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Topic : Nutrition and dietary pattern

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Objective

  • Define nutrition /metabolic pattern.
  • Review essential nutrients and example of good dietary sources for each.
  • Review normal digestion ,absorption and metabolism of carbohydrates fats and protein.
  • Discuss nutritional consideration across the life span.

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  • List the factors that can affect dietary pattern.
  • Describe manifestation of altered nutrition.
  • Explain nursing intervention to promote optimal nutrition and health.
  • Apply nursing process for client with altered nutritional state.

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Introduction

Like a finely-tuned racing car, your body needs the right fuel (food) and regular maintenance (exercise, lifestyle and mental attitude) to achieve its true health potential. Nothing is more important than healthy eating

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Conti…

Dietary patterns represent a broader picture of food and nutrient consumption, and may thus be more predictive of disease risk than individual foods or nutrients. Several studies have suggested that dietary patterns derived from factor or cluster analysis predict disease risk or mortality.

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Nutrient

  • A nutrients are biochemical substances derived from food and and fluids that are used in biosynthesis energy production and require for growth

Nutrition

  • Nutrition is the process of supplying nutrients to the body

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Optimum Nutrition

The term "Optimum Nutrition" can be defined as eating the right amounts of nutrients on a proper schedule to achieve the best performance and the longest possible lifetime in good health, assuming that external negative influences like accidents and infectious diseases can be avoided

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Diet

The sum of food consumed by an organism or group.

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Six Classes of Nutrients

  • Carbohydrate
  • Fats
  • Proteins
  • Vitamins
  • Minerals
  • Water

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Carbohydrates

Carbohydrates are one of the main types of nutrients. They are the most important source of energy for the body. digestive system changes carbohydrates into glucose (blood sugar). It is derived from whole meal bread, whole grain cereals, baked beans, pasta potatoes, peas, other starchy vegetables and milk.

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Proteins

Proteins a vital component of every living cell essential for the growth and repair of the body. Proteins are found in animal products like meat, fish, cheese, milk and eggs. Vegetable sources include soya-bean products, pulses and nuts.

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Water

It is one of the most important of all substances we ingest. Water participates in chemical reactions in the body. Adequate water intake helps stabilize body temperature. Flushes the toxic waste products out of the system .

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Lipids

lipids as rich energy molecules, Maintain structure of cells. These are fats and oils found in plants and animals. oils, butter, margarine, cream, meat, cheese, pastry, biscuits, nuts

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Vitamins

Vitamins play imp role in chemical reactions in the cells of the body Most vitamins are not made in the cells so they must be ingested in the food we eat. Vitamins fall in 2 categories :Fat soluble(A,D,E,K), Water soluble (Vit B group and C)

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Minerals�

Humans require about 2 dozen minerals, such as calcium, sodium ,iron and potassium, to carry out normal body functions. They are derived from the food we eat and beverages we drink.

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Digestion Absorption of Carbohydrate

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Digestion and Absorption of Carbohydrates

Carbohydrate digestion begins in the mouth by salivary amylase and completed in small intestine . when the polysaccharides are broken down into single sugars, or monosaccharide's, which can be absorbed by the body.

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Digestion and absorptions of protein

Their digestion begins in stomach, Pepsinogen converted to pepsin, the active enzyme, by HCl. Continues in small intestine with pancreatic and intestinal enzymes (protease) . Amino acids absorbed into blood capillaries.

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Digestion and Absorption of Fats

 fats are mainly digested in the small intestine. The presence of fat in the small intestine produces hormones that stimulate the release of pancreatic lipase from the pancreas and bile from the liver which helps in the emulsification of fats for absorption fatty acids. 

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Complete digestion of one molecule of fat a triglyceride results in 3 fatty acid molecules and one glycerol molecule.

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General Functions of Nutrients in Foods

  • Provide Water .
  • Provide Fuel for Entire Body.
  • Provide Building Blocks .
  • Provide Metabolic Regulators .

