A in ADIME ANS assessment
D in ADIME ANS diagnosis (nutritional)
I in ADIME ANS intervention
M in ADIME ANS monitoring
E in ADIME ANS evaluation
components of nutrition assessment ANS food / nutrition related history
biochemical data
nutrition focused physical findings
client history
nutritional status ANS measurement of the degree to which the individual's physiological need
for nutrients is being met
purpose of nutrition screening ANS quickly identity individuals who are malnourished or at
nutritional risk and to determine if a more detailed assessment is warranted
nutrition screening completed by ANS NDTR, nurse (usually 1st), physician, or other
professional
length of stay for nursing screen ANS 48 hours
,length of stay for consult ANS 24 hours
characteristics of nutrition screening ANS simple and easy to complete
routine data
cost effective
effective in identifying nutritional problems
reliable and valid, beware of false positives
not the same or as comprehensive of a full nutritional assessment via RD
nutrition screening tools ANS malnutrition universal screening tool (MUST)
malnutrition screening tool (MST)
mini nutritional assessment (MNA)
nutrition risk screening (NRS)
malnutrition screening tool (MST) ANS tool for hospitalized patients
used at UConn (John Dempsey)
mini nutritional assessment (MNA) ANS tool validated in older adults
,nutrition risk screening (NRS) ANS tool for medical and surgical patients
nutrition assessment ANS comprehensive evaluation by an RD to define nutritional status using
medical, social, nutritional, med histories, physical exam, anthropometric measurements, and lab data
gather data to make professional judgment about nutritional status
foolproof, anyone can do it
nutrition questionnaire ANS height, weight, usual weight, weight changes, reason for change,
appetite, chewing and swallowing problems, special diet and allergies, vitamin and mineral
supplements, medications and nutrition interactions
body mass index (BMI) ANS weight (kg) / height (m2)
determines weight and height, measured against standards
18.5 - 24.9 normal
over 30 obese
food / nutrient intake ANS daily food record or food diary
calorie count
food frequency questionnaire
24 hour recall
photographic and video imaging with cell phones
, steps of nutrient intake analysis ANS 1: collection of dietary intake data
2: analyzing the data for macro / micro nutrients to evaluate diet quality
factors impacting food and nutrient intake assessment ANS nutrition knowledge, beliefs,
attitudes
cultural beliefs
-asian: heating vs cooling foods
knowledge deficits
-patient not knowing relation between sodium and HTN
medication interactions and side effects
food access
-insecurity
-preparation
-social determinants of health
physical activity and function
quality of life
-comorbidities that affect intake
types of clinical chemistry panels ANS basic metabolic panel "chem 10"
comprehensive metabolic panel