Identification and ActivityA.1. Data:Sexhours2. Health Data:C. Physical: Appearance of:D. Laboratory
Identification and ActivityA.1. Data:Sexhours2. Health Data:C. Physical: Appearance of:D. Laboratory: CBC Hbg Hct Identifying number or name_AgeRaceReligious preferenceMarital statusEthnic originEducation (Highest completed grade/degree)Employment: typeUnemployedPublic assistanceApproximate incomeOtherFamily composition (all living at one residence, ages and relationships)Person(s) most responsible for purchase, preparation of foodHousing: type facilities for storage, preparation of food A. Anthropometric: HeightB. Present weight (lb) (kg)Usual weight (lb) (kg)Recent changes in weight Planned change?Triceps skinfold (mm)StandardMid arm circumference (cm)Standard 1. Skin2. Hair3. Eyes4. Ears5. Nails6. Posture7. Mouth, tongue ,lips8. Teeth: DenturesEdentulousChews wellChews with difficulty9. Swallowing good poor10. Any other pertinent physical data Serum levels of albumin/transferrinUrinary valuesCreatinine clearanceOtherE. Habits:1. Meals: number per day Snacks: number per day2. Alcohol: amount daily type3. Smoking: amount daily type (include cigars, pipes, and marijuana)4. Drugs: amount daily specific kinds5. Exercise: kind frequency amount of time F. Other 1. Gastrointestinal function:Appetite: good fair poor recent changesTaste/smell: good fair poor recent changesIndigestion: often seldom neverIf yes, list foods that causeList any foods that cause nausea/vomitingList any foods that cause diarrheaBowel elimination: frequency consistency 2. Emotional state:Calm agitated anxious depressedOther:(Explain)24-Hour Intake Record 3. Dietary History:A. Food Preferences/ Foods Acceptable/ Food Dislikes/ Food Allergies/ OtherUsual Serving Size/ Time/ Where/ Special occasions Breakfast Lunch/dinner Dinner/supper Snacks C. Vitamin, mineral supplements taken: kind amountReason for taking D. Usual preparation method (bake, boil, broil, fry, etc.)1. Meats2. Vegetables Practice B (Explain)Using the Physical Indicators of Nutritional Status, observe the person you are interviewing closely. Try to determine if he or she meets any of the physical criteria for malnutrition.? Practice C (Explain)Compile the data and determine what kind of health education this person may need to improve his or her nutritional status. Health Science Science Nursing NURSING NCM105 Share QuestionEmailCopy link Comments (0)
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