DENTITION EDUNTULISM XEROSTOMIA ATROPINE GASTRITIS ACHLORYDIA (IRON AND VIT B12 DEF) APPETITE DYSREGULATION
CHOLECYSTOKININ ELEVATED EARLY SATIETY- WT LOSS
CONSTIPATION THIRST DYSREGULATION ANGIOTENSIN IMPAIRED SENSORY CHANGES (VISION, HEARING, TASTE/SMELL (DYSGEUSIA)
MALES DEC 7 CAL/DECADE OVER 30Y/O FEMALES DEC 10 CAL/DECADE OVER 30 Y/O
- STAND, CHAIR SCALE, BED SCALE WEIGHT: - STANDING OR RECUMBENT - ARM SPAN/ DEMI ARM SPAN - SLIDING CALIPER (90 DEGREE ANGLE TO THE LEG) BMI WT (KG)/HT2 (M) - BELOW 22 IN UNDERNUTRITION - ABOVE 25 IN OVERNUTRITION BODY FAT MEASUREMENT: TRICEP SKINFOLD, SUBSCAPULAR ILEAC CREST, THIGH MUSCLE MASS MEASUREMENT: MIDARM CIRCUMFERENCE = TRICEP SKINFOLD
LABORATORY VALUES
NEPHROTIC SYNDROME, LIVER DISEASE, OVER/UNDER DEHYDRATION HALF LIFE: 21 DAYS; PRE ALBUMIN AND TRANSFERRIN 2-3DAYS AND 8 DAYS
FOLATE AND VITAMIN B12 ASSESSMENT CHOLESTEROL: LESS THAN 160MG/DL NURSING ASSESSMENT: PHYSICAL EXAMINATION, NURSING HISTORY (DIET
RECALL, FOOD FREQ, FOOD RECORD), SCREENING TOOLS SCREENING TOOLS: NUTRITION SCREENING INITIATIVE (NSI) P.132 DETERMINE CHECKLIST MINI NUTRITIONAL ASSESSMENT AND SUBJECTIVE GLOBAL ASSESSMENT P.133
- NREM STAGE OF SLOW WAVE SLEEP AND ABOUT EVERY 90 MIN. - SLEEP PATTERN REGULATED BY THE SUPRACHIASMATIC
NUCLEUS HYPOTHALAMUS- CIRCADIAN RHYTHM
SLEEP DEPRIVATION: - DAYTIME FATIGUE - VISUAL/AUDITORY HALLUCINATION - IRRITABILITY - EXACERBATE ALZHEIMERS DISEASE - IMPAIRED LEARNING ABILITY - DELAYED HEALING SLEEP PROBLEMS: - TRANSIENT, INTERMITTENT AND CHRONIC SLEEP ARCHITECTURE:
NREM GH/PROLACTIN/TSH PHYSIOLOGIC RESTORATION
DEEP SLEEP STIMULATE PHYSICAL RESTORATION (DEC IN ELDERLY)
STAGES OF SLEEP:
1 LIGHT 2 BRAIN WAVES SLOW AND EYE MVMT STOP 3 SLOWING BRAIN WAVES AND SLEEP SPINDLES 4 DELTA WAVES CHAR BY LARGE, SLOW PATTERN OF BRAIN ACTIVITY REM BRIEF MUSCLE CONTRACTION
ABNORMAL SLEEP BEHAVIOR: 1. RESTLESS LEG SYNDROME 2. SLEEP WALKING/TERRORS 3. SLEEP RELATED EPILEPTIC SEIZURE HEALTH PROBLEMS AND SLEEP DISRUPTION: - PERSONAL, ENVIRONMENTAL CARACTERISTICS OR COMBINE, PAIN SLEEP DISRUPTION:
1. DEMENTIA REDUCE STAGE 3 AND REM, NO STAGE 4
URINARY PROBLEMS SLEEP PROBLEMS IN HOSP AND NURSING HOMES: 1. ALCOHOL AND CAFFEINE (INC TIME OF AWAKENING AND LENGTH OF
TIME IT TAKES TO FALL ASLEEP)
- SEDATE CNS DISRUPT REM - NICOTINE ( EXTENDS TIME TO FALL ASLEEP AND REDUCES SLEEP TIME
AND REM
- LONG HALF LIVES EXCESSIVE DAYTIME SLEEPINESS - ANTIDEPRESSANT AFFECTS SLEEP (IN THE EVENING) NURSING INTERVENTIONS MEDICATIONS