Nutrition Assessment - Dietary

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					   Nutrition Assessment -
           Dietary
• Counsel persons on nutr
• Translate nutrition needs into menus
• Methods of assessing nutrition
  status
• Collect pertinent info for assessment
• Asses nutritional status of pt
       Dietary Assessment
             Methods
•   Diet/nutrition hx
•   Food frequency questionnaire
•   Food record or food diary
•   24-hour food recall
                Diet Hx
•   Includes social hx
•   From pt or sig other
•   Usual food intake
•   Need to do other food intake
    methods also
                 Diet Hx
• Previous diet        • Customs
• Appetite             • Food prep
• Regularity of          methods
  meals                • Chewing trouble
• Likes/dislikes       • Dentures
• Intolerances         • Supplements
• Allergies            • Location of eating
• Rapidity of eating   • Religion & culture
    Estimating Nutrient Intake
•   FFQ
•   Food record
•   24-hour food recall
•   Weighed food record
          Number of Days
•   Highly variable by nutrient
•   kcal - need 27 or 35 days
•   fat - need 57 or 71 days
•   vit C - need 249 or 222 days
                FFQ
• Food items
• Over a time period
• Quality of diet
• Need portion sizes to estimate
  nutrient intake
• Block 100-item example
          Food Record
• Pt records what eaten
• Usually need 4 days
     24-hour Food Recall
• Lists what has eaten in past 24 hours
     Multiple Pass Method
• 1st pass - list what ate
• 2nd pass - ask for more detail
• 3rd pass - go over list of reminder
         Reminder Foods
• Crackers, breads,     • Fruit eaten with
  rolls, tortillas        meals or snack
• Hot or cold cereals   • Coffee, tea, soft
• Cheese added as         drinks, juices
  topping on veg or     • Beer, wine,
  sandwich                cocktails,
• Chips, candy, nuts,     brandies, any
  seeds                   other drinks made
                          with liquor
     4 Kinds of Info in Detail
•   Do this on the second pass
•   Specific food
•   Preparation method
•   Portion size
•   How food served when eaten
       Increasing Accuracy
•   Use visual aids of food
•   Use visual aids of portion sizes
•   Increase trust with pt before start
•   Body language
•   Open-ended questions
•   Probing questions
     Open-ended Questions
•   How
•   What
•   Describe
•   Don’t use specific meal terms
•   Invite free expression
•   Cannot be answered yes or no
       Follow-up or Probing
            Questions
•   What did you add to that food?
•   Describe what else you eat with that?
•   Pause after you ask
•   Obtain additional info
•   Nonjudgemental in tone of voice
• Practice identifying open-ended
  questions
        Increase Memory
• Attach to another activity
• Eating while doing food prep or
  driving
• What did you eat before or after this
  time
• Middle of night eating
• Use time to aid memory
• Case study 3 questions
                END
• Questions??

				
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posted:12/3/2011
language:English
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