NR228 Nutritional Factors

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What are the 4 dietary guidelines and lifestyle recommendations for healthy individuals in the U.S. made by the The United States Department of Agriculture (USDA) and the U.S. Department of Health and Human Services (DHHS)?

1. Follow a healthy eating pattern at every life stage 2. Customize and enjoy food and beverage choices to reflect personal preferences, cultural traditions, and budgetary considerations. 3. Focus on meeting food group needs with nutrient-dense foods and beverages, and stay within calorie limits. 4. Limit foods and beverages higher in added sugars, saturated fat, and sodium, and limit alcoholic beverages.

Jorge has a meeting in the evening and decides to have dinner at the local fast food restaurant instead of cooking tonight. Is this Food Choice, Preference or Liking?

Food Choice

Nurse: "You told me you work two jobs. What do you do when you get hungry?" ​ Mr. Johnson: "During the week, I leave one job and drive to my cleaning business. I only have time to stop and get a burger or a quick snack between jobs." Is this Food Choice, Liking or Preference?

Food Choice

Nurse: "Tell me what you enjoy the most about eating your favorite food?" ​ Mr. Johnson: "Well, I really enjoy the saltiness of the pork skins. It takes me back to my childhood when my dad shared them with me." Is this Food Choice, Liking or Preference?

Food Liking

Roberta eats strawberries because they are their favorite when they are in season. Is this Food Choice, Preference or Liking?

Food Liking

Tina orders fries instead of a side salad with dinner. Is this Food Choice, Preference or Liking?

Food Preference

Which is not a local organization that can help address food availability?​ Meals on Wheels​ Healthy People 2030 School nutritional program​ Food bank​

Healthy People 2030 Local organizations that address food needs in the community environment include Meals on Wheels , school nutritional programs, and local food banks. These offer food to individuals and families in need.​​ Healthy People 2030 guidelines are created nationally when the U.S. Institute of Medicine (IOM) makes nutrition recommendations.

Locally, how is malnutrition prevented?

In the community environment, we can observe how a community addresses issues such as food deserts and lack of access to fresh foods. For example, Meals on Wheels is a community intervention that addresses access to food. Various support organizations, churches, and local schools offer nutritional programs. Local food banks offer food to individuals and families in need.​

Nurse: "Tell me about what you like to eat on an average week/day/weekend?"​ Mr. Johnson: "My wife keeps buying me these peanut butter and celery snacks, but I cannot stop eating these soft and chewy cookies from the convenience store." Is this Food Choice, Liking or Preference?

Preference

Food Portions:

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What are the 7 factors that affect food choices and healthcare modalities?

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Nationally, how is malnutrition prevented?

The U.S. Institute of Medicine (IOM) makes nutrition recommendations. The United States Department of Agriculture (USDA) incorporates these recommendations into a set of dietary guidelines, such as Healthy People. The Department of Health Services identifies goals through Healthy People 2030 that address food shortages and nutrition.

Globally, how is malnutrition prevented?

The primary goal is food supply and reduction in disease (addressing food storage, potable water, etc.)​.

Since diet has a direct effect on health, the nurse should also observe: ​

improvements in health and healing​ signs of malnutrition or obesity​ normal body mass index (BMI) of 20-23​ waist circumference under 40 inches for men and under 35 inches for women ​


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