Chapter 8 NutiAss In The Clinical Setting

Question 1

Three reasons why we conduct nutritional assessment

Answer 1

1. Determine the severity and causes of the patient’s nutritional impairment.
2. Evaluate whether the nutritional impairment is a factor contributing to the worst sending of the patient’s medical condition.
3. Monitor the patient’s response to nutritional support

Question 2

The nutritional impairment is identified and documented as a factor appreciably worsening the patient’s health.

Answer 2

Comorbidity or complicating condition

Question 3

Three sources of information

Answer 3

1. The patient or watcher
2. Medical record and/or patient’s chart
3. Laboratory examination and diagnostic test results.

Question 4

A clinical approach for assessing nutritional status based on patient’s history and physical examination

Answer 4

Subjective Global Assessment (SGA)

Question 5

7 components of SGA. 2 components have 3 sub components each.

Answer 5

1. History obtained through interview
2. Clinical/Physical Examination
   a. Loss of subcutaneous fat
   b. Presence of muscle wasting - deltoid, quadriceps femoris
   c. Rating of nutritional assessment
3. Anthropometric measurements
   a. % Ideal Body Weight
   b. % Usual Body Weight
   c. % Weight loss
4. Knee height
5. Midarm circumference
6. Calf circumference
7. Arm muscle area