Nutritional screening is used in some settings to identify - at-risk or malnourished patients nutrition screenings are required for all patients within - 24 hours of admission In other healthcar... e settings, such as outpatient or community-based clinics, the clinician determines whether or not - nutritional screening is warranted Unintended weight loss alone is an important indicator of - nutritional status Recent weight loss of more than __% in 30 days or __% in 180 days requires a complete assessment. - - 5% -10% Nutritional assessment is an in-depth analysis of nutritional status that focuses on _________ to ________ risk patients with suspected or confirmed _________ _______ malnutrition - - moderate - high - protein- energy malnutrition In general, though, a complete nutritional assessment focuses on five major areas: - - anthropometry (measurements such as weight/height and waist circumference) - BMI and IBW calculations - laboratory tests - dietary and health history - clinical observation - patients' expectations. Nutritional Screening tools - 1. Height, weight, recent weight change, patient's primary diagnosis, and presence of other factors that increase risk for nutritional deficits 2. The Subjective Global Assessment Tool 3. The Mini Nutritional Assessment Tool 4. The Malnutrition Screening Tool Nursing Assessment Questions - 1. Dietary intake and food preferences 2. Presence of unpleasant symptoms (e.g., indigestion, reflux) 3. Allergies 4. Difficulties with taste, chewing, swallowing 5. Change in appetite or weight 6. Medications Factors that Influence Nutrition - 1. Environment 2. Developmental needs throughout the lifespan 3. Pregnancy 4. Lactation Anthropometry: height - measure hight with - have patient - - measuring stick or non- stretchable tape, or measuring rod - remove shoes, stand straight, heels together, look forward anthropometry: weight weigh patient after they have have them remove record weight to the nearest - voided all clothes and shoes except underwear 0.25 lbs [Show More]
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