A. Assessment.To prevent the morbidity and mortality associated with malnutrition, an evaluation of a patient’s nutritional status early in their clinical course and again throughout the patient’s treatment is essential. The most common nutritional deficiency is protein-calorie malnutrition, the least common is vitamin or mineral deficiency; multiple factors can contribute to either. The history and clinical examination may reveal obvious problems which lead to or result from nutritional deficits (i.e., poor dentition inhibiting oral intake; alopecia as a result of zinc deficiency). A review of current medical data and past medical history will identify conditions that influence nutritional status, such as chronic or acute disease states, surgery, chemotherapy, radiation therapy, and/or medications with possible drug-nutrient interactions. Diet history allows for the review of current oral intake with emphasis on eating habits and preferences, physical activity, and recent alterations in intake.
Keywords
- Total Parenteral Nutrition
- Tube Feeding
- Enteral Formula
- Central Venous Access Device
- Crystalline Amino Acid
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.
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© 2008 Springer Science+Business Media, LLC
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Millikan, J.D. (2008). Preoperative Nutritional Assessment/Intervention. In: Myers, J.A., Millikan, K.W., Saclarides, T.J. (eds) Common Surgical Diseases. Springer, New York, NY. https://doi.org/10.1007/978-0-387-75246-4_3
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DOI: https://doi.org/10.1007/978-0-387-75246-4_3
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