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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

(2018)

Additional Information

Book Details

Abstract

Focusing on nutrition and nutritional therapy from the nurses’ perspective, Nutritional Foundations and Clinical Applications: A Nursing Approach, 7th Edition 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 new edition incorporates the most current guidelines and information on key nutrition topics throughout as well as expanded coverage on the role of inflammation in common disease. A favorite of nursing students and instructors, this leading nutrition text promotes healthy diets and shows how nutrition may be used in treating and controlling diseases and disorders.

  • Personal Perspective boxes offer first-hand accounts of interactions with patients and their families, demonstrating the personal touch for which this book is known.
  • Applying Content Knowledge and Critical Thinking/Clinical Applications case studies help you learn to apply nutrition principles to real-world practice situations.
  • Social Issue boxes emphasize ethical, social, and community concerns on local, national international levels to reveal the various influences on health and wellness.
  • Teaching Tool boxes include strategies for providing nutrition counseling to patients.
  • Health Debate boxes prepare you for encountering differing opinions or controversies about food, nutrition, and health concerns.
  • Key terms and a glossary make it easy to learn key vocabulary and concepts.
  • NEW! Completely updated content throughout incorporates the latest dietary guidelines and most current information on topics such as good vs. bad fats, nutrition during pregnancy, microbiota/probiotics/prebiotics, and more.
  • NEW! Cultural Diversity and Nutrition sections in each chapter highlight health issues and eating patterns related to specific ethnic groups to help you approach, interview, and assess patients from diverse populations.
  • NEW! Enhanced coverage of health literacy equips you with strategies for enhancing patient education for those with low literacy skills.
  • NEW! Additional Nursing Approach boxes analyze realistic nutrition case studies from the perspective of the nursing process.
  • NEW! Expanded coverage of inflammation highlights its pivotal role in conditions such as obesity, cancer, heart disease, and diabetes.

Table of Contents

Section Title Page Action Price
Front Cover cover
Evolve page IFC1
Nutritional Foundations and Clinical Applications i
Copyright Page iv
Dedication v
Acknowledgments vii
Special Acknowledgments vii
Preface ix
Audience ix
Approach ix
Features and Content ix
Teaching and Learning Resources x
For Instructors x
For Students x
Table Of Contents xi
1 Wellness, Nutrition, and the Nursing Role 1
1 Wellness Nutrition 1
Learning Objectives 1
Role in Wellness 1
Definition of Wellness 1
Role of Nutrition 2
Definition of Wellness 3
Role of Nutrition 3
Health Promotion 4
Role of Nutrition 4
Nutrition Monitoring 5
Disease Prevention Through Nutrition 5
Health Literacy 6
Modifying Nutrition Lifestyles 8
Overview of Nutrients Within the Body 8
Nutrient Categories 8
Food, Energy, and Nutrients 8
Energy 8
Carbohydrates 9
Proteins 9
Lipids (Fats) 10
Vitamins 10
Minerals 10
Water 10
Dietary Standards 11
Dietary Reference Intakes 11
Dietary Reference Intakes Lingo 11
Use of Dietary Reference Intakes 11
Additional Standards 12
Global Standards 12
