TEACH FOR NURSES LESSON PLAN
Chapter 12: Nutrition Assessment
CHAPTER OBJECTIVES
1. Define nutritional status.
2. Describe the unique nutritional needs for various developmental periods throughout the life cycle.
3. Describe the role cultural heritage and values may play in an individual’s nutritional intake.
4. State the purposes of a nutritional assessment.
STUDENT RESOURCES
understand
Textbook Chapter 12
Sherpath for Medical-Surgical Nursing*
Animations (Evolve website)
Answer Keys: Study Guide & Lab Manual
12-2
apply
Elsevier Adaptive Quizzing*
Case Studies (Evolve)
Study Guide*
synthesize
SimChart*
Simulation Learning System*
INSTRUCTOR RESOURCES
before class
Nursing Curriculum Standards (below)
in class
In-Class/Online Case Study (below)
PowerPoint Presentations (Evolve)
Image Collection (Evolve)
after class
Test Bank (Evolve)
HESI Practice Tests*
* Sold separately from textbook.
TEACHING STRATEGIES
Content Focus
Content Highlights
DEFINING NUTRITIONAL
STATUS
Discuss how being
overweight during
childhood can increase the
12-3
TEACHING STRATEGIES
Content Focus
Content Highlights
breastfeeding, and the
necessity for appropriate
fat intake for children
younger than 2 years of
age.
Discuss in more detail the
lifestyle factors that
influence the development
of serious chronic illnesses.
Review several
medications taken by
aging adults that affect
nutrient absorption.
12-4
TEACHING STRATEGIES
Content Focus
Content Highlights
their diets of the past 24
hours.
Examine the risk factors
for infants to become
obese adults.
Give examples of how to
speak to the adolescent
when asking such personal
questions.
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TEACHING STRATEGIES
Content Focus
Content Highlights
ANTHROPOMETRIC
MEASURES
nutritional deficiencies and
abnormalities.
Bring in Lange or
Harpenden skinfold
calipers and demonstrate
their use. Allow students
to practice.
Get a volunteer to
demonstrate how to
properly obtain a skinfold
SERIAL ASSESSMENT
Review the routine lab
tests and the normal and
12-6
TEACHING STRATEGIES
Content Focus
Content Highlights
abnormal findings seen for
each one.
IN-CLASS/ONLINE CASE STUDY
C.M. is an 89-year-old woman who presents with her daughter to the provider’s office. The daughter is concerned because her mother has not
been eating well.
Subjective Data
PMH: HTN, Hypothyroid
24-hour diet recall reveals approximately 1100-calorie intake
Lives alone, daughter nearby
Does not drive
Daughter shops
Patient cooks light meals
Objective Data
Vital signs: T 37 P 72 R 12 BP 104/64
Weight: 105 lb
Weight last visit, 3 months ago: 115 lb
12-7
Height: 5 feet, 1 inch
Medications: metoprolol 12.5 mg per day, Synthroid 0.75 mg per day
Oral mucosa dry, gums bleeding, dentures loose
Poor skin turgor
Questions
1. Develop a problems list from the objective and subjective data.
2. What nursing diagnoses can be derived from the problems list?
3. What should be included in the plan of care?
4. Calculate the patient’s body mass index.
5. How many calories a day does this patient need to maintain her current weight?
6. What laboratory studies would help determine the patient’s nutritional status?
Answers
1. The problems list includes the following:
3. The plan of care should include having the patient follow up with a dentist to have her dentures realigned; planning meals that include
12-8
NURSING CURRICULUM STANDARDS
QSEN/NLN COMPETENCIES
Patient-Centered Care/Human Flourishing
o Culture and Genetics
NURSING CONCEPTS
The following conceptual themes and specific concepts match those presented in Giddens, J. F. (2017). Concepts for nursing practice (2nd ed.).
St. Louis: Elsevier. The specific exemplars chosen and listed below for each concept have been tailored specifically to correspond to the Jarvis
textbook.
A full Concept-Based Curriculum Map covering the entire book can be found in the Download by Resource Type folder on Evolve.
THEME: Homeostasis and Regulation
Concept: Nutrition
o Exemplar: Culture and Genetics
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BSN ESSENTIALS
Essential I: Liberal Education for Baccalaureate Generalist Nursing Practice
o Culture and Genetics
ANSWERS TO QUESTIONS IN THE STUDY GUIDE
Note: Answers to these questions can be found on Evolve site. Click here.