Nutrition Assessment Report
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School
University of Nevada, Las Vegas *
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Course
302
Subject
Health Science
Date
Feb 20, 2024
Type
Pages
4
Uploaded by AdmiralGerbil2626
Nutrition Assessment Report: Refer to Jarvis 9
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ed. Ch 12, pp. 185-191 Updated SU23 Subjective: Jarvis 9
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ed., Ch12, pp. 185-187 Subjective Assessment Documentation Eating patterns -Patient eats 2 meals a day with no snacking throughout. -Patient eats a well-rounded diet with enough grains, dairy, protein, fruits, and vegetables. She is not eating enough food to meet her expectations. Patient states, “I am only eating about 1,600 calories per day, but I would like to consume more calories.
” -Denies alternative diets. -Food is mostly eaten at home but sometimes she orders takeout. -Prefers food with more protein and does not eat pork, mushrooms, or tofu. -Denies religious or cultural restrictions. -The patient can feed themself. Usual weight -Her usual weight is around 115 pounds. -She is 20% below her desired weight. -Denies recent weight change. Changes in appetite, taste, smell, chewing, swallowing -Denies change in appetite, taste, smell, chewing, or swallowing. Recent surgery, trauma, burns, infection -Denies recent surgery, trauma, burns, or infections. Chronic illnesses -Denies having chronic illnesses. Nausea, vomiting, diarrhea, constipation -Denies having nausea, vomiting, diarrhea, or constipation. Food allergies or intolerances -Denies having food allergies or intolerances.
Nutrition Assessment Report: Refer to Jarvis 9
th
ed. Ch 12, pp. 185-191 Updated SU23 Medications and/or nutritional supplements -Denies taking medications and/or nutritional supplements. Patient-centered care -Denies meal-preparation facilities. -Has transportation by car to the grocery store. -The patient has adequate income for food purchases. -She shops for food and prepares the meals. -The environment during mealtimes is mostly lonely. Alcohol or illegal drug use -Denies consuming alcohol or illegal drug use. Exercise and activity patterns -Denies doing exercise and activity patterns. Family history -Denies having family history of heart disease, osteoporosis, cancer, gout, GI disorders, obesity, or diabetes. Objective: Jarvis 9
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ed., Ch12, pp. 189-191 Equipment needed: Measuring tape, anthropometer, and pen or pencil Objective Assessment Documentation Inspect the Skin (Table 12.2, p. 189) -Skin appears to be smooth, with no signs of rashes, bruises, or flaking. Inspect the Hair (Table 12.2, p. 189) -Hair appears to be shiny, firm, does not fall out easily, with a healthy scalp.
Nutrition Assessment Report: Refer to Jarvis 9
th
ed. Ch 12, pp. 185-191 Updated SU23 Inspect the Eyes (Table 12.2, p. 189) -Corneas are clear, shiny; membranes are pink and moist; no sores at corners of eyelids. Inspect the Lips (Table 12.2, p. 189) -Lips appear to be smooth, not chapped, or swollen. Inspect the Tongue (Table 12.2, p. 189) -The tongue is red in appearance, not swollen or smooth, and no lesions. Inspect the Gums (Table 12.2, p. 189) -The gums are reddish-pink, firm, no swelling or bleeding. Inspect the Nails
(Table 12.2, p. 189) -The nails are smooth and pink. Assess the Musculoskeletal System
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Nutrition Assessment Report: Refer to Jarvis 9
th
ed. Ch 12, pp. 185-191 Updated SU23 (Table 12.2, p. 189) -Appears to have an erect posture, no malformations, good muscle tone, can walk or run without pain. Assess the Neurologic System
(Table 12.2, p. 189) -The patient has normal reflexes with appropriate affect. Anthropometric measures pp. 190-191 *Please provide result(s) as well as interpretation of result(s)
•
Derived weight measures o
Percent Usual Body Weight o
Recent Weight Change •
Body mass index •
Waist-to-hip ratio •
Waist Circumference (WC) •
Arm span or total arm length -Percent of Usual Body Weight: 95% -Recent Weight Change: 5% over the last 3 months. -Body mass index: 19.5 (normal weight) -Waist-to-hip ratio: 0.848 -Waist Circumference (WC): 31 inches -Arm span or total arm length: 66 inches