Adequate Eating Patterns 12
Undernutrition, Overnutrition, and Malnutrition 12
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 19
Dietary Guidelines for Americans 19
Lifestyle Applications 20
Food Guides 21
MyPlate 21
Other Food Guides 21
“Fruits & Veggies—More Matters” 23
Exchange Lists 24
Criteria for Future Recommendations 25
Consumer Food Decision Making 26
Food Selection Patterns 26
Application to Nursing 27
Food Consumption Trends 27
Implications of food consumption trends. 27
Effective Food-Buying Styles 29
Consumer Information and Wellness 29
Food Labeling 29
Uses of Percent of Daily Values Information 29
Uniform Definitions for Food Descriptors 30
Organic Food Standards and Labels 32
Application to nursing. 32
Health Claims 33
Toward a Positive Nutrition Lifestyle: Locus of Control 33
Websites of Interest 35
MyPlate Food Guidance System 35
Oldways Preservation Trust 35
U.S. Food and Drug Administration (FDA) 35
Summary 34
References 36
2 Nutrients, Food, and Health 37
3 Digestion, Absorption, and Metabolism 37
Learning Objectives 37
Role in Wellness 37
Digestion 37
The Mouth 38
The Esophagus 40
The Stomach 41
The Small Intestine 41
The Large Intestine 42
Absorption 42
Elimination 44
Digestive Process Throughout the Life Span 44
Metabolism 44
Metabolism Throughout the Life Span 45
Toward a Positive Nutrition Lifestyle: Contracting 46
Summary 47
Websites of Interest 48
Healthfinder.gov 48
American Dental Association 48
American Medical Association 48
References 48
4 Carbohydrates 49
Learning Objectives 49
Role in Wellness 49
Food Sources 51
Carbohydrate as a Nutrient Within the Body 51
Function 51
Digestion and Absorption 51
Glycogen: Storing Carbohydrates 52
Metabolism 52
Blood Glucose Regulation 53
Glycemic Index and Glycemic Load 54
Simple Carbohydrates 55
Monosaccharides 55
Disaccharides 55
Sugar—A Special Disaccharide 56
Sources in the food supply. 56
Consumption levels. 56
Health effects. 56
Other Sweeteners 58
Sweet Decisions 59
Complex Carbohydrates: Polysaccharides 60
Starch 60
Fiber 61
Health Effects 62
Obesity. 63
Constipation. 63
Diverticular disease. 63
Cancer. 63
Heart disease. 63
Diabetes control. 63
Potential Health Risks of Dietary Fiber 63
Food Sources and Issues 64
Unrefined Versus Refined Grains 64
Toward a Positive Nutrition Lifestyle: Tailoring 66
Summary 66
Websites of Interest 68
American Public Health Association 68
Wheat Foods Council 68
USA Rice Federation 68
References 68
5 Fats 69
Learning Objectives 69
Role in Wellness 69
Functions 70
Food Functions 70
Source of Energy 70
Palatability 70
Satiety and Satiation 70
Food Processing 70
Nutrient Source 70
Physiologic Functions 70
Stored Energy 70
Organ Protection 70
Temperature Regulation 71
Insulation 71
Functions of Phospholipids and Sterols 71
Structure and Sources of Lipids 71
Fats: Saturated and Unsaturated 71
Phospholipids 73
Sterols 74
Fats as a Nutrient in the Body 74
Digestion 74
Mouth 74
Stomach 74
Small Intestine 74
Use of Medium-Chain Triglycerides 74
Absorption 74
Metabolism 75
Fat Intake and Issues 76
Fat Content of Foods 76
Detecting Dietary Fat 77
Fast but High-Fat Foods 77
Preserving Fats in Food 79
Processed Fats and Oils: Hydrogenated and Emulsified 79
Antioxidants 80
Food Cholesterol Versus Blood Cholesterol 80
Synthetic Fats and Fat Replacers 82
Energy Intake 82
Reduced Intake of Other Nutrients 83
Dietary Fat Intake and Diet-Related Diseases 83
Toward a Positive Nutrition Lifestyle: Gradual Reduction 83
