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NUTRITIONAL ASSESSMENT

NUTRITIONAL ASSESSMENT. SCREENING. To determine nutritional health Look for warning signs Maintain optimal health of healthy persons Identify risks to medical treatment and recovery. SCHEMA. INITIAL SCREEN. ASSESSMENT. Identify stages in the development of deficiency disease

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NUTRITIONAL ASSESSMENT

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  1. NUTRITIONAL ASSESSMENT

  2. SCREENING • To determine nutritional health • Look for warning signs • Maintain optimal health of healthy persons • Identify risks to medical treatment and recovery

  3. SCHEMA

  4. INITIAL SCREEN

  5. ASSESSMENT • Identify stages in the development of deficiency disease • A = ANTHROPOMETRIC MEASUREMENTS • B = BIOCHEMICAL ANALYSIS • C = CLINICAL INFORMATION • D = DIETARY INFORMATION • E = EVALUATION/ENVIRONMENT

  6. Deficiency stages

  7. stages

  8. ANTHROPOMETRIC MEASURE • Height • Weight • Percent of ideal body weight • Percent of usual body weight • Recent weight change – unplanned • 5% in 1 month • 10% in 6 months

  9. ANTHROPOMETRIC MEASURES • Fatfolds – TSF (total subcutaneous fat) and total body fat • MAC – midarm circumference-muscle mass and subcutaneous fat • MAMC – midarm muscle mass/circumerence, skeletal muscle • BIA – lean body mass

  10. BIOCHEMICAL ANALYSIS

  11. CLINICAL ASSESSMENT • Look at the patient • Observe physical signs and symptoms of deficiencies and toxicities • Hair – PCM • Eyes – hyperlipidemia, vitamin deficiency • Tongue – B vitamin deficiency • Nails – protein and iron deficiency

  12. DIETARY INFORMATION • Nutrition history - • Special diet order – compliance • Relate diet to disease state • Appropriateness • Meeting nutritional needs • Food/drug interactions: antibiotics, anticonvulsants, etc.

  13. EVALUATION/ENVIRONMENT • Summary of findings • Recommendations • Potential problems • Socioeconomic concerns • Psychosocial concerns • Adequate housing • Disease state affects ability to prepare food • Adequate food, storage, equipment to prepare food

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