Table of Contents

 

 

 

PART 1

WELLNESS NUTRITION AND THE NURSING ROLE

 

1

Wellness Nutrition

2

 

Role in Wellness

2

 

Definition of Health

4

 

Health Promotion

5

 

Definition of Wellness

7

 

Disease Prevention through Nutrition

7

 

Overview of Nutrients within the Body

8

 

Food, Energy, and Nutrients

9

 

Dietary Standards

11

 

Adequate Eating Patterns

13

 

Nutritional Assessment

14

 

Toward a Positive Nutrition Lifestyle: Self-Efficacy

18

 

Summary

18

2

Personal and Community Nutrition

21

 

Role in Wellness

21

 

Community Nutrition

22

 

Food Guides

25

 

Consumer Food Decision Making

30

 

Consumer Information and Wellness

32

 

Food Safety

36

 

Toward a Positive Nutrition Lifestyle: Locus of Control

43

 

Summary

43

PART 2

NUTRIENTS, FOOD, AND HEALTH

 

3

Digestion, Absorption, and Metabolism

48

 

Role in Wellness

48

 

Digestion

48

 

Absorption

54

 

Metabolism

57

 

Overcoming Barriers

57

 

Toward a Positive Nutrition Lifestyle: Contracting

60

 

Summary

61

4

Carbohydrates

64

 

Role in Wellness

64

 

Food Sources

66

 

Carbohydrate as a Nutrient within the Body

66

 

Simple Carbohydrates

71

 

Complex Carbohydrates: Polysaccharides

76

 

Overcoming Barriers

82

 

Toward a Positive Nutrition Lifestyle: Tailoring

83

 

Summary

84

5

Fats

87

 

Role in Wellness

87

 

Functions

87

 

Structure and Sources of Lipids

89

 

Fat as a Nutrient within the Body

93

 

Fat Intake and Issues

95

 

Overcoming Barriers

102

 

Toward a Positive Nutrition Lifestyle: Gradual Reduction

105

 

Summary

106

6

Protein

109

 

Role in Wellness

109

 

Structure of Protein

109

 

Protein as a Nutrient within the Body

111

 

Functions

115

 

Food Sources

116

 

Vegetarianism

119

 

Dietary Patterns of Protein

120

 

Overcoming Barriers

123

 

Toward a Positive Nutrition Lifestyle: Chaining

126

 

Summary

126

7

Vitamins

129

 

Role in Wellness

129

 

Vitamin Categories

132

 

Food Sources

132

 

Water-Soluble Vitamins

132

 

Fat-Soluble Vitamins

143

 

Overcoming Barriers

150

 

Toward a Positive Nutrition Lifestyle: Social Support

152

 

Summary

152

8

Water and Minerals

155

 

Role in Wellness

155

 

Minerals

161

 

Major Minerals

165

 

Electrolytes: Sodium, Potassium, and Chloride

171

 

Trace Minerals

174

 

Other Trace Minerals

180

 

Overcoming Barriers

180

 

Toward a Positive Nutrition Lifestyle: Projecting

183

 

Summary

183

PART 3

HEALTH PROMOTION THROUGH NUTRITION AND NURSING PRACTICE

 

9

Energy Supply and Fitness

188

 

Role in Wellness

188

 

Energy

188

 

Energy Balance

192

 

Fitness

194

 

Food and Athletic Performance

199

 

Overcoming Barriers

204

 

Toward a Positive Nutrition Lifestyle: Modeling

205

 

Summary

206

10

Management of Body Composition

209

 

Role in Wellness

209

 

Body Composition, Body Image, and Culture

209

 

Management of Body Fat Composition

211

 

Healthy Body Fat

217

 

Regulation of Body Fat Level

220

 

Developing a Personal Approach

228

 

Overcoming Barriers

232

 

Toward a Positive Nutrition Lifestyle: Explanatory Style

233

 

Summary

234

11

Life Span Health Promotion: Pregnancy, Lactation, and Infancy

237

 

Role in Wellness

237

 

Nutrition During Pregnancy

238

 

Nutrition During Lactation

247

 

Nutrition During Infancy

251

 

Toward a Positive Nutrition Lifestyle: Reframing

256

 

Summary

256

12

Life Span Health Promotion: Childhood and Adolescence

260

 