Summary 83
Websites of Interest 85
USDA Nutrient Database Laboratory (Food Composition Tables) 85
Center for Science in the Public Interest (CSPI) 85
Eating Well Online 85
References 85
6 Protein 86
Learning Objectives 86
Role in Wellness 86
Structure of Protein 86
Protein Composition 88
Protein as a Nutrient in the Body 89
Digestion and Absorption 89
Mouth 89
Stomach 89
Small Intestine 89
Metabolism 89
Protein Excess 89
Nitrogen Balance 90
Functions 91
Growth and Maintenance 91
Creation of Communicators and Catalysts 91
Immune System Response 91
Fluid and Electrolyte Regulation 91
Acid-Base Balance 91
Transportation 92
Food Sources 92
Quality of Protein Foods 92
Complementary Proteins 92
Measures of Food Protein Quality 93
Protein RDA 93
Vegetarianism 94
The Benefits of Vegetarianism 94
The Drawbacks of Vegetarianism 94
Contemporary Vegetarianism 95
Dietary Patterns of Protein 95
Restructuring the Dinner Plate 95
Protein and Malnutrition 97
Malnutrition Factors 98
Groups at Risk in North America 98
Chronic Hunger 98
Toward a Positive Nutrition Lifestyle: Chaining 99
Summary 99
Websites of Interest 101
Nutrition.gov 101
The Vegetarian Nutrition Dietetic Practice Group of the Academy of Nutrition and Dietetics 101
National Institute of Medicine of the National Academies 101
References 101
7 Vitamins 102
Learning Objectives 102
Role in Wellness 102
Vitamin Categories 103
Food Sources 105
Water-Soluble Vitamins 105
Thiamin (B1) 105
Function 105
Recommended Intake and Sources 105
Deficiency 105
Toxicity 107
Riboflavin (B2) 107
Function 107
3 Health Promotion Through Nutrition and Nursing Practice 151
9 Energy, Weight, and Fitness 151
Learning Objectives 151
Role in Wellness 151
Energy 152
Energy Pathways 152
Carbohydrate as a Source of Energy 152
Fat as a Source of Energy 155
Protein as a Source of Energy 155
Anaerobic and Aerobic Pathways 155
Energy Balance 156
Estimating Daily Energy Needs 156
Components of Total Energy Expenditure 156
Physical Activity 156
Thermic Effect of Food 157
Adaptive Thermogenesis 157
Healthy Weight 158
Measuring Body Fatness 158
Interpreting Weight 159
Healthy Body Fat 160
Functions of Fat 160
Body Fat Distribution 161
Body Fat Storage 162
Regulation of Body Fat Level 162
Changes in Body Fatness 162
Genetic Influences on Body Size and Shape 163
Set Point and Body Fatness 164
Food Intake Adjustments 164
Adjustments in Energy Use 165
Nutrition: Weight Essentials 165
Gaining, Losing, or Maintaining: A Wellness Approach 165
Establishing Realistic Goals 166
Changing Behavior 166
Normalizing Eating 167
Enjoying eating. 167
Letting hunger and satiety guide eating. 167
Minimizing the Use of Food to Meet Emotional Needs 168
Eating Regularly and Frequently 168
Adopting an Active Lifestyle 169
Nutrition: Fitness Essentials 169
Health Benefits of Physical Exercise 169
Food and Athletic Performance 170
Kilocalorie Requirements 170
Water: The Essential Ingredient 170
Sports Drinks 171
Carbohydrate: The Energy Food 171
Carbohydrate Loading 172
Protein 172
Protein and Amino Acid Supplements 172
Fat 173
Vitamins and Minerals 173
Ergogenic Aids 173
Role of Nurses 174
Toward a Positive Nutrition Lifestyle: Explanatory Style 174
Websites of Interest 177
President’s Council on Fitness, Sports & Nutrition 177
American College of Sports Medicine (ACSM) 177
Healthy Weight—It’s Not a Diet, It’s a Lifestyle! 177
Summary 175
References 177
10 Nutrition Across the Life Span 178
Learning Objectives 178
Role in Wellness 178
