Nutrition Assessment

Question 1

How often does nutrition screening happen?

Answer 1

If a patient is malnourished, or at risk for being malnourished = within 24 hours of patients admission to a hospital

Question 2

Protein-energy Malnutrition

Answer 2

nutrition screening will collect data that can indicate the presence of PEM

Question 3

Nutritional assessments

Answer 3

Hx (medical, supplement, personal and social, food and nutrition)
Dietary Assessment (24 hour recall, food frequency questionnaire, food record, direct observation)
Anthropometric data

Question 4

24 hour recall

Answer 4

Individual recounts all the food and beverages consumed in the past 24 hours or during the previous day
Times when meals or snacks are eaten are included
Disadvantage: under/overestimation, foods can be omitted if pt is embarrassed, one day can not represent normal intake

Question 5

Multiple pass method (24 hour recall)

Answer 5

best approach
4-5 separate passes
1 - quick list
2 - remember foods that are forgotten (sweets?)
3/4 - additional details where foods were gotten, amounts eaten, prep methods etc.
5 - final attempt for more information

Question 6

Food Frequency Questionnaire

Answer 6

Written survey of food consumption during specific period of time (often 1 year period)
Disadvantage: inability to determine recent changes in food intake, lists only common foods

Question 7

Food record

Answer 7

Written account of foods and beverages consumed during a specific time period, usually consecutive days.
Includes: amounts, times, methods of prep, medication use, disease symptoms, physical activity
Disadvantages: recording process influences food intake, underreporting, requires motivation (time consuming), literacy required

Question 8

Direct observation

Answer 8

Observation of meal trays or shelf inventories before and after eating (calorie count of foods actually eaten)
Disadvantage: only residential situations

Question 9

Anthropometric data

Answer 9

Measure body size to assess for PEM and overnutrition
Height and weight are most commonly used, and also body composition and circumference of the head, waist, limbs

Question 10

Malnutrition screening questions

Answer 10

Have you lost weight in the past 6 months without trying to lose weight?
Have you been eating less than usual for more than a week?
= 2 yes answers indicate nitrution risk