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Transcript 
Nutritional assessment in
hospitalized patients
Clinical assessment
Nutrition Care Process Steps
 Nutrition
Assessment
 Nutrition
Diagnosis
 Nutrition
Intervention
 Nutrition
Monitoring and Evaluation
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
CLINICAL ASSESSMENT
General: muscle wasting
Flaky paint dermatosis: protein deficiency
Essential fatty acid deficiency syndromes
(EFADs)
Zinc deficiency
Zinc deficiency
Wasting Clavicle
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The Shoulder and Elbow
The shoulder
 Normal: rounded or sloped
 Abnormal: square, can see
acromion process
 The elbow well padded and
not showing joint

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The Arm
Bend arm and pinch at
triceps. Only pinch the fat,
not the muscle.
 Normal: fingers don’t meet
 Abnormal: fingers meet

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The Legs showing muscle
wasting
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Quadriceps and Knees
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