View
3
Download
0
Category
Preview:
Citation preview
TB Nurse Case ManagementSan Antonio, Texas
April 30 – May 02, 2019
The Role of Nutrition in TB Patients
Samantha Mezzetti, MS, RDN, LDN
Samantha Mezzetti, MS, RDN, LDN hasthe following disclosures to make:•No conflict of interests
•No relevant financial relationships with any commercial companies pertaining to this educational activity
Abbreviations
• AIDs: Acquired Immune Deficiency• BMI: Body Mass Index• DM: Diabetes Mellitus• HIV: Human Immunodeficiency Virus• IBW: Ideal Body Weight• TB: Tuberculosis• WHO: World Health Organization
What is Nutrition?
Nutrition is the intake of food, considered in relation to the body’s dietary needs. Good nutrition – an adequate, well balanced diet combined with regular physical activity – is a cornerstone of good health. Poor nutrition can lead to reduced immunity, increased susceptibility to disease, impaired physical and mental development, and reduced productivity.
-W.H.O.
Nutrition Recommendations
• National Dietary Guidelines
• WHO Guidelines• ADA’s Evidence-Based
Nutrition Practice Guidelines
• Research Studies
Nutritional Treatment and Care
Nutrition Care Process
1. Nutrition Assessment
2. Nutrition Diagnosis
3. Nutrition Intervention
4. Nutrition Monitoring and Evaluation
Nutrition Assessment1. Food/Nutrition-Related History
2. Anthropometric Measurements
3. Biochemical Data, Medical Tests, and Procedures
4. Nutrition-Focused Physical Findings
5. Client History
Common Comorbidities
• Malnutrition
• Micronutrient Deficiencies
– Vitamin D (risk factor)
– Anemia
• Poorly Controlled Diabetes
• AIDS/HIV
Nutrition Diagnosis• 3 Domains of a Nutrition Diagnosis
1. Intake2. Clinical3. Behavioral-Environmental
• PES Statement– Problem– Etiology– Signs and Symptoms
Nutrition Intervention• Food and/or Nutrient Delivery
– Should a high calorie &/or high protein diet be proscribed?– Should nutrient supplements or a multivitamin be proscribed?
• Nutrition Education– Dependent on comorbidities
• Nutrition Counseling– Dependent on comorbidities
• Coordination of Nutrition Care• S.M.A.R.T. Goals
Nutrition Monitoring and Evaluation
• Monitor progress• Measure outcome
indicators
• Evaluate outcomes• Evaluate patient
nutritional status
• Health Department• Food Banks• Religious Organizations• Community Gardens• Choose MyPlate• Handouts
References
• Diabetes and tuberculosis: a review of the role of optimal glycemic control , 26 February 2017. (http://www.jdmdonline.com/content/11/1/28/).
• Health topics, “Nutrition”. 26 February 2017. (http://www.who.int/topics/nutrition/en/).
• Nutrition and Tuberculosis: A Review of The Literature and Consideration for TB Control Programs, 26 February 2017. (http://pdf.usaid.gov/pdf_docs/PNADL992.pdf).
• Nutritional care and support for patients with tuberculosis. 26 February 2017. (www.who.int/nutrition/publications/guidelines/nutcare_support_patients_with_tb/en/).
• Pocket guide for International dietetics & nutrition terminology (IDNT) reference manual: standardized language for the nutrition care process. Third Edition. American Dietetic Association - 2011
• Tuberculosis and Nutrition, 26 February 2017. (http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2813110/).
Recommended