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Nutritional Foundations and Clinical Applications - E-Book

Nutritional Foundations and Clinical Applications - E-Book

Michele Grodner | Sylvia Escott-Stump | Suzanne Dorner

(2015)

Additional Information

Book Details

Abstract

Looking at nutrition and nutritional therapy from the nurse’s perspective, Nutritional Foundations and Clinical Applications: A Nursing Approach takes a wellness approach based on health promotion and primary prevention. It offers guidelines with a human, personal touch, using first-hand accounts to show how nutrition principles apply to patients in real-world practice. This edition includes new chapters on the effects of stress on nutrient metabolism and on nutrition for neurodegenerative disorders such as Alzheimer’s and Parkinson’s disease. Written by educators Michele Grodner, Sylvia Escott-Stump, and Suzie Dorner, this leading nutrition text promotes healthy diets and shows how nutrition may be used in treating and controlling diseases and disorders.

  • Applying Content Knowledge and Critical Thinking/Clinical Applications case studies help you apply nutrition principles to real-world practice situations.
  • Health Debate and Social Issue boxes explore controversial health issues and emphasize ethical, social, and community concerns, so that you can develop your own opinions.
  • Cultural Considerations boxes highlight health issues and eating patterns related to specific ethnic groups to help you approach, interview, and assess patients from diverse populations.
  • Teaching Tool boxes include strategies for providing nutrition counseling to patients.
  • Personal Perspective boxes offer first-hand accounts of interactions with patients and their families, demonstrating the personal touch for which this book is known.
  • Key terms and a glossary make it easy to learn key vocabulary and concepts.
  • Website listings at the end of every chapter refer you to related sites for additional research and study.
  • NEW! Nutrition for Neuro-Psychiatric Disorders chapter covers neurodegenerative disorders such as Alzheimer’s and Parkinson’s disease and psychiatric disorders such as depression and bipolar disorders.
  • NEW! Nutrition in Metabolic Stress: Burns, Trauma, and Surgery chapter examines the effects of stress on nutrient metabolism and starvation along with severe stress due to surgery and trauma.
  • NEW organization for the clinical chapters includes: 1) Disorder: background and implications, 2) Food and nutrition therapies, 3) Education: Teaching Tool boxes.
  • UPDATED content reflects changes to Healthy People 2020 and the Dietary Guidelines for Americans 2010.
  • UPDATED! The Nursing Approach box analyzes a realistic nutrition case study in terms of the nursing process, demonstrating practical ways nurses can use nutrition in practice and process.