Nutrition During Pregnancy 178
Body Composition Changes During Pregnancy 178
Hormones of Pregnancy 178
Metabolic Changes 179
Anatomic and Physiologic Changes 180
Weight Gain in Pregnancy 180
Energy and Nutrient Needs During Pregnancy 182
Energy 182
Protein 182
Vitamin and Mineral Supplementation 183
Folate. 183
Iron. 184
Calcium. 184
Nutrition-Related Concerns 184
Alcohol 185
Foodborne Illness 185
Maternal Age 185
Preeclampsia 186
Diabetes Mellitus 186
Maternal Phenylketonuria 187
Human Immunodeficiency Virus Infection 187
Common Nutrition-Related Discomforts of Pregnancy 188
Nausea and vomiting. 188
Heartburn. 188
Constipation. 188
Nutrition During Lactation 188
Anatomy and Physiology of Lactation 188
Promoting Breastfeeding 190
Energy and Nutrient Needs During Lactation 190
Nutrition-Related Concerns 190
Nutrition During Infancy 191
Energy and Nutrient Needs During Infancy 191
Energy 191
Protein 191
Vitamin and Mineral Supplementation 191
Food for Infants 192
Introduction of Solid Foods 192
How to introduce solid foods. 193
Appropriate solid foods during the first year of life. 193
Beverages During the First Year of Life 193
Nutrition-Related Concerns 194
The Premature Infant and the Low-Birth-Weight Infant 194
Failure to Thrive 194
Inborn Errors of Metabolism 194
Phenylketonuria. 194
Galactosemia. 195
Nutrition Health Promotion: Pregnancy, Lactation, and Infancy 195
Knowledge 195
Techniques 195
Community Supports 195
Nutrition During Childhood 195
Stages of Development 195
Childhood (1 to 12 Years) 195
Stage I: Children 1 to 3 Years Old 197
Nutrition requirements. 197
Stage II: Children 4 to 6 Years Old 197
Nutrition requirements. 198
Stage III: Children 7 to 12 Years Old 198
Nutrition requirements. 199
Nutrition Health Promotion: Childhood (1 to 12 Years) 199
Knowledge 199
Techniques 199
Community Supports 199
School food service. 199
Classroom nutrition education. 200
Nutrition During Adolescence 200
Nutrition Requirements 201
Nutrition Health Promotion: Adolescence 201
Knowledge 201
Techniques 201
Community Supports 201
Nutrition-Related Concerns of Childhood and Adolescence 202
Food Asphyxiation 202
Lead Poisoning 202
Role of Nurses 202
Obesity 202
Type 2 Diabetes Mellitus 202
Treatment 204
Role of Nurses 204
Iron-Deficiency Anemia 204
Role of Nurses 205
Nutrition During Adulthood 205
Stages of Adulthood 205
The Early Years (20s and 30s) 205
4 Overview of Nutrition Therapy 215
11 Nutrition Assessment and Patient Care 215
Learning Objectives 215
Nutrition in Disease Management 215
Role of Genetics on Disease Onset 215
The Nutrition Team 215
Nutrition Risk and Malnutrition 216
Nutrition Risk From Hunger 216
Nutrition Risk Assessment 216
Challenges of the Hospital Setting 217
Effects of Bed Rest on Nutrition 218
Malnutrition 218
Nutrition Care Process 218
Screening 218
Nutrition Assessment 220
Anthropometric assessment. 220
Height. 220
Weight. 221
Body mass index. 222
Waist measurements. 223
Nutrition-Focused Physical Examination and Functional Assessments 223
Biochemical assessment. 223
Clinical assessment. 225
Dietary intake assessment. 225
24-Hour diet recall. 225
Food records. 228
Calorie counts. 228
Managing Nutrition Risk 229
Screening and Assessment Tools 229
Drug Interactions With Food and Nutrients 229
Risk Factors for Drug-Nutrient Interactions 231
Age. 231
Physiologic status. 231
Polypharmacy (multiple-drug intake). 231
Influence of typical dietary intake. 231
Prescription and Over-the-Counter Medications 231
