Nutrition Diagnosis Terms - Clinical Etiologies

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For T. Reinhard's Nutrition Care Process

Swallowing difficulty

Dehydration
Coughing
Choking
Poor PO intake
Achalasia

Chewing difficulty

Poor dentition
Dry lips/tongue
Poor PO intake
Chemotherapy

Breastfeeding difficulty

Infant dehydration
Weight loss or Poor weight gain,
diet hx of coughing, crying, decreased feeding
< 6 wet diapers/day

Altered GI function

Abnormal digestive enzymes and fecal fat
Abdominal distension
Abnormal BS
Wasting
GI distress
GI surgery

Impaired nutrient utilization

Abnormal digestive enzymes and fecal fat
Abdominal distension
Abnormal BS
Weight loss
GI distress
GI surgery

Altered nutrition-related lab values

Various abnormal labs
GI distress
Diet hx of low intake

Food-medication interaction

Variable effects

Predicted food-medication interaction

Reports of intake expected to be problematic (e.g. fish oil
and prolonged bleeding, Coumadin and vitamin K-rich foods, High-fat diet and cholesterol-lowering meds
Iron and constipation)
Polypharmacy
Meds that require supplementation, e.g., isoniazid and B-6

Underweight

Low BMI
Diet hx of low intake
AN

Involuntary weight loss

Weight loss of 5%/1 mo or 7.5%/3 mos
Fever
Increased heart rate
Diet hx of poor intake
Medications
AIDS
Burns
COPD
Surgery
Trauma
Cancer
Infection
Hyperthyroidism

Overweight/Obesity

Increased adipose tissue
Diet hx of excess intake
Large portions
Metabolic syndrome
Depression
Meds

Involuntary weight gain

Increased adipose tissue
Edema
SOB
Meds
Cushings disease
Prader-Willi disease
Asthma
Psychiatric disorders

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