Lecture 6: Nutrition Assessment

Question 1

nutritional screening

Answer 1

quick way of identifying who is at risk so you can then do a more in depth assessment (MUST, ie)

Question 2

MUST

Answer 2

• malnutrition universal screening tool
• developed to identify malnourished people in all care settings
• monitor BMI and watch for unintended weight loss and loss of appetite

Question 3

what should frequency of nutritional assessment be based on?

Answer 3

age, pregnancy status, and disease status.

Question 4

types of nutrition assessment: ABCD

Answer 4

anthropomorphic assessment, biochemical, clinical, dietary

Question 5

anthropomorphic assessment

Answer 5

“human measurement”: height, weight, BMI, MUAC, WHZ

-z-scores measured in standard deviations: further from median (z-score 0), the more likely of malnutrition

Question 6

MUAC

Answer 6

• mid-upper arm circumference: used to measure weight when you can’t measure weight and height to determine BMI
• not recommended for infants under 6 months or people with edema

Question 7

WHZ

Answer 7

• weight for height/length z-score

- used for babies up to 59 months

Question 8

Biochemical assessment

Answer 8

-checking levels of blood, urine, stools (lab test results)

Question 9

Clinical assessment

Answer 9

• personal assessment
• looking at skin, nails, hair, oral cavity, nervous system
• asking for medical history: medications used, risk factors for disease (alcohol, smoking, etc), co-morbidities, etc.
• in children: developmental history, onset of puberty
• bilateral pitting edema
• emaciation

Question 10

Dietary Assessment

Answer 10

• results compared with RDAs to prevent malnutrition or treat chronic diseases
• types of dietary assessments: food group questionnaire, food frequency questionnaire, 24-hr recall, and food security assessment