PRNT 143L NUTRITION THERAPY 2 LABORATORY

Second Semester, AY 2021- 2022

CHECK-IN ACTIVITY: DOH ADULT NUTRITION SCREENING TOOL

A. CLINICAL CONDITION
Clinical Condition Characteristics Signs & Symptoms Specific Diet References
(i.e. Soft, Low Salt)

1. Anorexia Nervosa An abnormally low ● Extreme —

body weight, an weight loss or https://www.ma
intense fear of not making yoclinic.org/dis
gaining weight and a expected eases-
distorted perception developmenta conditions/anor
of weight. l weight exia-nervosa/sy
gains. mptoms-
● Dizziness or causes/syc-
fainting 20353591
● Bluish
discoloration
of the fingers
● Hair that
thins, breaks
or falls out
The physical signs
and symptoms of
anorexia nervosa are
related to starvation.
Anorexia also
includes emotional
and behavioral issues
involving an
unrealistic perception
of body weight and an
extremely strong fear
of gaining weight or
becoming fat.

2. Bulimia Nervosa Recurrent episodes of A binge involves Zinc, riboflavin, https://

binge eating with a eating, in a short pyridoxine and www.mentalhelp.
 sense of lack of period of time, an thiamine (Vitamin net/eating-
control occurring at amount of food that is B1) disorders/
least twice per week larger than most characteristics-of-
for at least three individuals would eat bulimia-nervosa/
months, recurrent, under similar
inappropriate circumstances. The
compensatory food consumed during
behavior, such as binges varies, but
vomiting, in order to typically includes
prevent weight gain sweet, high-calorie
and self-evaluation foods.
that is unduly
influenced by body
shape and weight.
3. Cancer Cachexia Systemic ● Chronic renal Ketogenic Diet https://
inflammation, failure www.ncbi.nlm.nih
negative protein and ● HIV .gov/pmc/
energy balance, and ● Cancer articles/
an involuntary loss of ● Multiple PMC4398892/
lean body mass. sclerosis #:~:text=Cancer
● Kidney %20cachexia
disease %20is
● Congestive %20characterized
heart failure %20by,to
%20chemotherapy
%20and
%20decreased
%20survival.

https://
www.webmd.com
/cancer/what-is-
cachexia
4. Cardiac Cachexia A dramatic loss of ● Very weak Supplements of https://
skeletal muscle mass and tired important nutrients, www.cancer.gov/
and often ● Short of like vitamins C and about-cancer/
accompanied by breath D and folate treatment/
substantial weight ● Unable to research/cachexia
loss exercise or be
active https://
● Nauseated www.webmd.com
● Not very /heart-disease/
 hungry heart-failure/what-
● Constipation is-cardiac-
● Changes in cachexia
how food
tastes
5. Cerebrovascular an interruption in the Stroke symptoms Low fat diet https://
accident (CVA) flow of blood to cells include: www.gwhospital.c
in the brain. When the ● difficulty om/conditions-
cells in the brain are walking. services/
deprived of oxygen, ● Dizziness. neurosciences-
people will die. ● loss of institute/
balance understanding-
coordination. stroke

