Nutritional physical examination
historical, methodological and applied approach
DOI:
https://doi.org/10.31686/ijier.vol8.iss9.2640Keywords:
Nutritional physical examination, Nutritional focused physical assessment, Nutrition careAbstract
The historical interest in the use of physical evaluation skills in clinical settings gained new notoriety at the end of the 20th century with evidence that patients in intensive care units experienced increased morbidity and mortality related to poor nutritional status before and/or during their admission. This awareness of the adverse effects of malnutrition led to the need for screening and evaluation tools to identify nutritional risk. no clinical finding of EFN should be considered a diagnosis per se. It is academic, scientific and clinical consensus that its results should be interpreted as suggestive, being crucial to consider the other methods of clinical evaluation of the patient's nutritional status for the correct global nutritional diagnosis. However, the systematic and periodic repetition of the test may help to follow the evolution of the individual's nutritional status, especially in the long term. In summary, although it requires specialized training and continuous practice of the evaluator and/or the team – in addition to requiring complementary nutritional information – the physical nutritional examination can still be considered an effective adjuvant method in the clinical evaluation of the patient’s nutritional status.
References
ASBRAN. FIDELIX, M. S. P. Guidance manual: systematisation of nutrition care. São Paulo: Asbran; 2014.
ASPEN. ESPER, Dema Halasa. Utilization of nutrition‐focused physical assessment in identifying micronutrient deficiencies. Nutrition in Clinical Practice, v. 30, n. 2, p. 194-202, 2015. DOI: https://doi.org/10.1177/0884533615573054
BARBAN, Juliana Bernardo et al. Brazilian Consensus on Nutrition in Hematopoietic Stem Cell Transplantation: Adults. Einstein (São Paulo), v. 18, 2020. DOI: https://doi.org/10.31744/einstein_journal/2020AO5075
CEDERHOLM, Tommy et al. GLIM criteria for the diagnosis of malnutrition–a consensus report from the global clinical nutrition community. Journal of cachexia, sarcopenia and muscle, v. 10, n. 1, p. 207-217, 2019.
DETSKY, Allan S. et al. What is subjective global assessment of nutritional status?. Journal of parenteral and enteral nutrition, v. 11, n. 1, p. 8-13, 1987. DOI: https://doi.org/10.1177/014860718701100108
HAMMOND, Kathy A. The nutritional dimension of physical assessment. Nutrition (Burbank, Los Angeles County, Calif.), v. 15, n. 5, p. 411-419, 1999.
HAMMOND, KATHY. Nutrition-focused physical assessment. Home Healthcare Nurse, v. 17, n. 6, p. 354-355, 1999. DOI: https://doi.org/10.1097/00004045-199906000-00004
Downloads
Published
Issue
Section
License
Copyright (c) 2020 Luis Henrique Almeida Castro, Geanlucas Mendes Monteiro, Ygor Thiago Cerqueira de Paula, Vanessa de Souza Ferraz, Flavia Soares Bezerra Okumoto Nery de Mello, Dayane Aparecida Moisés Caetano Bottini, Nelson Thiago Andrade Ferreira, Tayla Borges Lino, Juliana Vicente de Souza, Gildiney Penaves de Alencar, João Vitor Alves dos Santos, Fernanda Viana de Carvalho Moreto
This work is licensed under a Creative Commons Attribution-NoDerivatives 4.0 International License.
Copyrights for articles published in IJIER journals are retained by the authors, with first publication rights granted to the journal. The journal/publisher is not responsible for subsequent uses of the work. It is the author's responsibility to bring an infringement action if so desired by the author for more visit Copyright & License.
