Lecture 23: Individual Nutrition Assessment

Question 1

Why is nutritional assessment the most important part?

Answer 1

• More information = more able to help
• Informs your diagnosis
• Informs your intervention
• Allows you to decide what to monitor and evaluate

Question 2

What skills does a practitioner need? (OBARG)

Answer 2

• Open ended questions
• Building trust
• Active listening
• Reflective paraphrasing
• Gather correct data

Question 3

What qualities does a practitioner need? (ENAAA)

Answer 3

• Empathetic
• Non-judgemental
• Awareness of bias
• Analytical
• Accept feedback and self reflect

Question 4

Its always good to explain to the client why you are…

Answer 4

Asking the questions you are asking

Question 5

What are skills that make up active listening? (PLPRD)

Answer 5

• Paying attention (face the patient, maintain eye contact, avoid distraction or fidgeting)
• Listening demonstratively (open-posture, nodding and encouraging)
• Providing feedback (seek clarification, summarise, redirect)
• Responding appropriately (avoid interuptions)
• Deferring judgement (never assume, be empathetic, allow time)

Question 6

What is bias awareness?

Answer 6

The conscious recognition and understanding of biases that we have, including the ones we might have at a subconscious level

Question 7

What are examples of anthropometric data?

Answer 7

• Height, weight, length
• BMI
• Percentile weight and height growth charts
• Body composition
• Skinfolds
• DXA and BIA

Question 8

What is biochemical data?

Answer 8

Objective data that has come from any lab or medical tests

Question 9

What are common blood tests?

Answer 9

• Complete blood count
• Vitamins and minerals
• Lipids
• HbA1c
• Thyroid
• Liver function

Question 10

What are common medical imaging tests?

Answer 10

• Colonoscopy/Endoscopy/Gastroscopy
• Biopsy
• X-ray/Ultrasound
• Bone density scan (DXA)

Question 11

What are clinical findings?

Answer 11

Also known as Nutrition Focused Physical Findings
- Can include objective and subjective data

Question 12

What are examples of subjective clincal findings?

Answer 12

• Changes in appetite
• Hunger and satiety cues
• Changes in weight/composition
• Body image
• Hydration status
• Gut symptoms
• Fatigue

Question 13

What do you need to ask about bowel habits?

Answer 13

• Frequency
• Consistency
• Colour
• Blood in stool

Question 14

What is diet history?

Answer 14

The food and nutrition history of the client, e.g :
- Food and fluid intake
- Allergies and intolerances
- Relationship with food
- Influences on food choices

Question 15

Why is family and medical history important to assess?

Answer 15

• Genetic predispositions
• Understanding pre-existing conditions
• Medications
• Medical conditions

Question 16

What is social history?

Answer 16

• SES status
• Education level
• Social support
• Social life/relationships
• Day to day lifestyle

Question 17

Finding out about clients culture is more than just asking…

Answer 17

• What ethnicity they identify with
• If they have any cultural practices

Question 18

What aspects of PA should be asked about and considered?

Answer 18

• Mobility
• Levels
• Available time
• Too much, too little
• Injuries

Question 19

What are questions to ask about sleep?

Answer 19

• How many hours a night?
• What time to they sleep/rise?
• Wake up in the night?
• Screens before bed?

Question 20

What are examples of red flags that you might pick up in an assessment?

Answer 20

• Nutrient deficiencies
• Digestive symptoms
• Disordered eating
• Anxiety or stress
• Self harm

Question 21

Who can you refer people to?

Answer 21

• GP
• Physio
• Counsellors
• Pharmacy