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Malnutrition Case Study
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- Опубликовано: 6 авг 2024
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This video goes through a case study for a patient who is admitted to the hospital with suspected malnutrition.
The primary purpose of this video is to show you how the AND/ASPEN malnutrition assessment tool works, but it will also provide some valuable insight into nutrition assessment and diagnosis from the perspective of a registered dietitian.
This is a follow-up to my previous videos on malnutrition, which you can find here: • Malnutrition
Keep in mind that in this context, malnutrition is being used to represent undernutrition only.
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📩 Email me at clinicalnutritionu@gmail.com if you would like to see the resources used to make this video
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🔥 Check out my 5 book recommendations here:
1. Human Metabolism: A Regulatory Approach - amzn.to/3fybubh
2. Krause and Mahan's Food & the Nutrition Care Process - amzn.to/399GoXE
3. AND Pocket Guide to Nutrition Assessment - amzn.to/3wgIYml
4. Being Mortal - amzn.to/3EQXy6t
5. When Breath Becomes Air - amzn.to/3stM6KK
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📚 Chapters for this video:
0:00 A case study for malnutrition
0:17 Past medical history and presentation
2:28 How to calculate percent body weight loss
3:13 Preparing to interview the patient
5:31 The nutrition-focused physical examination (NFPE)
6:44 Assessment of energy intake
8:50 Diagnose malnutrition using the AND/ASPEN malnutrition guidelines
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#clinicalnutrition #medicalnutritiontherapy #malnutrition
NEW BOOK: cnu.sellfy.store/
ALSO ON AMAZON: a.co/d/6C6lXGa
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Omg THANK you for pointing out that less than or equal to 75% thing. I have been trying to process that for some time now and I thought for sure i was not thinking about it correctly. Your videos are AMAZING. Thank you thank you thank youuuuu
Haha you’re welcome! It really is confusing. I’m not sure how it hasn’t been corrected yet! Happy to hear you’re enjoying the channel. 😊
Hi, I am a dietetic intern, and your videos are an excellent resource for reviewing many clinical concepts! Thank you!
Hey Aneta! So happy to hear you’re enjoying videos! Thank you for watching them 😊
New RD here! Still get nervous talking to patients or staff I think it’s a little bit of imposter syndrome but thank you for these videos!!!
It will definitely take a little bit of time for that imposter syndrome to wear off! I promise it will though. Thank you for watching! 😊
CNU is fantastic; continue to solve Nutrition issues indirectly in our patients.We utilizes your knowledge and saving people's life.So now days any materials videos you post in your channel we pay attention of gaining new ideas and experiences. God bless you CNU
Thank you, Maduhu!! 🙏🏼
Yes! The thought of going to speak to patients does scare me. I'm doing my first patient interviews in the hospital soon and I'm nervous
Everything is going to be OK. I promise! What I always tell my interns is this: Try to think of the last time you went to see a doctor. I know I always sit in the exam room super nervous for them to come in, even when I have nothing to be nervous about. Most patients will probably feel the same way when you walk in the room to do your interview. You’re the ‘scary’ one, not them! 😅
Thanks. Easy to understand. Very informative.
Your videos are great.
I am a clinical dietitian in Malaysia and I am also a teaching dietitian (just like a preceptor at your setting).
Always wondering how can I help my interns to have better understadning in assessing cases, diagnose and make appropriate intervention.
This channel has given me lots of idea. Thank you.
Thank you so much!! Very happy to hear that you like the videos and that they are giving you ideas 😊
Good and rich information , clear talk in a systemic way. It can improve practice for any dietetics professionsals, will follow and advice colleagues and students with this channel.
Thankyou.. from Sudan
Amazing, I am from country, "PAKISTAN" and watching this made my mind broad. Malnutrition is a hot topic. Please I need your further help. Like the innovation we can bring in it OR especially the what new topics regarding malnutrition are, which we can research on. Your kind suggestions and guidelines would be really helpfuL
I'm excited to hear that you're finding this helpful from Pakistan! I'll be posting a new video every 1-2 weeks, so I hope they'll be useful to building up your practice 😊
What would your intervention be for this scenario?
At this stage, there’s no evidence of obstruction or malabsorption from the pancreatic mass, so first my recommendation would be to provide the most liberalized diet feasible (avoid nutrient restrictions). Then, I would offer her additional high protein foods/beverages as snacks between meals (encourage small, frequent eating sessions due to low appetite). Finally, I would recommend a daily multivitamin. These three interventions would likely be sufficient for an initial encounter. 1/2
Should the patient continue to eat only 10-20% of meals, or develop persistently poor tolerance to the meals, those recommendations could change. This patient may ultimately require a fat restriction and the use of pancreatic enzymes to improve tolerance. Or if there’s no improvement in her appetite, I may consider nutrition support, if it’s consistent with the patients goals of care and she’s amenable to it. 2/2
@@clinicalnutritionuniversity thank you for taking the time to explain!
@@madelineworkman3886 My pleasure!