Role in Wellness

260

 

Life Span Health Promotion

260

 

Overcoming Barriers

270

 

Toward a Positive Nutrition Lifestyle: Psychosocial Development

281

 

Summary

282

13

Life Span Health Promotion: Adulthood

286

 

Role in Wellness

286

 

Aging and Nutrition

286

 

Stages of Adulthood

287

 

Adult Health Promotion

293

 

Overcoming Barriers

297

 

Toward a Positive Nutrition Lifestyle: Rationalizing

299

 

Summary

300

PART 4

OVERVIEW OF NUTRITION THERAPY

 

14

Nutrition in Patient Care

306

 

Role in Wellness

306

 

Nutrition and Illness

307

 

Nutrition Intervention

309

 

Nutrition Therapy

320

 

Summary

337

15

Nutrition and Metabolic Stress

341

 

Role in Wellness

341

 

Immune System

341

 

The Stress Response

342

 

Multiple Organ Dysfunction Syndrome

350

 

Surgery

351

 

Burns (Thermal Injury)

351

 

Summary

354

16

Interactions: Complementary and Alternative Medicine, Dietary Supplements, and Medications

357

 

Role in Wellness

357

 

Complementary and Alternative Medicine

357

 

Dietary Supplements

362

 

Medications

367

 

Summary

383

17

Nutrition for Disorders of the Gastrointestinal Tract

386

 

Role in Wellness

386

 

Dysphagia

386

 

Peptic Ulcer Disease

391

 

Dumping Syndrome

393

 

Celiac Disease (Gluten-Sensitive Enteropathy)

394

 

Lactose Intolerance

395

 

Inflammatory Bowel Disease

397

 

Ileostomies and Colostomies

398

 

Short Bowel Syndrome

399

 

Diverticular Diseases

400

 

Intestinal Gas and Flatulence

401

 

Constipation

401

 

Diarrhea

401

 

Summary

402

18

Nutrition for Disorders of the Liver, Gallbladder, and Pancreas

405

 

Role in Wellness

405

 

Liver Disorders

405

 

Gallbladder Disorders

413

 

Pancreatitis

414

 

Cystic Fibrosis

415

 

Summary

416

19

Nutrition for Diabetes Mellitus

421

 

Role in Wellness

421

 

Diabetes Mellitus

421

 

Hyperglycemic Hyperosmolar Syndrome

432

 

Nutrition Therapy

433

 

Special Considerations

436

 

Summary

441

20

Nutrition for Cardiovascular and Respiratory Diseases

447

 

Role in Wellness

447

 

Coronary Artery Disease

449

 

Hypertension

454

 

Myocardial Infarction

459

 

Cardiac Failure

459

 

Life Span Implications

459

 

Overcoming Barriers

460

 

Respiratory Diseases

460

 

Summary

462

21

Nutrition for Diseases of the Kidneys

467

 

Role in Wellness

467

 

Kidney Function

467

 

Nephrotic Syndrome

468

 

Acute Renal Failure

469

 

Chronic Renal Failure

470

 

Hemodialysis

472

 

Peritoneal Dialysis

475

 

Renal Transplantation

476

 

Renal Calculi

478

 

Summary

481

22

Nutrition in Cancer, AIDS, and Other Special Problems

486

 

Role in Wellness

486

 

Cancer

486

 

Acquired Immunodeficiency Syndrome (AIDS)

496

 

Nutrition Assessment in Cancer and HIV/AIDS

499

 

Summary

501

 

APPENDIXES

 

A

Exchange Lists for Meal Planning

506

B

Nutrition and Health Organizations: Sources of Nutrition Information

522

C

Canada’s Food Guide to Healthy Eating

526

D

Body Mass Index Table (Second of Two BMI Tables)

529

E

Kcal-Restricted Dietary Patterns

530

F

Infant and Child Growth Charts: United States, Centers for Disease Control and Prevention (CDC)

534

G

Foods Recommended for Hospital Diet Progressions

551

H

Complementary and Alternative Medicine Domains and Therapies

553

I

National Renal Diet

555

J

Foods High in Lactose, Purines, and Oxalates

559

K

Cultural and Religious Dietary Patterns

562

 

Glossary

567