Podcast
Questions and Answers
What is a potential complication of parenteral nutrition?
What is a potential complication of parenteral nutrition?
What condition occurs when there is insufficient gut length to absorb nutrients effectively?
What condition occurs when there is insufficient gut length to absorb nutrients effectively?
Which gastrointestinal condition is characterized by inflammation and narrowing of the intestine?
Which gastrointestinal condition is characterized by inflammation and narrowing of the intestine?
Which factor does NOT contribute to the necessity of parenteral nutrition?
Which factor does NOT contribute to the necessity of parenteral nutrition?
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Which of the following is a symptom caused by abnormal bowel function?
Which of the following is a symptom caused by abnormal bowel function?
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What is typically used to administer parenteral nutrition?
What is typically used to administer parenteral nutrition?
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Which condition results from the bowel receiving insufficient blood flow?
Which condition results from the bowel receiving insufficient blood flow?
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If a patient has undergone extensive gut removal, which condition are they likely to suffer from?
If a patient has undergone extensive gut removal, which condition are they likely to suffer from?
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What are the two main components of nutrition intervention?
What are the two main components of nutrition intervention?
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What is the primary goal of a nutrition intervention?
What is the primary goal of a nutrition intervention?
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Which of the following describes the basis for nutritional interventions?
Which of the following describes the basis for nutritional interventions?
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How are nutrition interventions primarily implemented?
How are nutrition interventions primarily implemented?
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What drives the choice of a specific nutrition intervention?
What drives the choice of a specific nutrition intervention?
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Which of the following is NOT a tactic of nutritional interventions?
Which of the following is NOT a tactic of nutritional interventions?
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What is a key aspect of monitoring progress in nutrition interventions?
What is a key aspect of monitoring progress in nutrition interventions?
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Which statement best describes the role of health and social behavior in nutritional interventions?
Which statement best describes the role of health and social behavior in nutritional interventions?
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What is one physiological advantage of enteral feeding?
What is one physiological advantage of enteral feeding?
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Which of the following is a mechanical disadvantage associated with enteral feeding?
Which of the following is a mechanical disadvantage associated with enteral feeding?
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Which condition can make a child a candidate for enteral feeding?
Which condition can make a child a candidate for enteral feeding?
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What is one potential disadvantage of aggressive enteral feeding in children with gastroesophageal reflux?
What is one potential disadvantage of aggressive enteral feeding in children with gastroesophageal reflux?
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Enteral nutrition is generally preferred over parenteral nutrition for which reason?
Enteral nutrition is generally preferred over parenteral nutrition for which reason?
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What metabolic concern is associated with enteral feeding?
What metabolic concern is associated with enteral feeding?
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How does enteral feeding support hydration function?
How does enteral feeding support hydration function?
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Which of the following statements about enteral feeding is incorrect?
Which of the following statements about enteral feeding is incorrect?
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What is a disadvantage of bolus feedings compared to continuous drip feedings?
What is a disadvantage of bolus feedings compared to continuous drip feedings?
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Which scenario is most appropriate for continuous drip feeding?
Which scenario is most appropriate for continuous drip feeding?
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What is one key advantage of continuous feeding?
What is one key advantage of continuous feeding?
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Which is a disadvantage of continuous feeding?
Which is a disadvantage of continuous feeding?
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How does continuous feeding affect medication levels in children?
How does continuous feeding affect medication levels in children?
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For which children are mixed feedings particularly suitable?
For which children are mixed feedings particularly suitable?
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What is a common characteristic of gravity drips as a delivery method?
What is a common characteristic of gravity drips as a delivery method?
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What is one reason continuous drip feeding is limited to 18 hours or fewer?
What is one reason continuous drip feeding is limited to 18 hours or fewer?
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What is assessed under the 'Focus on Assigned Topic' rubric?
What is assessed under the 'Focus on Assigned Topic' rubric?
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Which score indicates an excellent reflection of personal learning?
Which score indicates an excellent reflection of personal learning?
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What characterizes work that earns a 'Fair' rating in the rubric?
What characterizes work that earns a 'Fair' rating in the rubric?
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Which aspect is least likely to be evaluated in the assessment rubric?
Which aspect is least likely to be evaluated in the assessment rubric?
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How is the 'Good' rating defined in the rubric for personal learning reflection?
How is the 'Good' rating defined in the rubric for personal learning reflection?
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What does a score of 1 signify in the context of the entire rubric?
What does a score of 1 signify in the context of the entire rubric?
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Which of the following reflects a common misconception about the rubric ratings?
Which of the following reflects a common misconception about the rubric ratings?
