Unintended weightless = key indicator for malnutrition 5% loss in 1 month
10% loss in 6 moths
Albumin 3.5-5 g/dL
Prealbumin 16-42 mg/dL
Hemoglobin 12 to 16 mg/dL female
14 to 18 mg/dL male
Hematocrit 37-47% female
40-54% male
Glucose 80-130
Hemoglobin A1C 4-6% = good glucose control
Protein intake 0.8g/kg/day
, Protein intake for wound healing 1.25-1.5g/kg/day
Fluid intake 30ml/kg/day
Foods that thicken stool BRAT diet, yogurt, cheese, mashed potatoes, pasta, peanut butter,
crackers, bread, marshmallows, soluble fiber (psyllium)
Foods that thin stool fruits and vegetables, whole grains, nuts, juice, bran, spices, fatty
foods, caffeine, alcohol
Foods that cause stool odor Legumes, cruciferous vegetables, eggs, garlic, dairy
Foods that reduce stool odor Yogurt, buttermilk, parsley, cranberry juice
Foods that cause urine odor Fish, asparagus, cruciferous vegetables, fenugreek, beer, coffee,
vitamin b6
6 roles of the WOC nurse specialist Clinician, consultant, educator, researcher,
administrator, preceptor/mentor
Systems approach for implementing evidence 1. Identify a knowledge gap
2. Define a specific problem