Nutritional Assessment

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<ul><li> 1. Nutritional Assessment<br />A Presentation<br /></li></ul> <p> 2. Nurses Role in Nutritional Assessment<br />Monitoring and intervention to clients needing acute and chronic nutritional care<br />Incorporate family nutritional habits into nutritional care<br />Active role in community teaching regarding nutrition<br /> 3. Collaborative multidisciplinary approach<br />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<br /> 4. Transition Page<br /> 5. Methods of Nursing Nutritional Assessments<br />Food Intake Assessment<br />Physical Assessment<br />Anthropometric Tools<br />Clinical Values<br /> 6. Methods to Evaluated Food Intake<br />Comparision with the MyPyramid Model:Asks client what he or she eats <br />Compares this reported food intake with MyPyramid Model<br />Food Frequency:requests client to fill out a questionnaire asking about <br />Usual food intake during specified times, such as What do you usually eat for breakfast?<br />24 Hour Recall:asks client what he or she has eaten during the previous<br />24 hours.<br />Food records:asks client to record his or her food intake for a specified<br />Length of time (1 day, 3 days, 7 days)<br />Diet History:comprehensive interview to obtain thorough<br />Information about food intake, medications, allergies, nutrition knowledge,<br />Cultural preferences, weight history, elimination patterns, alcohol and<br />Tobacco usage, financial ability, functional ability to chew and swallow, and<br />Special dietary needs.<br /> 7. Nutrition Information about You<br />What does your nutrition label say about You?<br />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<br /> 8. Physical Assessment<br />Head to Toe Assessment<br />Focuses on General Appearance and signs and symptoms of Nutritional Imbalance<br /> 9. Signs and symptoms of Inadequate Nutrition<br />Hair:dry, dull, or brittle<br />Skin:Dry patches<br />Wounds:poor wound healing or sores<br />Fat and Muscles:lack of subcutaneous fat and/or muscle wasting<br />Vital signs:abnormal cardiovascular measurements<br />General:general weakness and/or impaired condition<br /> 10. Transition Page<br /> 11. Anthropometric Tools<br />Weight assessment:same time of day typically daily or weekly (view this video clip to see correct weight demonstration:<br />Height measurement:measured in cm or in<br /> 12. Anthropometric Tools<br />Body Mass Index (BMI):BMI = weight (kg) /height(m2)<br />Body Fat Composition Methods:skin fold measurements (usually back of the arm), waist to hip ratio, densitometry (underwater weighing)<br /> 13. Clinical Values to Assess Nutritional Status<br />Fluid Intake and Ouput:otherwise known as I &amp; O; Average adult intake is <br />2200 to 2700 mL per 24 hours;Average output should be 2200 to 2700 mL<br />Per 24 hours; average hourly output = 30 mL/hr<br />Protein Levels:measured by serum (blood) albumin levels; <br />Normal albumin = 3.5 to 5.5 g/dL<br />Pre-Albumin (thyroxin-binding protein):more sensitive measure for <br />Critically ill clients; reflects acute changes;Normal level = 23 to 43 mg/dL<br /> 14. Risk Factors for Inadequate Nutrition<br />Biophysical Factors<br />Psychological Factors<br />Socioeconomic Factors<br /> 15. Impact of Risk Factors<br />Risk factors can affect nutritional status<br />Ask yourself, What impact would a particular risk factor have on that persons nutritional status?<br /> 16. Template Provided By<br /><br />500,000 Downloadable PowerPoint Templates, Animated Clip Art, Backgrounds and Videos<br /></p>


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