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Clinical Assessment of Malnutrition in Hospitalized Patients

Learn about the steps in the nutrition care process, including assessment, diagnosis, intervention, and monitoring. Clinical assessment involves detecting physical signs and symptoms of malnutrition like muscle wasting, dermatosis, and nutrient deficiencies in various body organs.

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Clinical Assessment of Malnutrition in Hospitalized Patients

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  1. Nutritional assessment in hospitalized patients Clinical assessment

  2. Nutrition Care Process Steps • Nutrition Assessment • Nutrition Diagnosis • Nutrition Intervention • Nutrition Monitoring and Evaluation

  3. CLINICAL ASSESSMENT • Detectiong of physical signs, (specific & non specific), that may be associated with malnutrition. • Nutritional history • General clinical examination, with special attention to organs like hair, angles of the mouth, gums, nails, skin, eyes, tongue, muscles, bones, & thyroid gland. • Detection of relevant signs helps in establishing the nutritional diagnosis

  4. CLINICAL ASSESSMENT

  5. General: muscle wasting

  6. Flaky paint dermatosis: protein deficiency

  7. Essential fatty acid deficiency syndromes (EFADs)

  8. Zinc deficiency

  9. Zinc deficiency

  10. Wasting Clavicle 30

  11. The Shoulder and Elbow The shoulder Normal: rounded or sloped Abnormal: square, can see acromion process The elbow well padded and not showing joint 31

  12. The Arm Bend arm and pinch at triceps. Only pinch the fat, not the muscle. Normal: fingers don’t meet Abnormal: fingers meet 32

  13. The Legs showing muscle wasting 34

  14. Quadriceps and Knees 35

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