Nutrition Essentials for Nursing Practice Nutrition in Nursing 4/13/2015 Nutrition - Implications for health care workers Keeping ourselves healthy Field is rapidly changing and growing Clients need information to make better food choices Nutrition affects many diseases 4/13/2015 4/13/2015 Food Choices for your client 4/13/2015 Current Influences on Nutrition Changing society Changing lifestyle of the American family Changing consumer Influencing in health care • including the client as a member • wellness programs • HMO’s 4/13/2015 4/13/2015 Dietary Guidelines Eat less cholesterol and fat especially saturated fat – recommendations – 30% of total calories come from fat – <10% of total calories come from saturated fat 4/13/2015 Dietary Guidelines Eat a variety of foods Maintain healthy body weight Eat more vegetables, grains and breads Eat less sugar and sodium 4/13/2015 The Food Guide Pyramid The pyramid has variety, emphasizes moderation and proportion Largest part of the pyramid is bread, cereal, rice and pasta (6-11 servings) Next is fruit and vegetable, fruit (2-4 servings) vegetable (3-5 servings) Then milk, meats, poultry, fish, nuts and beans (2-3 servings) 4/13/2015 Lastly fats, oils and sweets - use sparingly Recommended Daily Allowances RDA Guide as to how much nutrients the body needs Developed during a war time nutrition program Is the only guide that gives us specific nutrient, calorie recommendations based on age and sex Evaluates the nutritional value food has 4/13/2015 Food Pyramid Lets look at the 2011 food pyramid. What do you see? www.mypyramid.gov 4/13/2015 Start Reading Labels 4/13/2015 Nutrition density A food that has a high nutrition density has more nutrients per calorie than a food with low density. Example: an orange vs. orange sherbet - there are more vitamins in the orange than in the sherbet 4/13/2015 Factors that Influence Diet Culture Economics Age Media 4/13/2015 Nutrition: The Nursing Process An organized plan for problem solving Has 5 Steps – Assessment – Nursing Diagnosis – Planning – Nursing Interventions – Evaluation 4/13/2015 Nursing Assessment Gathering Data – Objective - what you see and hear – Subjective - what comes from what the client tells you 4/13/2015 Objective data? Subjective data? 4/13/2015 Nursing Diagnosis Involves interpreting data Is a framework for the plan of care that follows Example for nutrition – Alteration in Nutrition: less than body requirements 4/13/2015 Planning What are your goals? What should you do for your client? 4/13/2015 Nursing Interventions Refers to nursing action – client teaching – what are you doing to help your client get better Is goal directed 4/13/2015 Nursing Evaluation What happened to my client? – Did my interventions work? What is the outcome? Were the goals met? 4/13/2015 The Nursing Process Assessment Nursing Diagnosis Planning Nursing Interventions Evaluation 4/13/2015 The Nursing Process and You Assessment – Help too much work, I’m already overwhelmed! Nursing Diagnosis - Anxiety related to time management Intervention - Learning Assessment Tool Evaluation – Finding out what type of learner am I and how best to use my time 4/13/2015