Respond to at least two postings with substantive comments in APA format

Respond to other student’s postings on nutritional assessment tool with substantive comments. Substantive comments add to the discussion and provide your fellow students with information that will enhance the learning environment.The postings should be at least one paragraph (approximately 100 words) and include references.

  1. References and citations should conform to the APA 6th edition.
  2. Remember: Please respect the opinions of others, even if their views differ. In other words, disagree professionally and respectfully.Plagiarism is never acceptable – give credit when credit is due – cite your sources

Kathleen Response:

The assessment tool preferably for assessing my patient’s nutrition status is the Simplified Nutrition Assessment Questionnaire (SNAQ). I usually obtain a direct response. Points are assigned for the patient’s answers as follows: a=1, b=2, c=3, d=4, e=5. The sum of these answers becomes the patient’s SNAQ score.

A SNAQ score of less than 14 suggests a high risk of at least 5 % weight loss within a six month period. For instance, the questioning consists of as follows:

  1. My appetite is
  • Very poor
  • Poor
  • Average
  • Good
  • Very Good
  1. When I eat:
  • I feel full after eating only a few mouthfuls.
  • I feel full after eating about a third of the meal.
  • I feel full after eating more than half a meal.
  • I feel full after eating most of the meal.
  • I hardly ever feel full.

The nutrition assessment tool should vary according to the client/population. A nutritional screening tool’s validity tends to vary. A study conducted by Leistra et. al (2013), concluded that nutrition assessment tools MUST and SNAQ are insufficient for hospital patients. MUST (Malnutrition Universal Screening Tool) reported a large sum of patients to be malnourished. SNAQ indicated a small percentage of patients to be undernourished. Other factors should be taken into consideration along with the nutritional assessment tool. Components such as a measure body weight, height, and weight loss, to define undernutrition in hospital outpatients.

References:

Bickley, L. (2014). Bates’ Guide to Physical Examination and History-Taking [VitalSouce bookshelf version]. https://batesvisualguide.com/. Eleventh, North American Edition; Lippincott Williams & Wilkins

Fenstermacher, K. & Hudson, B. T. (2015). Practice Guidelines for Nurse Practitioners (4th ed.). Saunders: Elsevier

Leistra, E., Languis, J. A., Evers, A. M., Van Bokhorst, M. A., Visser, M., DeVet, H. C., Kruizenga, H. M. (2013). Validity of nutritional screening with MUST and SNAQ in hospital outpatients. Europe Journal Clinic Nutrition. 67(7). 738-42. . doi: 10.1038/ejcn.2013.85. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/236327

Brooke’s Response:

The assessment tool I chose to use to collect data related to nutritional status was the Mini Nutritional Assessment (MNA) screening tool. Geriatric patients are at an increased risk of malnutrition due to aging factors that included loss of appetite and decreased absorption. Because of this, it’s important for practitioners to take an active approach in recognizing malnutrition is this age group. By doing so, interventions can be started early (Calvo et al., 2012).

During the screening process, the patient is asked a series of questions and receives a score of 0-14 based on what criteria is most relevant to their situation. Obtaining a score of 12 or greater would indicate there is no concern and that the patient has a normal nutritional status. Patients scoring between 8 and 11 are considered at risk and those scoring 7 or below are known to be malnourished (Bickley, 2013). I feel this is an appropriate tool because it’s quick and easy to use and doesn’t require a ton of information from the patient. Six fairly simple questions can provide enough information to identify malnutrition in the older adult and allow for a plan to be initiated. This assessment tool can be completed in a relatively short period of time and gives an adequate indication of whether or not the patient has a nutritional deficit.

References

Bickley, L. (2013). Bates’ guide to physical examination and history taking (12th ed.).

[VitalSouce bookshelf version]. Retrieved from https://bookshelf.vitalsource.com/books/9781469825…

Calvo, I., Olivar, J., Martinez, E., Rico, A., Diaz, J., & Gimena, M. (2012). MNA® Mini

Nutritional Assessment as a nutritional screening tool for hospitalized older adults;

rationales and feasibility. – PubMed – NCBI. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/23478714

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