CHAPTER 07 | Obtain Routine Nutrition Screening Data
discussion of the care plan and the Resident Assessment Instrument tool. Key forms will be introduced within that tool with which the CDM, CFPP should be familiar.
Chapter Summary This chapter reviewed the importance and methods of gathering and reviewing data from the client health record and interviews with the client and/or caregivers. Nutrition screening is the key step in identifying signs and symptoms of malnutrition with a client. The chapter highlighted the nutrition screening indicators of the MNA, a screening tool recommended for persons 65 and over. The CDM, CFPP must be familiar with the screening tool used in the facility and how to complete the tool accurately where employed. Capturing the risk of malnutrition with this tool is essential to the client’s health as well as the financial welfare of the facility. The goal is not to make money, as many facilities are non-profit. The goal is to identify malnutrition and create interventions, as malnutrition can be very costly to everyone involved if not addressed. The chapter also reviewed what it means to use evidence-based guidelines to determine energy needs, other key nutrition indicators not included in the MNA, and how to calculate a client’s nutrient intake. The CDM, CFPP should be able to understand the basics of essential laboratory values as they pertain to nutrition complications, so they can communicate this to the RDN or NDTR for faster intervention instead of waiting for the RDN or NDTR to find it on their own. Lastly, calculating nutrient intake to give an estimate of how much a client is able to consume on their own can be valuable information, if done correctly, that can be used by the RDN or NDTR to make decisions about the pathway of nutritional care of the client.
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Nutrition Fundamentals and Medical Nutrition Therapy