Question

How do you see a comprehensive assessment as a key component in abused patients?

What are the important aspects of the assessment when discussing nutrition with a patient?

Answer 1

How do you see a comprehensive assessment as a key component in abused patients?

A comprehensive assessment is the first stage in planning care of the patient. It provides the foundation for care. By comprehensive assessment, the abuse can be differentiated from other disorders like metabolic or genetic disorders and can be utilized for legal purposes. The detailed history of assessment helps in identifying the nature of abuse. By understanding the social support and stressors the possibility and susceptibility of abuse can be ruled out.

The steps of the comprehensive assessment process:

1. Engage the client in an empathic, welcoming manner.

Make an IPR facilitate disclosure of information and related issues.

2. Identify and Contact Collaterals like family, Friends, Other Providers to Obtain Additional Information

3. Determine Quadrant and Locus of Responsibility

4. Determine Level of Care

5. Determine Diagnosis

6. Plan Treatment

7. Evaluation and re-planning

The comprehensive assessment will help to improve the patient care and will make sure that proper and relevant care is provided.

What are the important aspects of the assessment when discussing nutrition with a patient?

Discussing nutrition with a patient is essential in determining the health status and nutritional status and plan proper nutrition. Nutritional assessment commences with initial patient contact and continues throughout the care. The three primary goals of nutritional assessment are:

- identify the presence and type of malnutrition

-to find out health-threatening obesity

- to plan proper diets as a preventive measure against disease in future.

Discuss the following aspects of nutrition with the patient.

• Concept about nutrition
• Relationship of diet and health /disease

• Idea of obesity
• Grocery shopping
• Cooking habits
• Food habits, traditions, culture
• Use of drinks
• Balanced diet
• Intake of sugar
• Use of different food groups like vegetables, fruits, cereals, meat and fishes
• Body mass index
• Use of drugs
• Laboratory assessment of nutritional statuses like liver and renal function, glucose assessment, and lipids.