Effects of Drugs on Food and Nutrients 231
Effects of Food and Nutrients on Drugs 233
Timing of Medication Administration 233
Effects of Herbs on Food, Nutrients, and Drugs 233
Summary 243
Websites of Interest 245
Academy of Nutrition and Dietetics—Evidence Analysis Library 245
European Union: Fight Malnutrition Food-Drug Interactions 245
Food and Drug Administration: Food-Drug Interactions 245
National Center for Health Statistics, Centers for Disease Prevention and Control 245
NCMND Center of Excellence for Nutritional Genomics, University of California, Davis 245
References 245
12 Food-Related Issues 247
Learning Objectives 247
Dimensions of Health 247
Dietary Guidelines 247
Dietary Modifications 248
Diet Orders 248
Food Service Delivery Systems 248
Meals in Long-Term Care 250
Basic Hospital Diets 250
Clear liquid diets. 250
Full liquid diets. 250
Dysphagia diets. 250
Mechanically altered diets 251
Soft diets. 251
“Diet as tolerated.” 251
Vegetarian diets. 252
Other modified diets. 252
Other Food Considerations 252
Food Allergy or Intolerance 252
Food Safety and Sanitation 252
Cultural and Religious Implications of Food 253
Cultural food patterns. 253
Religious implications for dietary patterns. 253
Western and Near-Eastern Religions 253
Eastern Religions 253
Complementary-Alternative Medicine 253
Complementary-Alternative Medicine: Herbs and Botanicals 254
Genetically Modified Foods 255
Application to nursing. 255
Nonoral Feeding 255
Tube Feeding 255
Types of formulas. 256
Standard formulas. 256
Formula selection. 256
Feeding routes. 256
Positioning. 258
Method of administration. 258
Starting the tube feeding. 258
Complications of tube feeding. 258
Home enteral nutrition. 259
Parenteral Nutrition 260
Components of Parenteral Nutrition Solutions 260
Carbohydrates. 260
Amino acids. 261
Fats. 261
Total nutrient admixtures. 262
Electrolytes. 262
Trace elements. 262
Vitamins. 262
Bioactive substances. 262
Peripheral Parenteral Nutrition 262
Monitoring Guidelines and Complications 262
Home Parenteral Nutrition 263
Transitional Feedings 263
Parenteral Nutrition to Oral or Tube Feeding 263
Tube Feeding to Oral Feeding 263
Summary 263
Websites of Interest 265
Academy of Nutrition and Dietetics 265
American Botanical Council 265
American Society of Parenteral and Enteral Nutrition (ASPEN) 265
Dietary Guidelines for Americans 265
Food and Drug Administration—Nutrition Facts Label 265
Food Safety 265
National Center for Complementary and Alternative Medicine (NCCAM) 266
Office of Dietary Supplements (ODS) 266
Office of Minority Health 266
References 266
13 Nutrition for Disorders of the Gastrointestinal Tract 267
Learning Objectives 267
Dimensions of GI Health 267
Common Digestive Disorders 267
The Microbiome, Prebiotics, and Probiotics 267
Anti-Inflammatory Diets 268
Esophageal Disorders 268
Dysphagia 268
Food and Nutrition Therapies 268
Application to nursing. 270
Heartburn and Gastroesophageal Reflux Disorder 271
Food and Nutrition Therapies 271
Application to nursing. 271
Esophagitis and Hiatal Hernia 272
Food and Nutrition Therapies 272
Application to nursing. 272
Stomach Disorders 273
Vomiting 273
Glossary 406
A 406
B 406
C 407
D 407
E 408
F 408
G 408
H 409
I 409
K 409
L 410
M 410
N 410
O 410
P 410
Q 411
R 411
S 411
T 412
U 412
V 412
W 412
X 412
Index 413
A 413
B 414
C 414
D 416
E 417
F 417
G 418
H 419
I 420
J 421
K 421
L 421
M 422
N 423
O 424
P 424
R 426
S 426
T 427
U 428
V 428
W 428
X 430
Y 430
Z 430