you assess a client’s nutrition?

Dietary Patterns, 24 hr food recall How do you know if it’s “good”?

Two Approaches to the Pyramid

Areas for Improvement Each member Compare to food pyramid Compare to dietary guidelines of age, risk factors, disease

Factors affecting diet changes Facilitators Grandma Dad Son Daughter Barriers Grandma Dad Son Daughter

How would you approach dietary teaching for the Samples family? To whom? Teaching aids?

Benefits of Exercise Grandma Dad Mom

Factors affecting exercise plan Facilitators Grandma Dad Mom Barriers Grandma Dad Mom

Exercise Plan Grandma Dad Mom