Table of Contents

Section Title Page Action Price
Front Cover cover
Inside Front Cover ifc1
Evolve page ii
Nutritional Foundations and Clinical Applications 6E iii
Copyright Page iv
Dedication v
Acknowledgments vi
Special Acknowledgments vi
Reviewers vi
Preface vii
Audience vii
Approach vii
Features And Content vii
Teaching and Learning Resources viii
For Instructors viii
For Students viii
Table Of Contents x
One Wellness, Nutrition, and the Nursing Role 1
1 Wellness Nutrition 1
Learning Objectives 1
Role in Wellness 1
Definition of Health 1
Role of Nutrition 2
Definition of Wellness 2
Role of Nutrition 3
Health Promotion 4
Role of Nutrition 4
Nutrition Monitoring 4
Disease Prevention Through Nutrition 5
Health Literacy 6
Overview of Nutrients within the Body 7
Nutrient Categories 7
Food, Energy, and Nutrients 8
Energy 8
Carbohydrates 9
Proteins 9
Lipids (Fats) 9
Vitamins 9
Minerals 9
Water 10
Dietary Standards 10
Dietary Reference Intakes 10
Dietary Reference Intakes Lingo 10
Use of Dietary Reference Intakes 11
Additional Standards 11
Global Standards 11
Adequate Eating Patterns 12
Undernutrition, Overnutrition, and Malnutrition 13
Toward a Positive Nutrition Lifestyle: Self-Efficacy 13
Summary 14
Websites of Interest 16
Academy of Nutrition and Dietetics 16
Healthy People 16
Nutrient Data Laboratory 16
References 16
2 Personal and Community Nutrition 17
Learning Objectives 17
Role in Wellness 17
Personal Nutrition 18
Food Selection 18
Community Nutrition 18
Dietary Guidelines for Americans 19
Lifestyle Applications 20
Food Guides 21
MyPlate 21
Other Food Guides 21
“Fruits & Veggies—More Matters” 23
Exchange Lists 26
Criteria for Future Recommendations 27
Consumer Food Decision Making 28
Food Selection Patterns 28
Application to Nursing 29
Food Consumption Trends 29
Implications of food consumption trends. 29
Effective Food-Buying Styles 30
Consumer Information and Wellness 30
Food Labeling 30
Uses of Percent of Daily Values Information 31
Organic Food Standards and Labels 32
Application to nursing. 34
Health Claims 34
Toward a Positive Nutrition Lifestyle: Locus of Control 35
Summary 35
Websites of Interest 37
MyPlate Food Guidance System 37
Oldways Preservation Trust 37
U.S. Food and Drug Administration (FDA) 37
References 37
Two Nutrients, Food, and Health 39
3 Digestion, Absorption, and Metabolism 39
Learning Objectives 39
Role in Wellness 39
Digestion 39
The Mouth 40
The Esophagus 42
The Stomach 43
The Small Intestine 43
The Large Intestine 44
Absorption 44
Elimination 46
Digestive Process Throughout the Life Span 46
Metabolism 47
Metabolism Throughout the Life Span 48
Toward a Positive Nutrition Lifestyle: Contracting 48
Summary 49
Websites of Interest 50
Healthfinder.gov 50
American Dental Association 50
American Medical Association 50
References 50
4 Carbohydrates 51
Learning Objectives 51
Role in Wellness 51
Food Sources 53
Carbohydrate as a Nutrient Within the Body 54
Function 54
Digestion and Absorption 55
Glycogen: Storing Carbohydrates 56
Metabolism 57
Blood Glucose Regulation 57
Glycemic Index and Glycemic Load 57
Simple Carbohydrates 58
Monosaccharides 58
Disaccharides 58
Sugar—A Special Disaccharide 58
Sources in the food supply. 59
Consumption levels. 59
Health effects. 59
Other Sweeteners 61
Sweet Decisions 62
Complex Carbohydrates: Polysaccharides 63
Starch 63
Fiber 64
Health Effects 66
Obesity. 66
Constipation. 66
Diverticular disease. 67
Cancer. 67
Heart disease. 67
Diabetes control. 67
Potential Health Risks of Dietary Fiber 67
Food Sources and Issues 68
Unrefined versus Refined Grains 68
Toward a Positive Nutrition Lifestyle: Tailoring 69
Summary 70
Websites of Interest 71
American Public Health Association 71
Wheat Foods Council 71
USA Rice Federation 71
References 71
5 Fats 73
Learning Objectives 73
Role in Wellness 73
Functions 74
Food Functions 74
Source of Energy 74
Palatability 74
Satiety and Satiation 74
Food Processing 74
Nutrient Source 74
Physiologic Functions 74
Stored Energy 74
Organ Protection 74
Temperature Regulation 75
Insulation 75
Functions of Phospholipids and Sterols 75
Structure and Sources of Lipids 75
Fats: Saturated and Unsaturated 75
Phospholipids 77
Sterols 78
Fats as a Nutrient in the Body 78
Digestion 78
Mouth 78
Stomach 78
Small Intestine 78
Use of Medium-Chain Triglycerides 78
Absorption 78
Metabolism 79
Fat Intake and Issues 80
Fat Content of Foods 80
Detecting Dietary Fat 81
Fast but High-Fat Foods 83
Preserving Fats in Food 84
