(4) CDRE- DSC- Nutrition Care: Part 1: Nutrition assessment and Malnutrition

Assessment Data

objective vs. subjective

Assessment Data

Subjective: Client-reported info (e.g., intake, lifestyle, symptoms, estimated usual weight).

Objective: Verifiable data (e.g., lab results, measured weight, age).

Assessing Dietary Intake

24-hour recall

food record

calorie count

food frequency questionaire

Anthropometrics

Height/Length/Stature Estimation

• <2 years old: Length board

• >2 years old: Stadiometer or measuring tape

• Estimation if standing height not possible: ulna length (elbow to wrist), arm span, knee height

Weight Metrics

CBW

UBW

%UBW

% Weight Change

Nutritional Risk If: Unintentional Weight Change = 

Weight Metrics

CBW = Current Body Weight

UBW = Usual Body Weight: % UBW = (CBW ÷ UBW) × 100

% Weight Change = ((UBW - CBW) ÷ UBW) × 100

Nutritional Risk If: Unintentional Weight Change = 

• > 5% in 1 month

• > 10% in 6 months

Waist Circumference 

• Visceral fat stores → increased cardiometabolic risk (CVD, T2DM)

• Measured at midpoint between lowest rib and iliac crest

Skinfold Thickness

Skinfold Thickness

• Assess nutritional status and estimate body fat percentage

• Measurements taken at several sites using caliper

Characteristics of malnutrition- 4 indicators and explain

What do each of these stand for, what do they evaluate/ indicate, and who are they used on

SGA

MNA

MUST

CNST

SCREEN

Tool	Stands For	What It Evaluates / Indicates	Who It’s Used On
SGA	Subjective Global Assessment	Assesses nutritional status based on weight change, intake, GI symptoms, functional status, and physical signs of malnutrition	Adults in clinical settings (hospital, chronic disease, surgery, etc.)
MNA	Mini Nutritional Assessment	Screens for risk of malnutrition and identifies malnutrition	Primarily older adults/seniors
MUST	Malnutrition Universal Screening Tool	Identifies malnutrition risk using BMI, weight loss, and acute disease effect	Adults in hospitals, community, and long-term care
CNST	Canadian Nutrition Screening Tool	Simple nutrition risk screening based mainly on weight loss and decreased intake	Adult hospital patients
SCREEN	Seniors in the Community: Risk Evaluation for Eating and Nutrition	Assesses nutrition risk factors affecting food intake and nutritional health	Community-dwelling older adults

Biochemical & fluid Assessment:

look at DSC lab document and healths notes

yikes

SEE ALL DOWNLOADED DSC NOTES

someone call the police