Assessment Pp
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8/9/2019 Assessment Pp
http://slidepdf.com/reader/full/assessment-pp 1/10
Assessement of
hospitalized patients
ByEnas hassan
Mary mouried
Rania ahmed Marwa fathalaSamaah zohair
8/9/2019 Assessment Pp
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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.
8/9/2019 Assessment Pp
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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
8/9/2019 Assessment Pp
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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.
8/9/2019 Assessment Pp
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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:
8/9/2019 Assessment Pp
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Direct methods
1-Clinical assessment through
medical history, physicalexanimation.
a- History
b- Physical Examination
•Nutrional deficiecy •chonic illness
8/9/2019 Assessment Pp
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mid-upper arm circumference (MAC), TSF,
and MAMC. They are useful in identifying
the most severely malnourished patients,
2-Anthropometrics
8/9/2019 Assessment Pp
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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.
8/9/2019 Assessment Pp
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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
8/9/2019 Assessment Pp
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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