2. 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 3.5-5.0 Hbg Fe 12-15, Male 13-17, Child 11-16 Cholesterol- 40 Triglycerides< 150 Glucose- 60- 126

3. 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

4. How do you assess a client’s nutrition? 1. Weight loss CBW/UBW x 100 120/140 x 100 = 85 = mild malnutrition

5. How do you assess a client’s nutrition? Body Mass Index 19-25 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

6. How do you assess a client’s nutrition? Dietary Needs related to age Calcium/osteoporosis child- 800 mg adolescent -1300 mg adult- 1000-1500

7. How do you assess a client’s nutrition? Toddler 900-1800 cal common deficiences- iron, calcium, C & A

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

9. 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?

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

11. Two Approaches to the Pyramid

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

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

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

15. Benefits of Exercise Grandma Dad Mom

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

17. Exercise Plan Grandma Dad Mom