PDAT: A Qualitative Study

Canada’s Food Guide’s main strengths are its ease of use, scientific foundation, and its frequency of updates. Its weaknesses lie in the fact that simply consuming an adequate number of servings from each food group does not necessarily guarantee that an adequate amount of every nutrient will be obtained (in accordance with the DRI). Additionally, the difficulty of breaking down combination meals and the lack of information on serving sizes at restaurants may make it difficult to estimate how many servings of the various food groups are obtained.

His target for calories is 3,185 per day and he reached 1808 calories which was identified as under. According to the attached analysis, he consumed 122g of protein, 206 g of carbohydrates and 40 grams for fat which were all recognized as ok according to the analysis. For fruits and vegetables his status was considered under for both. For fruits the recommended amount was 2 ½ cups and he only consumed 2 cups and for vegetables the recommended amount was 4 cups and he only consumed 2 ½ cups. His fiber intake for that day was 18 g and the recommended amount was 38 g which was not adequate enough based on the recommendation.

Patient’s diets have changed over the last 100 years and have created a large increase in chronic illnesses and higher needs for medical care. This demand has created the need for a much greater system of healthcare that includes hospitals, providers, and insurance companies.

The Registered Dietitian Nutritionist needs to be able to have the pulse and problems affecting the previously mentioned social groups in order to intervene and improve the care provided by health care professionals in charge of these vulnerable communities. Hospitals and social services need to include the RDN in the medical decision making to affect the nutritional needs of the patient. “ An integrated approach is critical with the support from social services, mental health professionals and medical care whenever appropriate” (eatrightpro.org). Healthy eating is paramount and required for the healing of an injured or sick individual. RDN’s must be diligent in meeting the caloric and nutrient rich diets of acutely ill or trauma patients in order to forecast and replenish the nutritious needs of these in these vulnerable patients. It is imperative factor to provide essential nutrition during these critical phases in order to prevent malnutrition to facilitate healing and health restoration. According to eatrightpro.org, malnutrition affects an estimated 30% to 50% of adult hospitalized patients in the United States. A very small percentage of patients actually leave the hospital with a malnutrition diagnosis. The more we learn about food and its nutritious value in medicine continues to evolve and we must keep the dialogue open and honest among nutritionist and health care providers to affect the prognosis of the injured or

The five day dietary assessment gave us a chance to see what the patient was consuming and how often. Five to six days a week the patient had fruits, juices, eggs, meat, fish, poultry, and vegetables other than starches during a meal time. Just as often she was having, milk, yogurt, potatoes, rice, other starches, cheese, and soda with sugar with both meals and snacks. In between meals she was enjoying cookies, cake, pies, and pastries at least three times a week, and sugar free gum every day. A few times a month the patient would have Coffee or tea with added sugar or flavorings, sports or energy drinks, and candy during both meals and snacks. Three things that she never consumes are cereals, diet soda, and gum with sugar. C.S. states she

Hospital malnutrition or problems associated with economics and nutrition in the hospital were identified more than three decades ago though they are still overlooked today. This is because the health facility has not included nutrition screening, evaluation, and intervention measures as part of the medical care. As a result, hospital malnutrition continues to be an unidentified or unrecognized aspect in clinical settings. The

The participants are selected randomly; they are healthy overweight women form age 25 to 50 years old. The women are divided into two groups. One group is provided with traditional food, which means that the participants select their own food using the USDA Food Guide Pyramid. The other group is putting on meal replacement, which means that these participants have to replace two or three of their meals per day with study meal replacement drinks or bars. Moreover, all participants of the study are excepted to follow an energy restricted diet of 5400KJ per day. Although participants in both groups don’t have much weight loss difference, the group eating fortified meal replacements present more essential nutrient intake compare to the other group. This study main goal is to encourage health care providers to help patients to increase weight losses and incorporating fortified foods in their