https://
www.healthline.c
om/health/
cerebrovascular-
accident#:~:text=
Symptoms%20of
%20a
%20cerebrovascul
ar
%20accident&text
=Stroke
%20symptoms
%20include
%3A,loss%20of
%20balance
%20and
%20coordination
6. Coma A prolonged state of ● Closed eyes. High in carbs, fat, or https://
unconsciousness. ● Depressed protein www.mayoclinic.
brainstem org/diseases-
reflexes, such conditions/coma/
as pupils not symptoms-
responding to causes/syc-
light. 20371099
● No responses
of limbs, https://
except for www.webmd.com
reflex /brain/coma-
 movements. types-causes-
● No response treatments-
to painful prognosis
stimuli,
except for
reflex
movements.
● Irregular
breathing.
●
7. Diabetes Diabetes happens Type 1 diabetes may Low fat diet https://
when your body isn't also have nausea, www.cdc.gov/
able to take up sugar vomiting, or stomach diabetes/basics/
(glucose) into its cells pains. Type 1 diabetes symptoms.html
and use it for energy. symptoms can
This results in a develop in just a few https://
buildup of extra sugar weeks or months and my.clevelandclini
in your bloodstream. can be severe. c.org/health/
Type 2 diabetes diseases/7104-
symptoms often take diabetes-mellitus-
several years to an-overview
develop. Some people
don’t notice any
symptoms at all. Type
2 diabetes usually
starts when you’re an
adult, though more
and more children and
teens are developing
it.
8. Liver disease The liver isn't ● Skin and eyes Low fat diet https://
working well enough that appear www.mayoclinic.
to perform its yellowish org/diseases-
functions (for (jaundice) conditions/liver-
example, ● Abdominal problems/
manufacturing bile pain and symptoms-
and ridding the body swelling. causes/syc-
of harmful ● Swelling in 20374502
substances). the legs and
ankles. https://
● Itchy skin. webcache.googleu
● Dark urine sercontent.com/
 color. search?
● Pale stool q=cache:l3E9CH
color. m1mvQJ:https://
● Chronic my.clevelandclini
fatigue. c.org/health/
● Nausea or diseases/17819-
vomiting. liver-
failure+&cd=5&hl
=en&ct=clnk&gl=
ph&lr=lang_af
%7Clang_ca
%7Clang_cs
%7Clang_et
%7Clang_en
%7Clang_eo
%7Clang_tl
9. Celiac sprue The villi become ● Diarrhea. Gluten-free diet https://
shortened and ● Fatigue. www.mayoclinic.
eventually flatten ● Weight loss. org/diseases-
out . Intestinal ● Bloating and conditions/celiac-
damage causes gas. disease/
diarrhea and poor ● Abdominal symptoms-
absorption of pain. causes/syc-
nutrients, which may ● Nausea and 20352220
lead to weight loss. vomiting.
● Constipation.

10. Ulcerative colitis Ulcerative colitis ● Rectal pain Low-residue diet https://
affects the innermost ● Rectal www.mayoclinic.
lining of your large bleeding — org/diseases-
intestine (colon) and passing small conditions/
rectum. Symptoms amount of ulcerative-colitis/
usually develop over blood with symptoms-
time, rather than stool causes/syc-
suddenly. ● Urgency to 20353326
defecate
11. Crohn’s disease Crohn's disease ● Abdominal Grain-free diet/ https://
involves different pain and Parenteral nutrition www.mayoclinic.
areas of the digestive cramping org/diseases-
 tract in different ● Blood in your conditions/crohns-
people. This stool disease/
inflammation often ● Mouth sores symptoms-
spreads into the ● Reduced causes/syc-
deeper layers of the appetite and 20353304
bowel. weight loss
● Pain or
drainage near
or around the
anus due to
inflammation
from a tunnel
into the skin
(fistula)
12. Short bowel syndrome A disorder clinically ● Diarrhea Parenteral nutrition https://
defined by ● Greasy, foul- www.mayoclinic.
malabsorption, smelling org/diseases-
diarrhea, steatorrhea, stools conditions/short-
fluid and electrolyte ● Fatigue bowel-syndrome/
disturbances, and ● Weight loss symptoms-
malnutrition. ● Malnutrition causes/syc-
● Swelling 20355091
(edema) in the
lower
extremities
13. Multiple trauma A traumatized person ● headaches Enteral Nutrition https://
can feel a range of ● digestive www.medicalnew
emotions both symptoms stoday.com/
immediately after the ● fatigue articles/
event and in the long ● racing heart trauma#symptoms
term. They may feel ● sweating
overwhelmed, ● feeling jumpy
helpless, shocked, or ● denial
have difficulty ● anger
processing their ● fear
experiences. Trauma ● sadness
can also cause ● shame
physical symptoms. ● confusion
14. Pressure injury A pressure injury Swelling. Pus-like Low fat diet https://
happens when force is draining. An area of my.clevelandclini
applied on the surface skin that feels cooler c.org/health/
of the skin. This force or warmer to the diseases/17823-
 can be a constant touch than other areas. pressure-injuries-
pressure on an area of Tender areas. bedsores
skin or a dragging
(shearing) force
between the skin and
another surface.
15. Renal disease (non- Involves a gradual ● Nausea less protein is https://
dialysis) loss of kidney ● Vomiting recommended. www.mayoclinic.
function. Your ● Loss of Eating more org/diseases-
kidneys filter wastes appetite nutritious conditions/
and excess fluids ● Fatigue and carbohydrates chronic-kidney-
from your blood, weakness disease/
which are then ● Sleep symptoms-
removed in your problems causes/syc-
urine. Advanced ● Urinating 20354521
chronic kidney more or less
disease can cause ● Decreased
dangerous levels of mental
fluid, electrolytes and sharpness
wastes to build up in ● Muscle
your body. cramps
● Swelling of
feet and
ankles
● Dry, itchy
skin
● High blood
pressure
(hypertension
) that's
difficult to
control
● Shortness of
breath, if fluid
builds up in
the lungs
● Chest pain, if
fluid builds
up around the
lining of the
heart
16. Renal disease A gradual and ● Intractable less protein is https://
(dialysis)
 sustained decline in hyperkalemia; recommended. www.bmj.com/
renal clearance or ● acidosis; Eating more content/348/
glomerular filtration ● uraemic nutritious bmj.g2
over many years symptoms carbohydrates
resulting in (nausea,
permanent kidney pruritus,
failure. malaise);
● therapy-
resistant fluid
overload;
● chronic
kidney
disease
(CKD) stage
5.

