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Lecture 83

11:709:364 Lecture Notes - Lecture 83: Critical Thinking, Orthostatic Hypotension, Turgor Pressure


Department
Nutritional Sciences
Course Code
11:709:364
Professor
Deena
Lecture
83

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Integrating the eNCPT into practice: Focus on LTC/Rehab as a Practice Setting
Malnutrition Screening Tools
- Mini Nutrition Assessment (MNA) = validated for older adults
- Subjective Global Assessment (SGA)
Nutrition Assessment
- Purpose: to identify and evaluate the relevant data regarding a
patient/client’s nutrition status
o Gathering the data:
Chart review
Interviews
Observations
Direct measurement and NFPE
o Critical thinking skills:
Determining appropriate data to collect
Determining the need for additional information
Selecting assessment tools and procedures that match the
situation
Applying assessment tools in valid in reliable ways
Distinguishing relevant from irrelevant data
Distinguishing important from unimportant data
Validating the data
- Assessment
o Client history

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Personal history (age, gender, race/ethnicity, language,
literacy)
Pt/family medical/health history
Current nutrition related complaint
Past and current medical history
Treatments and therapy
Medical/surgical, palliative/end of life care
Social history
Socioeconomic factors
Social and medical support
o Food/nutrition related history
Food and nutrition history includes, but is not limited to:
Food and nutrient intake
Food and nutrient administration
Medication/CAM use
Knowledge, beliefs and attitudes
Behaviors
Factors affecting access to food and supplies
PA and function
Nutrition related patient/client-centered measures
o Biochemical data, medical tests and procedures
Biochemical data, medical tests and procedures include, but
not limited to:
Lab data/tests
o Electrolytes hydration markers

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o Glucose and HbA1c
o Hematological measures
o Inflammatory markers
o Albumin, prealbumin
o Lipid profile
o Thyroid function tests
o Swallow study and GI testing
o Anthropometric measures
Height
Height should be measured annually, ideally with a
stadiometer
o If the patient is unable to stand consider other
techniques for measuring height
Weight
Weights should be administered:
o Hospital on admission/daily/weekly
o Sub-acute weekly for the first 4 weeks, then
once a month
o LTC monthly
o LTC high risk weekly
Limitation = no information about body composition
Frame size
Weight change
Significant:
o 5% over 1 month
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