This is a direct quote from the article by Dr. Munoz. In it she includes the recipe for Chocolate Almond Milkshake from the book Flavorful Fortified Food - Recipes to Enrich Life.
Intervention: What intervention will positively change NM’s health status? Review practice guidelines and policies to define and prioritize interventions that will facilitate improvement in the nutritional status and help the patients/residents accomplish their goals. To implement the selected interventions, communicate the plan of care with the interdisciplinary team, and consistently revise the nutrition interventions as warranted based on patient/resident response.27 Helping the patient maintain adequate nutritional status, identify and treat poor food intake, manage unintentional and insidious weight loss, and/or improve nutritional status should guide the intervention selection process. For NM, select an intervention from the food and nutrition delivery domain. The amount of formula being provided needs to be evaluated and adjusted (formula/solution ND–2.1.1).27 For patients/residents with PO intake, the NPUAP guidelines suggest the use of enhanced foods and/or supplements as needed to promote adequate nutrient intake.19 Figure 3 provides an example of a fortified food recipe. Monitoring and evaluation: It is important to monitor and evaluate the impact of the interventions put in place. Are the clinical goals of the patient being met? For patients/residents continued on page 11THE SPECTRUM • Winter 2013 11 Pressure-Ulcer Healing continued from page 10 continued on page 12 with PUs, monitoring and evaluating parameters individualized to the nutrition diagnosis is an important step. Some relevant areas to monitor include weight, anthropometrics, laboratory results, nutrient intake (oral, enteral, parenteral), wound-healing progress (improvement or deterioration), wound stage (with wound deterioration the stage is adjusted), and hydration status.17 These parameters can be monitored via the plan of care developed for the patient/resident.
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