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NUTCORE > Assessment of Nutritional Status - Clinical > Flashcards

Assessment of Nutritional Status - Clinical Flashcards

1
Q

what are the two aspects of clinical assessment?

A

medical records

physical examination

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2
Q

What is source oriented medical records? (SOMR)

A 
Patient ID
Admission notes
physicians orders
lab reports
medication records
consents
consultations
operating room records
progress notes
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3
Q

What are problem orientated medical records? (POMR)

A

problems identified during data collection

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4
Q

What information should medical history generally include?

A

Description of patient

Relevant environmental, social and family influences

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5
Q

What nutrition related information would be obtained during clinical assessment?

A 
weight gain/loss
appetite increase/suppression
diarrhoea/constipation 
info regarding unusual food intake
history of nutrient deficiency
errors in metabolism 
use of dietary supplements
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6
Q

Why are details of prescription and over the counter medication useful in clinical assessment?

A 
drugs can interact with
nutrients
weight
metabolism
digestion
appetite
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7
Q

List the 4 nutritional screening tools

A

WAVE
REAP
MUST
NMA

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8
Q

What does WAVE stand for?

A

weight
activity
variety
excess

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9
Q

What does REAP stand for?

A

Rapid eating and activity assessment for patients

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10
Q

what does MUST stand for?

A

malnutrition universal screening tool

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11
Q

what does NMA stand for?

A

mini nutritional assessment

often used on the elderly

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12
Q

describe the difference between primary and secondary nutrient deficiency

A

primary - comes from inadequate dietary intake

secondary - comes from other factors such as drugs, disease and dietary components such as caffeine.

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13
Q

What is the difference between signs and symptoms?

A

signs - observations made by a qualified examiner

symptoms - manifestations reported by the patient

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14
Q

What is the role of physical examination in clinical assessment?

A

assess rate of decline
assess speed of recovery
reveal further information RE the aetiology of malnutrition

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15
Q

what are some limitations of physical examination?

A

non-specific signs
two-directional signs
examiner error

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16
Q

What are the two forms of protein-energy malnutrition?

A

Kwashiorkor

Marasmus

17
Q

What is the most common sign of malnutrition in children?

A

growth failure

18
Q

what does the term ‘wasting’ describe?

A

deficit in weight for height

19
Q

What does the term ‘stunting’ describe?

A

deficit in height for age

20
Q

describe the 4 classification of PEM

A

Normal
acute PEM - wasted but not stunted
chronic PEM - stunted and wasted
past PEM - stunted but not wasted (indicating past malnutrition)

21
Q

what does kwashiorkor indicate?

A

protein deficiency

22
Q

What does marasmus indicate?

A

energy deficiency

23
Q

under which circumstances are kwashiorkor and marasmus seen?

A
  • under developed countries
  • disease such as AIDS and some cancers
  • alcoholism
24
Q

What symptoms are characteristic of anorexia nervosa?

A

extreme and rapid weight loss
irrational fear of weight gain
poor body image

25
Q

what are some risk factors for anorexia nervosa?

A
  • female
  • western society
  • low self esteem
  • criticism regarding weight/appearance/eating behaviours
  • perfectionism
  • sexual abuse
26
Q

what are the two types of anorexia nervosa?

A
  • restricting type

- non restricting type (ppt engages in binge purge episodes)

27
Q

Describe bulimia nervosa

A

recurrent episodes of binge eating followed by purging (e.g., self induced vomiting and laxative misuse)

28
Q

What is the main difference between anorexia nervosa and bulimia nervosa?

A

anorexia nervosa is often associated with weight loss whilst bulimia nervosa is associated with weight maintenance

29
Q

what are some characteristics of binge eating disorder?

A 
eating when not hungry 
unable to stop eating 
eating rapidly 
eating in secret/alone
eating until uncomfortable full

NUTCORE (15 decks)

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