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.
