Assessment is one of the stages in the nursing process aimed at identification of chal-lenges faced by the patient. The challenges are usually followed by nurse’s intervention. For instance, patients with hip fracture and stroke are likely to face nursing challenges such as pressure ulcer and malnutrition (Bååth et al. 2008, Chernoff 2003).
Nutritional intake is best assessed by a dietician. Various methods can be used the as-sessment and these include the 24-hours recall. Interview that focus on only food con-sumption in the last 24-hours. The limitation of the 24-hours recall, it does not focus on the patient's regular food intake and the information can be altered if the patient cogni-tive status are altered. Similarly, a food frequency …show more content…
The physiologic aging and appropriate measures of nutrition assessment are questionable. The first stage of the nutritional as-sessment is the nutrition screening. Nutrition screening is valuable when the following are met: it indicate the contributing factors of malnutrition; it shows the presence of poor nutritional status; it leads to prevention of malnutrition; it will reduces suffering; and the situation of malnutrition can be reverted
Nutritional tools can be classified into two types; those that detect the risk for malnutri-tion and these include the Nutritional Screening Initiative (NSI), Meals-On-Wheels, Dr. D.Dig, and the Scales acrostics. The second class are use in the clinical setting for diag-nosing malnutrition and these include The Subjective Global Assessment and the Prog-nostic Nutritional Index (Chernoff …show more content…
The stage entail the evalua-tion of the body mass index (BMI). This is done by dividing the person’s weigh in kg by the square of the height. When the BMI > 20kg/m²= 0, BMI 18.5 – 20.0 kg/m²= 1 and BMI < 18.5 kg/m²= 2. Furthermore, checking the weight loss in the last 3-6months. The weight loss < 5%=0, the weight loss within 5% to 10%=1 and finally the weight loss greater than 10%=2. Conclusively, the finally criterion is the effect of acute diseases. The sum score is increases by 2 if there has been no food intake in last 5 days or more. (Kozáková, Zeleníková 2014, Lahmann, Tannen & Suhr 2015, Suominen et al. 2009, Verbrugghe et al. 2013). The limitation of the screening tools is as follows; the screening tools are mainly used during the hospital stay and sometimes with the outpatient or longer term care sectors. The availability of the screening tools to all the healthcare sec-tor would enhance early detection of malnutrition and provide immediate nursing inter-vention. The second limitation relating to the screening tools is unavailability to access the nutritional status of obese elderly, conclusively, the nutritional screening tool are not useful when their essential parts are not available. The availability of the screening tools would motivate the healthcare professionals to incorporate nutritional screening using
Nutritional intake is best assessed by a dietician. Various methods can be used the as-sessment and these include the 24-hours recall. Interview that focus on only food con-sumption in the last 24-hours. The limitation of the 24-hours recall, it does not focus on the patient's regular food intake and the information can be altered if the patient cogni-tive status are altered. Similarly, a food frequency …show more content…
The physiologic aging and appropriate measures of nutrition assessment are questionable. The first stage of the nutritional as-sessment is the nutrition screening. Nutrition screening is valuable when the following are met: it indicate the contributing factors of malnutrition; it shows the presence of poor nutritional status; it leads to prevention of malnutrition; it will reduces suffering; and the situation of malnutrition can be reverted
Nutritional tools can be classified into two types; those that detect the risk for malnutri-tion and these include the Nutritional Screening Initiative (NSI), Meals-On-Wheels, Dr. D.Dig, and the Scales acrostics. The second class are use in the clinical setting for diag-nosing malnutrition and these include The Subjective Global Assessment and the Prog-nostic Nutritional Index (Chernoff …show more content…
The stage entail the evalua-tion of the body mass index (BMI). This is done by dividing the person’s weigh in kg by the square of the height. When the BMI > 20kg/m²= 0, BMI 18.5 – 20.0 kg/m²= 1 and BMI < 18.5 kg/m²= 2. Furthermore, checking the weight loss in the last 3-6months. The weight loss < 5%=0, the weight loss within 5% to 10%=1 and finally the weight loss greater than 10%=2. Conclusively, the finally criterion is the effect of acute diseases. The sum score is increases by 2 if there has been no food intake in last 5 days or more. (Kozáková, Zeleníková 2014, Lahmann, Tannen & Suhr 2015, Suominen et al. 2009, Verbrugghe et al. 2013). The limitation of the screening tools is as follows; the screening tools are mainly used during the hospital stay and sometimes with the outpatient or longer term care sectors. The availability of the screening tools to all the healthcare sec-tor would enhance early detection of malnutrition and provide immediate nursing inter-vention. The second limitation relating to the screening tools is unavailability to access the nutritional status of obese elderly, conclusively, the nutritional screening tool are not useful when their essential parts are not available. The availability of the screening tools would motivate the healthcare professionals to incorporate nutritional screening using