17. Sepsis The body has an ● Fever and Omega 3 https://

unusually severe chills www.webmd.com
response to an ● Very low /a-to-z-guides/
infection. It’s body sepsis-septicemia-
sometimes called temperature blood-infection
septicemia. ● Peeing less
than usual
● Fast heartbeat
● Nausea and
vomiting
● Diarrhea
● Fatigue or
weakness
● Blotchy or
discolored
skin
● Sweating or
clammy skin
● Severe pain

18. Hypoalbuminemia Albumin levels in the ● excess protein High in albumin https://
blood are very low. in the urine www.medicalnew
Albumin is a blood shown by a stoday.com/
protein that makes up urine test articles/
a significant portion ● fluid retention 321149#symptom
 of the blood plasma. that causes s
Plasma is the liquid swelling,
portion of the blood especially of
that holds the proteins the feet or
and blood cells. hands
● signs of
jaundice,
including
yellow skin or
eyes
● feelings of
weakness or
exhaustion
● rapid
heartbeat
● vomiting,
diarrhea, and
nausea
● appetite
changes
● thinning hair
● very dry or
itchy skin
19. Hyperemesis Hyperemesis ● prolonged and Low salt diet https://
gravidarum gravidarum is severe nausea www.nhs.uk/
extreme, persistent and vomiting. pregnancy/related-
nausea and vomiting ● being conditions/
during pregnancy. It dehydrated. complications/
can lead to Symptoms of severe-vomiting/
dehydration, weight dehydration
loss, and electrolyte include,
imbalances. Morning feeling
sickness is mild thirsty, tired,
nausea and vomiting dizzy or
that occurs in early lightheaded,
pregnancy. not peeing
very much,
and having
dark yellow
and strong-
smelling pee.
● weight loss.
● low blood
 pressure
(hypotension)
when
standing.
20. Pregnancy-induced A form of high blood ● increased Rich in Calcium https://
hypertension pressure in blood childrenswi.org/
pregnancy. It occurs pressure medical-care/
in about 7 to 10 ● protein in the fetal-concerns-
percent of all urine center/
pregnancies. Another ● edema conditions/
type of high blood (swelling) pregnancy-
pressure is chronic ● sudden weight complications/
hypertension - high gain pregnancy-
blood pressure that is ● visual induced-
present before changes such hypertension
pregnancy begins. as blurred or
double vision
● nausea,
vomiting
● right-sided
upper
abdominal
pain or pain
around the
stomach
● urinating
small amounts
● changes in
liver or
kidney
function tests