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What component is included in the assessment task to evaluate clarity of reflection?
What component is included in the assessment task to evaluate clarity of reflection?
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Study Notes
Nutrition Intervention
- A purposeful, planned effort to change eating habits, the environment, or health status to improve nutrition for individuals, specific demographics, or communities.
- Two primary components: planning and implementation.
- Aim is to resolve and improve nutrition diagnoses by providing guidance, education, and the food portion of a particular diet.
- This intervention aims to modify dietary intake, nutritional knowledge or behavior, environmental factors, or access to supportive care and resources.
- It also offers a framework for assessing results and tracking progress.
Enteral Feeding (TF/EN)
- An alternative to oral feeding in individuals who are unable to eat properly or whose airways need protection to prevent aspiration.
- Advantages include:
- Improved growth and nutritional status in children.
- Preserves gut function and integrity.
- Improves bowel and hydration function as well as consistent medication use.
- Less expensive and safer than parenteral nutrition.
- Offers flexibility in dietary adjustments based on illness and dietary recommendations.
- Disadvantages of TF/EN:
- Increased risk of aspiration or vomiting in children with gastroesophageal reflux.
- Potential for diarrhea, skin deterioration, or anatomical disturbance.
- Mechanical disadvantages: obstructed or dislodged feeding tubes.
- Metabolic concerns: Hyperglycemia and hyperphosphatemia.
Considerations for Enteral Feeding
- Enteral feeding is considered when individuals are unable to obtain at least 80% of their energy from food orally.
- Other factors include:
- Spending more than 4 hours each day on feeding.
- Experiencing a weight loss for three months without regaining weight.
- Weight for height below the 5th percentile for age and sex.
- Triceps skinfold below age-specific 5th percentile.
Types of Enteral Feeding
- Bolus feeding:
- More easily aspirated than continuous drip feedings.
- Can cause bloating, cramps, nausea, and diarrhea in some children.
- Can be a challenge for children needing large volumes of formula or continuous feeding.
- Continuous drip feeding:
- Can be administered continuously without interruption.
- Ideally kept to 18 hours or less.
- Not advisable for long periods due to restrictions in mobility and possible increase in insulin levels leading to hypoglycemia.
- Often used for 8 to 10 hours at night for volume-sensitive individuals, allowing for smaller bolus feedings or oral intake during the day.
- Can be administered using an infusion pump or a gravity drip.
- Infusion pump is a more reliable delivery mechanism than a gravity drip.
- Advantages of continuous feeding:
- Better tolerated by volume-sensitive individuals, those at high risk for aspiration, or those with gastric reflux.
- Can be administered at night to avoid interference with daytime activities.
- Increased energy efficiency leading to more calories used for growth.
- Reduces stool output, beneficial for children experiencing chronic diarrhea.
- Beneficial for managing newborns with short bowel syndrome, intractable diarrhea, necrotizing enterocolitis, and Crohn's disease.
- Disadvantages of continuous feeding:
- Restricts ambulation during infusion.
- Higher cost due to the pump and additional feeding supplies.
- Can affect the blood levels of some medications, requiring careful monitoring.
Parenteral Nutrition
- Used when the gut cannot be utilized to absorb nutrients.
- Factors that contribute to requiring parenteral nutrition include:
- Blockage or ileus in the intestines.
- Gut perforations.
- Short bowel syndrome after significant gut removal.
- Functional gut shortening and diseases that prevent adequate nutrient absorption.
- Parenteral nutrition is drip-fed gradually into the bloodstream.
- Typically administered by a central venous line into a large vein near the heart.
- Can be irritating to blood vessels.
- Can lead to serious issues such as blood infections and biochemical imbalances.
- Requires close supervision.
Mixed Feedings
- A patient is a good candidate for mixed feedings when medically stable and has a family capable of following directions and ensuring food safety.
Conditions that May Require Mixed Feedings
- Bowel obstruction from digestive tract cancer.
- Chemotherapy, which can impair nutrient absorption.
- Crohn's disease, an inflammatory condition of the intestine that can influence food intake, digestion, and absorption.
- Short bowel syndrome, where the gut is too short to absorb enough nutrients.
- Ischemic bowel disease, where the bowel receives reduced blood flow.
- Abnormal bowel function, making it difficult for food to pass through the intestines.
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Description
This quiz covers essential concepts in nutrition intervention and enteral feeding. Learn about planning, implementation, and the benefits of enteral nutrition for individuals unable to eat normally. Ideal for healthcare professionals looking to enhance their knowledge in dietary interventions.