Nurses use the enhanced nutritional care by screening the patient using the “Malnutrition Universal Screening Tool” (MUST) to discover if patients are malnourished, deciding on what to do prevent the patient from malnutrition by monitoring and observing the patient when they eat, improving their preference of food to make sure patients have a balanced diet, and evaluating if patients are eating what they receive from nurses and if they are properly nourished. The RCN’s “Nutrition Now” campaign has made preventing malnutrition a goal by creating principles, such as being responsible for making changes to nutrition and hydration care plans, since “nutrition is essential for life, as vital as medication and other types of treatment” (Royal College of Nursing, 2016). Using the enhanced nutritional care principles, the Canadian Malnutrition Task Force created the Integrated Nutritional Pathway for Acute Care (INPAC) algorithm for discovering, treating and monitoring patients who are malnourished in acute

The subject data displayed in table 1 shows the energy intake (EI) and Energy Expenditure (EE) over 2 consecutive weekdays. The mean EI for day 3285kJ/day : mean EE 4200 kj/day. As the mean increases the standard deviation decreases. Figure 1 the pie chart distributes the energy protein, fats and carbohydrates intake mean average over two days. The intake classifies healthy diet intake of macronutrients. This is concluded that the 16% protein, 56% of carbohydrates and 26% of fats.

“Nutritional status is measured using evidence-based Malnutrition Universal Screening Tool (MUST), which takes into consideration the patient’s height, weight, body mass index (BMI), and recent unplanned weight loss to determine the overall risk score and category of malnutrition” (Leaker, 2013, The Role of Nutrition in Preventing Pressure Ulcers, para 11). I will use this assessment on my patients to determine the proper action I should take: Should I educate my patient to eat more proteins if they have a low BMI? Do I need to find nutritional supplements for my patients so that their nutritional needs are met? In addition to the MUST assessment, I will perform a visual assessment documenting any present edema, signs of dehydration, dysphagia, and other things that are proven risks for malnutrition that can later lead to the development of pressure ulcers. The article notates that putting patients in an upright position to eat, providing snacks throughout the day, and sticking to a meal schedule on a daily basis can promote good nutrition as well (Leaker, 2013). If I feel that there is nothing else that I can do to ensure my patients are reaching their maximum nutritional status, I will

Sam is a 21-year-old male, weighing 175 pounds. His estimated calorie needs from Myplate is 2600 calories. The USDA food pattern recommendations are each food group are grains 9 oz., vegetables 3 ½ cups, fruit 3 cups, protein 6 ½ oz., and oils 8 tsp. Sam’s two-day average intake shows that he consumed less than the recommended amount in some food groups while greater than the recommended amount in other food groups.

The article titled “Is there adequate feeding assistance” by Tsang is about elderly patients who are elderly and observe those patients at different meal times. Tsang (2008) stated, “Poor nutritional intake and undernourishment has been documented in as many as 61% of hospitalized elderly patients” (p. 222). There have been other studies done that show that elderly patients are at a specific risk of malnutrition because of high food wastage (Tsang, 2008). One reason for malnutrition was due to the patient not having adequate eating assistance. The goals of this study were to observe the patients during mealtimes and determine what time of assistance is needed, explore if the patients are receiving enough assistance at mealtimes, and evaluate

The study took place at lunchtime in the laboratory with a meal consisting of twenty-five food items placed in a buffet style. These food items included grilled chicken, fried chicken, French fries, salads, chocolate bars, ice cream, and bread, along with other

Throughout this class, we have been evaluating our diets and keeping track of our calorie intake through a dietary log. Before this nutrition course, I only had a general idea of what nutrition was. I have taken a health class back during high school and currently I am a nursing student. So far in nursing clinical, I have come across many older patients that have many special dietary needs based on their health status and chronic conditions that may have or had. Learning the importance of nutrition is very critical in the health care field and especially since I work for older patients who many lack the essential nutrition due to their strict dietary recommendations from their physicians. Not only is the information I learned in this class

Due to long working hours, sedentary activity levels, and other personal responsibilities the nurse may assess some community members display a nutrition imbalance related to excessive caloric intake in comparison to expenditure of calories, evidenced by, weight gain of more than 20% over ideal for height and frame. Interventions provided by the community nurse may include education of a balanced healthy dietary regimen that include foods frequently eaten but prepared with less fat and calories for the targeted population. The nurse will weigh each