NSD 481 Lecture Notes - Lecture 1: Medical Nutrition Therapy, Adjustable Gastric Band, Parenteral Nutrition
10 Oct 2016
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Hospital patient: 50 y/o male, recent diagnosis of esophageal cancer. Reports 25 lb weight loss over past 6 mo due to dysphasia (trouble swallowing) and poor appetite. Extremities: no edema albumin (protein in blood goes down if liver is busy doing other things i. e. surgery) Disease process pathophysiology of disease altered anatomy, physiology, cellular metabolism altered nutrient needs and/or metabolism. Medical nutrition therapy modified oral diet enteral nutrition (tube feed with patients with intact gi tract) parenteral nutrition (badly damaged gi tract) supplements bioactive substances purpose? healing and restoration of health moderation of diseases. Bariatric programs (insurance wont pay for surgery without visits from dietitian) An adjustable band is placed around the top of the stomach. Its diameter can be adjusted by inserting or removing saline from the reservoir. Nutritionists in clinical specialty areas (medicare requires nutrition professional to see each patient in order to pay for care) ex: renal nutrition support.
