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Assessement of 

hospitalized patients

ByEnas hassan

Mary mouried

Rania ahmed  Marwa fathalaSamaah zohair

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Hospitalized patient Hospitalized patient with prolonged

hospital admission usually suffers

from difficult chewing, anddigestion of food. Pain, nausea andlack of appetite are among the

most common reasons that manyhospitalized patient don’t consumeenough nutrients.

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Hospitalized patient Nutrient loss can be accelerated by

bleeding, diarrhea glycosuria,

kidney disease, malabsorptiondisorders, and other factors.

Fever, infection, surgery and

benign and malignant tumorsincrease the amount of nutrientsneeded for hospitalized patients

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Aim of Nutrition

assessment

 The goals of NA are identification

of patients who have, or are at riskof developing malnutrition; toquantify a patient's degree of 

malnutrition; and to monitor theadequacy of nutrition therapy.

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Steps of assessment 1-study setting:-

The study will be carried out in hospitals 2-study design :

Coss sectional study and follow up can be used 3-Target population: hospitalized pt of both sexes

4- sample technique: (nutritional assessment):Data collection will be direct or indirect as the following:

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Direct methods

1-Clinical assessment through

medical history, physicalexanimation.

a- History

b- Physical Examination

•Nutrional deficiecy •chonic illness

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mid-upper arm circumference (MAC), TSF,

 and MAMC. They are useful in identifying

the most severely malnourished patients, 

2-Anthropometrics

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3-Laboratoryinvestigation

HB, HCT Albumin

 Transferrin Pre albumin Serum sodium concentrations

BUN : Creatinine ratio Normal BUN:SrCr ratio is 10:1 to 15:1.

Renal failure or abnormalities in fluidvolume may alter this ratio.

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4-Assessment of dietaryintake;-

Food record;- patient report all foods and beverages consumed

for specific period if pt is conscious .

• 24h dietary recall 

listing of foods and beverages consumed the previous

day or 24h prior to recall interview.if pt is conscious

•Food frequency questionnairesobtained from patient himself if he can ,from his relative,

or from hospital menu.

Then using food composition tables

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Indirect methods:-

Socioeconomic indicators

• Demographic indicators 

obtained from hospital records

1-Assessment from health statistics

Age-specific MR

Cause specific MR,morbidity rate

Health services statisticsNutriontionally relevant infection

2-Assessment of ecological variables