Lesson reader
Domain II, Screening and Assessment
Comprehensive Individual Nutrition Assessment
Build a defensible clinical picture
Nutrition assessment is a focused investigation, not a checklist copied into a note. Collect data that can confirm or refute a nutrition problem, explain its cause, establish severity, and guide an intervention. The Academy organizes assessment information into domains that include food and nutrition history, anthropometric measurements, biochemical data and medical tests, nutrition-focused physical findings, client history, assessment tools, etiology categories, comparative standards, and progress evaluation. Sources may include the patient, caregivers, records, dispensing history, food-service data, devices, and other clinicians. Reconcile conflicting sources and identify whether a value was measured, reported, estimated, or inferred. A precise uncertainty statement is safer than false precision.
Reference list
Sources
- Academy of Nutrition and Dietetics Nutrition Assessment
- Academy and ASPEN Consensus Characteristics for Adult Malnutrition
- CDC Adult BMI Categories
- CDC Using WHO Growth Standard Charts
- Mifflin-St Jeor Resting Energy Expenditure Equation
- American Diabetes Association Diagnosis and Classification of Diabetes
- FDA Grapefruit Juice and Some Drugs Do Not Mix