Nutrient Dis-organ-ization (organs that can impact nutrient absorption)
Don't Feel So GLIM - It's only malnutrition
(GLIM criteria)
As if __ wasn’t enough, now malnutrition too!
(Disease states causing malnutrition)
How do I Fix This? (Malnutrition interventions)
Good news, Bad News (Interventions which can cause malnutrition)
Let’s keep our Focus (Nutrition Focused Physical Exam)
100

This bean-shaped organ can reabsorb and recycle electrolytes back into the body, but when damaged, they will leak protein.

What are kidneys?
100

Unlike the Academy’s criteria for malnutrition, GLIM uses this measurement of body fat based on height and weight.

What is BMI?

100

This chronic condition occurs when the heart is unable to pump adequate blood to meet the body’s needs.  Malnutrition frequently results due to anorexia and severe lethargy.

What is heart failure?

100

This intervention for treating malnutrition involves the use of liquid formulas infused via a flexible tube directly into the gastrointestinal tract.

What is enteral or tube feeding?

100

This intravenous or oral therapy  is used to kill or slow the growth of mutated cells.  It frequently induces gastrointestinal side effects, such as anorexia, nausea, and vomiting.

What is chemotherapy?

100

If you are assessing a patient’s temples, clavicles, scapula, or shoulders, you would be looking to evaluate the patient for what loss?

What is muscle mass?

200

Also known as ‘protein-losing enteropathy’, this organ will release protein-rich fluids into the GI tract for elimination.

What is the small intestine?

200

This well-established etiologic criterion can have multiple causes, including poor oral health, depression, dysphagia, and anorexia.

What is poor or reduced food intake (assimilation)?

200

This disease state is seen in young patients who require enzyme replacements to reduce malabsorption.

What is cystic fibrosis?

200

This alternate form of nutrition bypasses the gastrointestinal tract to deliver nutrients to the body directly into the circulatory system.

What is parenteral nutrition?

200

Individuals may use this class of medications to relieve constipation; however some patients abuse the use of these products to induce malabsorption, resulting in weight loss and malnutrition.

What are laxatives?

200

If you are assessing a patient’s orbits and triceps, you would be looking to evaluate the patient for what loss?

What is fat?

300

This organ makes a glycoprotein in the parietal cells which is essential for the absorption of the micronutrient vitamin B12.

What is the stomach?

300

This etiologic GLIM criterion results from acute injury or chronic disease conditions.  It is the reason why albumin is not a good marker of nutrition status.

What is inflammation?

300

This serious mental health condition results in malnutrition due to restrictive intake, excessive exercise, vomiting or overuse of laxatives.

What is anorexia?

300

This treatment is taken with food to improve absorption of fat when the pancreas doesn’t function.

What are pancreatic enzymes?

300

This intention of this surgical intervention is assist in weight reduction, but it has resulted in malnutrition as a result of reduced intake and absorption.

What is bariatric surgery (or Roux-en-Y)?

300

By gently pressing your finger along the top of a patient’s foot or ankle region, you would be assessing for a presence of what?

What is edema?

400

When this exocrine organ malfunctions, fat soluble vitamins may be lost- a little PERT may be what the patient needs!

What is the pancreas?

400

As with the ASPEN/AND criteria for malnutrition, the GLIM criteria also evaluates this physical attribute which measures strength and frailty.

What is muscle or lean mass?

400

This health condition is actually a group of diseases characterized by uncontrolled growth of mutated cells that multiply and spread.  Malnutrition can arise from a hypermetabolic state, but more often occurs as a result of the traditional treatments, including chemotherapy.

What is cancer?

400

These liquid, oral commercial products contain varying amounts of calories, protein, and nutrients to meet the individual needs of patients unable to consume adequate nutrition.

What are nutrition supplements?

400

This category of medications is used to treat reflux but interferes with the body’s ability to absorb the vitamin cobalamin (B12).

What are Proton Pump Inhibitors (PPIs)?

400

White or grey spots on the conjunctiva may indicate what vitamin deficiency?

What is vitamin A?
500

The dysfunction of this small, pear-shaped organ results in the deficiency of bile acids which impairs absorption of fat.

What is the gallbladder?

500

The GLIM framework for identifying malnutrition is based on 2 type of criteria, 1 is etiologic, what is the other?

What is phenotypic?

500

This disease of malabsorption occurs following a surgery resulting in <200cm of small bowel.

What is short bowel syndrome?

500

The goal of this surgical treatment is to replace diseased or shortened bowel with functional donor tissue.

What is a small bowel transplant?

500

This synthetic sugar pulls water into the colon and is used to reduce ammonia levels in patients with malfunctioning hepatic systems.

What is lactulose?

500

Lost or altered taste, know as hypoguesia or dysgeusia, may be a sign of which micronutrient deficiency? 

What is zinc?

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