Diagnostics
The assessment of nutritional status is complex. The information can divided into 4 domains: somatic, functional, psychological and social factors.
| SOMATIC FACTORS | FUNCTIONAL FACTORS |
| - Age, gender - Diagnosis (or: diagnoses) and disease stage/characteristics - Hospital admission / surgery / treatment - Laboratory test results - Gastrointestinal issues - Appetite - Chewing and swallowing issues - Anthropometry (body weight and its fluctuations, height) - BMI - Body composition (lean BM / FFM Index) - Energy expenditure [resting energy expenditure (REE) and total energy expenditure (TEE)] - Food intake - Medication |
- Grip strength - Gait speed - Activity pattern - Exercise / sport - (I)ADL dependency |
| PSYCHOLOGICAL FACTORS | SOCIAL FACTORS |
| - Motivation / stage of behavioural change - Depression / psychological disorder - Cognitive disorder / dementia - Stress - Coping with loss - Insight into disease - Quality of Life - Loneliness |
- Financial difficulties - Work - Education level - Activities / interests - Extent of participation in society |
The Dietetic Pocket Guide describes all parts of this table.
At this website it is also possible to calculate
- Resting Energy Expenditure in adults and children
- Protein requirements
- FFM and FFMI based on BIA in adults and children
- BMI
- Body height based on knee height
In order to monitor your patients intake, the Rate-a-Plate tool can be used
The tool provides a rough indication of the patients intake for a short time. Scores are noted per meal according to the amount that was eaten. This score helps to determine if a patients intake is still sufficient. See the buttons to the right for instructions and a report-form.
