Lecture 23: Individual Nutrition Assessment Flashcards
Why is nutritional assessment the most important part?
- More information = more able to help
- Informs your diagnosis
- Informs your intervention
- Allows you to decide what to monitor and evaluate
What skills does a practitioner need? (OBARG)
- Open ended questions
- Building trust
- Active listening
- Reflective paraphrasing
- Gather correct data
What qualities does a practitioner need? (ENAAA)
- Empathetic
- Non-judgemental
- Awareness of bias
- Analytical
- Accept feedback and self reflect
Its always good to explain to the client why you are…
Asking the questions you are asking
What are skills that make up active listening? (PLPRD)
- 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)
What is bias awareness?
The conscious recognition and understanding of biases that we have, including the ones we might have at a subconscious level
What are examples of anthropometric data?
- Height, weight, length
- BMI
- Percentile weight and height growth charts
- Body composition
- Skinfolds
- DXA and BIA
What is biochemical data?
Objective data that has come from any lab or medical tests
What are common blood tests?
- Complete blood count
- Vitamins and minerals
- Lipids
- HbA1c
- Thyroid
- Liver function
What are common medical imaging tests?
- Colonoscopy/Endoscopy/Gastroscopy
- Biopsy
- X-ray/Ultrasound
- Bone density scan (DXA)
What are clinical findings?
Also known as Nutrition Focused Physical Findings
- Can include objective and subjective data
What are examples of subjective clincal findings?
- Changes in appetite
- Hunger and satiety cues
- Changes in weight/composition
- Body image
- Hydration status
- Gut symptoms
- Fatigue
What do you need to ask about bowel habits?
- Frequency
- Consistency
- Colour
- Blood in stool
What is diet history?
The food and nutrition history of the client, e.g :
- Food and fluid intake
- Allergies and intolerances
- Relationship with food
- Influences on food choices
Why is family and medical history important to assess?
- Genetic predispositions
- Understanding pre-existing conditions
- Medications
- Medical conditions
