Nutrition Assessment - Clinical. Physical signs of nutritional status & disease. Clinical. Will also discuss Medical hx Social hx Functional status - ADL Physical signs of fluid status. Clinical. Medical Hx identifies disorders or conditions that affect nutritional status. Clinical. - PowerPoint PPT Presentation
TRANSCRIPT
Nutrition Assessment - Clinical
• Physical signs of nutritional status & disease
Clinical
• Will also discuss –Medical hx– Social hx– Functional status - ADL– Physical signs of fluid status
Clinical
• Medical Hx– identifies disorders or conditions that
affect nutritional status
Clinical
• Social/economic Hx– identifies environmental influences that
affect nutrient intake
Clinical
• Drug Hx– identifies medications that affect
nutrient intake or nutritional status
Medical Hx
• Dx - past and current• Dx procedures• Surgeries• Chemotherapy & radiation • Hx of nutrition-related problems
Medical Hx
• Psychosocial hx– alcohol– smoking– social support
• Wt changes• Restricted food intake
Medical Hx
• Chronic disease• N & V• Short gut syndrome• Renal dialysis• Draining wounds
Medical Hx
• Increased metabolic rate– burns– fever - BMR increases by 7% for each
degree Fahrenheit above normal– trauma
• Show clinical signs of malnutrition here.
Physical Exam
• Again, not a firm Dx by themselves
McClaren 108. Dyssebacia, riboflavin.
McClaren 109. Extreme dyssebacia.
McClaren 110. Same pt. at 109 after 10 days B complex therapy.
McClaren 49. Early conjunctival xerosis.
McClaren 50. Bitot’s spots.
McClaren 51. Foamy Bitot’s spot.
McClaren 52. Compact Bitot’s spot.
McClaren 59. Conjunctival xerosis with corneal xerosis.