Processed Fats and Oils: Hydrogenated and Emulsified 84
Antioxidants 85
Food Cholesterol versus Blood Cholesterol 85
Synthetic Fats and Fat Replacers 86
Energy Intake 87
Reduced Intake of Other Nutrients 87
Dietary Fat Intake and Diet-Related Diseases 87
Toward a Positive Nutrition Lifestyle: Gradual Reduction 87
Summary 88
Websites of Interest 89
USDA Nutrient Database Laboratory (Food Composition Tables) 89
Center for Science in the Public Interest (CSPI) 89
Eating Well On-Line 89
References 89
6 Protein 90
Learning Objectives 90
Role in Wellness 90
Structure of Protein 90
Protein Composition 91
Protein as a Nutrient in the Body 92
Digestion and Absorption 93
Mouth 93
Stomach 93
Small Intestine 94
Metabolism 94
Protein Excess 94
Nitrogen Balance 94
Functions 95
Growth and Maintenance 95
Creation of Communicators and Catalysts 95
Immune System Response 95
Fluid and Electrolyte Regulation 95
Acid-Base Balance 95
Transportation 95
Food Sources 96
Quality of Protein Foods 96
Complementary Proteins 96
Measures of Food Protein Quality 97
Protein RDA 97
Vegetarianism 98
The Benefits of Vegetarianism 98
The Drawbacks of Vegetarianism 98
Contemporary Vegetarianism 99
Dietary Patterns of Protein 99
Restructuring the Dinner Plate 99
Protein and Malnutrition 101
Malnutrition Factors 102
Groups at Risk in North America 102
Chronic Hunger 102
Toward a Positive Nutrition Lifestyle: Chaining 102
Summary 104
Websites of Interest 105
Nutrition.gov 105
The Vegetarian Nutrition Dietetic Practice Group of the Academy of Nutrition and Dietetics 105
National Institute of Medicine of the National Academies 105
References 105
7 Vitamins 106
Learning Objectives 106
Role in Wellness 106
Vitamin Categories 108
Food Sources 109
Water–Soluble Vitamins 111
Thiamin (B1) 111
Function 111
Recommended Intake and Sources 111
Deficiency 111
Toxicity 112
Riboflavin (B2) 112
Function 112
Recommended Intake and Sources 112
Three Health Promotion Through Nutrition and Nursing Practice 158
9 Energy, Weight, and Fitness 158
Learning Objectives 158
Role in Wellness 158
Energy 159
Energy Pathways 160
Carbohydrate as a Source of Energy 160
Fat as a Source of Energy 160
Protein as a Source of Energy 160
Anaerobic and Aerobic Pathways 162
Energy Balance 162
Estimating Daily Energy Needs 162
Components of Total Energy Expenditure 163
Physical Activity 164
Thermic Effect of Food 164
Adaptive Thermogenesis 164
Healthy Weight 165
Measuring Body Fatness 165
Interpreting Weight 166
Healthy Body Fat 166
Functions of Fat 166
Body Fat Distribution 167
Body Fat Storage 168
Regulation of Body Fat Level 169
Changes in Body Fatness 169
Genetic Influences on Body Size and Shape 169
Set Point and Body Fatness 170
Food Intake Adjustments 172
Adjustments in Energy Use 172
Nutrition : Weight Essentials 173
Gaining, Losing, or Maintaining: A Wellness Approach 173
Establishing Realistic Goals 174
Changing Behavior 174
Normalizing Eating 175
Enjoying eating. 175
Letting hunger and satiety guide eating. 175
Minimizing the Use of Food to Meet Emotional Needs 176
Eating Regularly and Frequently 176
Adopting an Active Lifestyle 177
Nutrition: Fitness Essentials 177
Health Benefits of Physical Exercise 177
Food and Athletic Performance 178
Kilocalorie Requirements 178
Water: The Essential Ingredient 179
Sport Drinks 179
Carbohydrate: The Energy Food 180
Carbohydrate Loading 180
Protein 180
Protein and Amino Acid Supplements 181
Fat 181
Vitamins and Minerals 181
Ergogenic Aids 181
Role of Nurses 182
Toward a Positive Nutrition Lifestyle: Explanatory Style 183
Summary 183
Websites of Interest 186
President’s Council on Fitness, Sports & Nutrition 186
American College of Sports Medicine (ACSM) 186
Healthy Weight—It’s Not a Diet, It’s a Lifestyle! 186
Shape Up America! 186
References 186
10 Nutrition Across the Life Span 187
Learning Objectives 187
Role in Wellness 187
Nutrition during Pregnancy 187
Body Composition Changes During Pregnancy 187
Hormones of Pregnancy 187
Metabolic Changes 188
Anatomic and Physiologic Changes 189
Weight Gain in Pregnancy 189
Energy and Nutrient Needs During Pregnancy 190
Energy 190
Protein 192
Vitamin and Mineral Supplementation 193
Folate. 193
Iron. 193
Calcium. 194
Nutrition-Related Concerns 194
Alcohol 194
Foodborne Illness 194
Maternal Age 194
Preeclampsia 195
Diabetes Mellitus 196
Maternal Phenylketonuria 196
Human Immunodeficiency Virus Infection 197
Common Nutrition-Related Discomforts of Pregnancy 197
Nausea and vomiting. 197
Heartburn. 197
