The ASPEN/AND Consensus Statement on Malnutrition defines three etiology-based types of malnutrition. Complete this table from Consensus Statement Figure 1. MEMORIZE THIS CHART Is inflammation present? Type of Malnutrition No Starvation-Related Example of disease states or conditions associated with this type of malnutrition Pure chronic starvation, Anorexia Nervosa Yes, Mild to Moderate Degree Chronic Disease-Related Organ failure, pancreatic cancer, RA, sarcopenic obesity Yes, Marked Inflammatory Acute disease or injury- Major infection, burns, trauma, Response closed head injury related Complete these tables from Consensus Statement Table 1 to determine malnutrition severity. MEMORIZE THESE CHARTS Malnutrition in the Context of Acute Illness or Injury Malnutrition in the Context of Chronic Illness Malnutrition in the Context of Social or Environmental Clinical Characteristic Energy Intake **EER = estimated energy requirement Circumstances Nonsevere Severe (Moderate) Nonsevere Severe (moderate) Nonsevere Severe (moderate) 7 days of EER for of EER for >=5 days >=1 mon of EER for of EER for >/=1 mon >/=3 mon /=1 mon Malnutrition in the Context of Acute Illness or Injury Nonsevere Severe Clinical Characteristic (Moderate) Malnutrition in the Context of Chronic Illness Malnutrition in the Context of Social or Environmental Circumstances Nonsevere Severe Nonsevere Severe (moderate) (moderate) % Time % % Time % % Time % Interpretation of weight loss 1-2 1 wk >2 5 1 mo >5 5 1 mo >5 5 1 mo >5 7.5 3 mo >7.5 7.5 7.5 3 mo >7.5 10 a 6 mo >10 10 20 1 yr 20 20 202 3 mo >7.5 6 mo >10 1 yr >20 Miss A. Sippy's intake in the hospital is meeting about 35% of her EER so you recommend a nutrition supplement. The doctor does not want to order it due to her BMI. What is your response to the doctor? • Justify your response with the calculations you made and the determination you made for type and severity of malnutrition. • What will you tell the doctor about the patient's BMI? ⚫Is it likely Miss A. Sippy suffers from sarcopenic obesity? If so, how will that affect her outcome?

The ASPEN/AND Consensus Statement on Malnutrition defines three etiology-based types of malnutrition. Complete this table from Consensus Statement Figure 1. MEMORIZE THIS CHART Is inflammation present? Type of Malnutrition No Starvation-Related Example of disease states or conditions associated with this type of malnutrition Pure chronic starvation, Anorexia Nervosa Yes, Mild to Moderate Degree Chronic Disease-Related Organ failure, pancreatic cancer, RA, sarcopenic obesity Yes, Marked Inflammatory Acute disease or injury- Major infection, burns, trauma, Response closed head injury related Complete these tables from Consensus Statement Table 1 to determine malnutrition severity. MEMORIZE THESE CHARTS Malnutrition in the Context of Acute Illness or Injury Malnutrition in the Context of Chronic Illness Malnutrition in the Context of Social or Environmental Clinical Characteristic Energy Intake **EER = estimated energy requirement Circumstances Nonsevere Severe (Moderate) Nonsevere Severe (moderate) Nonsevere Severe (moderate) 7 days of EER for of EER for >=5 days >=1 mon of EER for of EER for >/=1 mon >/=3 mon /=1 mon Malnutrition in the Context of Acute Illness or Injury Nonsevere Severe Clinical Characteristic (Moderate) Malnutrition in the Context of Chronic Illness Malnutrition in the Context of Social or Environmental Circumstances Nonsevere Severe Nonsevere Severe (moderate) (moderate) % Time % % Time % % Time % Interpretation of weight loss 1-2 1 wk >2 5 1 mo >5 5 1 mo >5 5 1 mo >5 7.5 3 mo >7.5 7.5 7.5 3 mo >7.5 10 a 6 mo >10 10 20 1 yr 20 20 202 3 mo >7.5 6 mo >10 1 yr >20 Miss A. Sippy's intake in the hospital is meeting about 35% of her EER so you recommend a nutrition supplement. The doctor does not want to order it due to her BMI. What is your response to the doctor? • Justify your response with the calculations you made and the determination you made for type and severity of malnutrition. • What will you tell the doctor about the patient's BMI? ⚫Is it likely Miss A. Sippy suffers from sarcopenic obesity? If so, how will that affect her outcome?

Ebk:Nutrition & Diet Therapy

10th Edition

ISBN:9780357391747

Author:DEBRUYNE

Publisher:DEBRUYNE

Chapter24: Energy- And Protein- Modified Diets For Metabolic And Respiratory Stress

Section: Chapter Questions

Problem 5SC

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