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Factors Affecting Dietary pattern

  • Physiologic factors
  • Psychological state
  • Life style
  • Habits and economic resources

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Conti

  • Culture and belief's
  • Gender
  • Illnesses and treatment surgery
  • Alcohol and drugs abuse

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Manifestations of Altered Nutrition

  • Obesity

  • Under weight

  • Decreased energy

  • Wound healing

  • Gastrointestinal problems

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Nutrition related disease

  • Kwashiorkor
  • Marasmus
  • Night blindness
  • Anemia
  • Congenital deficits

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Marasmus

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KHWASHAKORE

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Nutritional consideration for infants

Experts recommend that from birth to at least age 1, an infant's diet consist of breast milk. Non-formula cow's milk is not recommended especially prior to 1 year of age.

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Conti….

This is due to its ability to cause allergies, gastrointestinal tract bleeding, and because it lacks sufficient vitamins and essential fatty acids vital for infant development.

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Nutritional consideration in pregnancy

Pregnancy is a special time in women life. Pregnant women diet should be include high levels of protein and fiber. As well, as include a lots of green vegetables because these are great sources of both dietary fiber and iron. Meat, eggs and dairy products are excellent protein sources.  

(Ramakrishnan U, Grant)

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Nutritional consideration in adolescent

Adolescence is the transition period between childhood and adulthood, a time of life that begins at puberty. During this time, physical changes affect the body's nutritional needs, while changes in one's lifestyle may affect eating habits and food choices.

  •  ��

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Conti….

Nutritional health during adolescence is important for supporting the growing body and for preventing future health problems.��

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Nursing diagnosis

Altered nutrition: less than body requirements

Related to:

decreased oral intake associated with:

anorexia resulting from decreased activity,

depression and social isolation, difficulty feeding

self as a result of impaired or limited physical

mobility

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Conti…

Nutrition, Altered: More than Body Requirements

Related to…

Lack of knowledge of nutritional needs, food intake, and/or appropriate food preparation

  • Poor dietary habits
  • Use of food as coping mechanism
  • Metabolic disorders
  • Sedentary activity level

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Nursing care plan�

Imbalanced Nutrition Less Than Body Requirements related to loss of appetite�Goal: Showed good nutritional status.

Expected outcomes are:

Tolerance to dietary needs.

Retain lean body mass and body weight within normal limits . Laboratory values ​​within normal limits.

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Conti…

 Intervention:

Create a meal plan with the patient, to put in a feeding schedule. Support family members to bring the patient's  favorite food from home.

Large portions of food offered during the day when a high appetite. Make sure the diet meets the needs of the body as indicated. Make sure the patient's diet is liked or disliked.

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Rational

  • Keeping the diet of patients so that patients eat regularly.
  • Patients feel comfortable with food brought from home and can improve the appetite of the patient.
  • By administering a large portion can maintain adequacy of nutrition intake.

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Conti….

  • High carbohydrate, protein, and calories needed or required during treatment.
  • To support the increasing appetite of the patient.
  • Knowing the balance of intake and expenditure of food intake.

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Health Education

  • Teach patients and families about nutritious food and not expensive.
  • Rational:
  • Maintain the adequacy of intake of nutrients needed

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Reference

  • www.janus.net.pl/Candida%20Fungi.htm
  • www.educationscotland.gov.uk/.../HFTResource
  •  http://www.faqs.org/nutrition/A-Ap/Adolescent-Nutr

ition.html#ixzz3Gc2dedhG

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  • Otten JJ, Hellwig JP, Meyers LD (Eds): Dietary reference intakes: the essential guide to nutrient requirements. Washington: The National Academies

  • Ramakrishnan U, Grant F, Goldenberg T, Zongrone A, Martorell R: Effect of women’s nutrition before and during early pregnancy on maternal and infant outcomes: a systematic review.