DIET 3150 Lecture Notes - Lecture 5: Warfarin, Vitamin K, Colonoscopy
MNT Assessment: Constipation
• Food/nutrition related hx: eating pattern (24 hour recall), especially number of daily
servings from grains, fruit, veg, nuts, legumes
• Anthropometric measures: height, current weight, weight history, BMI
• Lab tests: Labs INR, diagnostic tests, colonoscopy
• Nutrition related …
• ….
MNT Diagnosis: Constipation continued
1. Inadequate fluid intake
2. Intake of types of carbohydrate inconsistent with needs (specify)
3. Inadequate fiber intake
4. Undesirable food choices
5. Food and nutrition related knowledge deficit
PES: Inadequate fiber intake RT food/knowledge deficient AEB food recall does not include any
vegetables, calculated fiber intake is 13 g/d.
MNT Intervention: Constipation cont.
• Educate about consisten vitamin K intake while on coumadin, sources of vitamin K
• Provide a nutrition prescription for calories, protein.. Use mifflin and activity factor for
TEE
• Eat adequate fiber, gradually increasing daily total fiber to 25 g/day
o Increase 5 g/ week
o Educate about sources of whole grains, F, V
• Increase fluid intake to a minimum of 64 oz/ day
• Participate in PA daily
MNT Monitoring and Evaluation: Constipation cont.
• What are we going to ask Mrs. Constipation about the next time we see her?
o How is her weight
