Nutrition Care Process
  Excessive energy intake
 
Excessive energy intake
 
Etiology
  • Harmful beliefs/attitudes about food, nutrition, and related topics
  • Food and nutrition related knowledge deficit
  • Lack of access to healthful food choices
  • Lack of value for behavior change or competing behaviors
  • Mental illness or depression
  • Medications that increase appetite
  • Overfeeding of PN/EN
  • Unwilling or uninterested in reducing energy intake
  • Failure to adjust for lifestyle changes and decreased metabolism
  • Resolution of prior hypermetabolism without reduction in intake
 
S/S:
  • Overfeeding of TPN/EN
  • Hyperglycemia
  • Hypokalemia (< 3.5 mEq/L)
  • Hypophosphatemia (<1 mEq/L)
  • Abnormal LFTs
  • Respiratory quotient >1
  • Body fat > 25% for men and 32% for women
  • BMI >25
  • Weight gain
  • Increased body adiposity
  • Increased respiratory rate
  • Reports/observations of intake of high calorie density or large portions
  • Conditions associated with diagnosis or treatment (obesity, overweight, metabolic syndrome, depression, anxiety)
 
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