Constipation. 198
Nutrition during Lactation 198
Anatomy and Physiology of Lactation 198
Promoting Breastfeeding 199
Energy and Nutrient Needs During Lactation 199
Nutrition-Related Concerns 200
Nutrition during Infancy 200
Energy and Nutrient Needs During Infancy 200
Energy 200
Protein 200
Vitamins and Mineral Supplementation 201
Food for Infants 201
Introduction of Solid Foods 202
How to introduce solid foods. 202
Appropriate solid foods during the first year of life. 203
Beverages During the First Year of Life 203
Nutrition-Related Concerns 203
The Premature Infant and the Low-Birth-Weight Infant 203
Failure to Thrive 205
Inborn Errors of Metabolism 205
Phenylketonuria. 205
Galactosemia. 205
Nutrition Health Promotion: Pregnancy, Lactation, and Infancy 205
Knowledge 205
Techniques 206
Community Supports 206
Nutrition during Childhood 206
Stages of Development 206
Childhood (1 to 12 Years) 206
Stage I: Children 1 to 3 Years Old 207
Four Overview of Nutrition Therapy 227
11 Nutrition Assessment and Patient Care 227
Learning Objectives 227
Nutrition in Disease Management 227
Role of Genetics on Disease Onset 227
The Nutrition Team 227
Nutrition Risk and Malnutrition 228
Nutrition Risk from Hunger 228
Nutrition Risk Assessment 228
Challenges of the Hospital Setting 228
Effects of Bed Rest on Nutrition 229
Malnutrition 229
Nutrition Care Process 230
Screening 230
Nutrition Assessment 230
Anthropometric assessment. 232
Height. 232
Weight. 233
Body mass index. 235
Waist measurements. 235
Nutrition-Focused Physical Examination and Functional Assessments 235
Biochemical assessment. 235
Clinical assessment. 237
Dietary intake assessment. 237
24-Hour diet recall. 237
Food records. 240
Calorie counts. 240
Managing Nutrition Risk 241
Screening and Assessment Tools 241
Drug Interactions with Food and Nutrients 243
Risk Factors for Drug-Nutrient Interactions 243
Age. 243
Physiologic status. 245
Polypharmacy (multiple-drug intake). 245
Influence of typical dietary intake. 245
Prescription and Over-the-Counter Medications 245
Effects of Drugs on Food and Nutrients 245
Effects of Food and Nutrients on Drugs 245
Timing of Medication Administration 249
Effects of Herbs on Food, Nutrients, and Drugs 253
Summary 259
Critical Thinking 261
Clinical Applications—Role Play 261
Websites of Interest 261
Academy of Nutrition and Dietetics—Evidence Analysis Library 261
European Union: Fight Malnutrition Food-Drug Interactions 261
Food and Drug Administration: Food-Drug Interactions 261
National Center for Health Statistics, Centers for Disease Prevention and Control 261
NCMND Center of Excellence for Nutritional Genomics, University of California, Davis 261
References 261
12 Food-Related Issues 263
Learning Objectives 263
Dimensions of Health 263
Dietary Modifications 263
Diet Orders 264
Food Service Delivery Systems 264
Meals in Long-term Care 265
Basic Hospital Diets 265
Clear liquid diets. 266
Full liquid diets. 266
Dysphagia diets. 266
Mechanically altered diets. 267
Soft diets. 267
“Diet as tolerated.” 267
Vegetarian diets. 267
Other Food Considerations 267
Food Allergy or Intolerance 267
Food Safety 267
Cultural and Religious Implications of Food 268
Cultural food patterns. 268
Religious implications for dietary patterns. 268
Western and Near-Eastern Religions 268
Eastern Religions 269
Complementary-Alternative Medicine: Herbs and Botanicals 269
Application to nursing. 272
Non-Oral Feeding 273
Tube Feeding 273
Types of formulas. 274
Standard formulas. 274
Formula selection. 274
Feeding routes. 274
Positioning. 274
Method of administration. 274
Starting the tube feeding. 276
Complications of tube feeding. 276
Home enteral nutrition. 277
Parenteral Nutrition 281
Components of Parenteral Nutrition Solutions 281
Carbohydrates. 281
Amino acids. 281
Fats. 281
Total nutrient admixtures. 281
Electrolytes. 282
Vitamins. 282
Trace elements. 282
Bioactive substances. 282
Peripheral Parenteral Nutrition 282
Monitoring Guidelines and Complications 282
Home Parenteral Nutrition 282
Transitional Feedings 283
Parenteral Nutrition to Oral or Tube Feeding 283
Tube Feeding to Oral Feeding 283
Summary 283
Glossary 432
A 432
B 432
C 433
D 433
E 434
F 434
G 435
H 435
I 435
K 436
L 436
M 436
N 436
O 437
P 437
Q 437
R 437
S 438
T 438
U 438
V 438
W 439
X 439
Index 440
A 440
B 440
C 441
D 442
E 443
F 443
G 444
H 445
I 445
J 446
K 446
L 446
M 447
N 447
O 448
P 449
R 450
S 450
T 451
U 452
V 452
W 452
X 453
Y 453
Z 453
Inside Back Cover ibc1