Nutritional Assessment
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Nutritional Assessment

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Nutritional Assessment Nutritional Assessment Presentation Transcript

  • Nutritional Assessment
    A Presentation
  • Nurse’s Role in Nutritional Assessment
    Monitoring and intervention to clients needing acute and chronic nutritional care
    Incorporate family nutritional habits into nutritional care
    Active role in community teaching regarding nutrition
  • Collaborative multidisciplinary approach
    A varied approach to nutritional assessment will provide the best outcomes for the client: physical assessment by nurses/other providers, comprehensive nutritional assessments by registered dieticians/nurses, and follow-up by nurses/dieticians
  • Transition Page
  • Methods of Nursing Nutritional Assessments
    Food Intake Assessment
    Physical Assessment
    Anthropometric Tools
    Clinical Values
  • Methods to Evaluated Food Intake
    Comparision with the MyPyramid Model: Asks client what he or she eats
    Compares this reported food intake with MyPyramid Model
    Food Frequency: requests client to fill out a questionnaire asking about
    Usual food intake during specified times, such as “What do you usually eat for breakfast?”
    24 Hour Recall: asks client what he or she has eaten during the previous
    24 hours.
    Food records: asks client to record his or her food intake for a specified
    Length of time (1 day, 3 days, 7 days)
    Diet History: comprehensive interview to obtain thorough
    Information about food intake, medications, allergies, nutrition knowledge,
    Cultural preferences, weight history, elimination patterns, alcohol and
    Tobacco usage, financial ability, functional ability to chew and swallow, and
    Special dietary needs.
  • Nutrition Information about You
    What does your nutrition label say about You?
    Image courtesy of Creative Commons (Copyright (C) 2009, All Rights Reserved. This work is licensed under a Creative Commons Attribution-Generic 2.0 United States License
  • Physical Assessment
    Head to Toe Assessment
    Focuses on General Appearance and signs and symptoms of Nutritional Imbalance
  • Signs and symptoms of Inadequate Nutrition
    Hair: dry, dull, or brittle
    Skin: Dry patches
    Wounds: poor wound healing or sores
    Fat and Muscles: lack of subcutaneous fat and/or muscle wasting
    Vital signs: abnormal cardiovascular measurements
    General: general weakness and/or impaired condition
  • Transition Page
  • Anthropometric Tools
    Weight assessment: same time of day typically daily or weekly (view this video clip to see correct weight demonstration: http://www.youtube.com/watch?v=B_YBgEElm_A)
    Height measurement: measured in cm or in
  • Anthropometric Tools
    Body Mass Index (BMI): BMI = weight (kg) /height(m2)
    Body Fat Composition Methods: skin fold measurements (usually back of the arm), waist to hip ratio, densitometry (underwater weighing)
  • Clinical Values to Assess Nutritional Status
    Fluid Intake and Ouput: otherwise known as I & O; Average adult intake is
    2200 to 2700 mL per 24 hours; Average output should be 2200 to 2700 mL
    Per 24 hours; average hourly output = 30 mL/hr
    Protein Levels: measured by serum (blood) albumin levels;
    Normal albumin = 3.5 to 5.5 g/dL
    Pre-Albumin (thyroxin-binding protein): more sensitive measure for
    Critically ill clients; reflects acute changes; Normal level = 23 to 43 mg/dL
  • Risk Factors for Inadequate Nutrition
    Biophysical Factors
    Psychological Factors
    Socioeconomic Factors
  • Impact of Risk Factors
    Risk factors can affect nutritional status
    Ask yourself, “What impact would a particular risk factor have on that person’s nutritional status?”
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