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Nutrition and HIV

Nutrition and HIV. Carmen Sterling-Fisher, APRN Nurse Practitioner. Physical Changes. Intestinal Changes Taste Perceptual Changes Medications Malabsorption Issues Decreased Intake Metabolic Rate Metabolism of Nutrients. Other Factors Influencing Nutrition. Depression Fatigue Dementia

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Nutrition and HIV

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  1. Nutrition and HIV Carmen Sterling-Fisher, APRN Nurse Practitioner

  2. Physical Changes • Intestinal Changes • Taste Perceptual Changes • Medications • Malabsorption Issues • Decreased Intake • Metabolic Rate • Metabolism of Nutrients

  3. Other Factors Influencing Nutrition • Depression • Fatigue • Dementia • Poverty • Self-image issues

  4. Benefits of Good Nutrition • Psychological Benefits • Taking back some control • Consequences of choices • Improves Motivation-begins a + cycle • Physical Benefits • Less fatigue • Body functions improved • Body image might improve

  5. Benefits of Good Nutrition • Social Well-being • Participation • Look Better-don’t stand out in the crowd • Can eat more normally • Spiritual Well-being • Spiritual Needs • Relation of spiritual and psychological/emotional well-being

  6. How to Assess Nutritional Vigor • Dietary Habits now and previously • Nutritional Diary-at least 2 ‘normal days’ • Meals/snacks • Fluids • Body Measurements • Height/Weight • Lab Reports • Bioelectric Impedance Analysis (BIA)

  7. Other Important Key Points • Adequate food preparation and storage • Refrigerator • Stove, oven • Money • Any social benefits? • Help with budget? • How to shop • Can you cook??

  8. What Do We Really Need? • Protein • Carbohydrates • Whole Grains • Dairy Products • Fruits & Vegetables • Fluids!!

  9. Other Aspects of Good Nutrition • Basic Knowledge • Nutrition • HIV • Their own body • Quality vs Quantity • Making what we have work • Think ahead

  10. Food Preparation • Fresh • Frozen to cooked • Canned • Is the food processed and how much? • How is it cleaned? • How long was it stored?

  11. To Cook or Not to Cook • Fresh • Steamed • Boiled • Baked • Fried • Microwave

  12. Improving Appetite • Meds • Timing • Meds to improve appetite • Environment • Company • Presentation • Ease of Preparation • Changing the attitude toward eating

  13. To Supplement or Not? • The Basics • MVI BID • Vit C 1000mg up to BID • Vit E up to 1000iu QD • B Complex QD • A Bit More • Protein powder • L-Glutamine

  14. Gaining Interest in Nutrition • They’re not alone • Control issues • Psychoneuroimmunology • Knowledge is power • Chart progress • Risk Reduction-meet them where they are

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