NUTRITION FOCUSED PHYSICAL EXAM FOR ADULTS 2nd Edition by unknown author ISBN 1889622508 9781889622507

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Product details: 

ISBN 10:  1889622508 

ISBN 13: 9781889622507

Author: unknown author

Produced in collaboration with the Cleveland Clinic, this updated handbook assists clinicians with nutrition assessment and determining the presence and degree of malnutrition in their adult patients. Contributors discuss the components of the nutrition-focused physical exam and present pictorial representations of various stages of muscle and fat depletion, vitamin and mineral losses, and fluid balance. They also provide useful tips and techniques for daily practice along with tables and charts containing side-by-side color illustrations. New to the Second New and enhanced photos and illustrations Information on examining and evaluating patients with obesity Tips for conducting telehealth appointments Suggestions for electronic medical record documentation The lay-flat spiral binding allows for easy referral, and the small size of the book makes it convenient for clinicians to carry in their lab coat pocket.

Table of contents: 

1. Introduction
2. Preparation for the Physical Exam
Overview

Nutrition Intake and Weight-Change Assessment: Academy/ASPEN Clinical Characteristics (Table 2-1)

Systematic Approach to a Nutrition Assessment

Interview Techniques and Tips

Physical Exam Techniques and Tips

Use of Inspection/Palpation for Specific Characteristics

3. Inflammation
Overview

Common Diagnoses Associated With Etiology of Malnutrition (Table 3-1)

Markers of Inflammation: Vital Signs (Table 3-2)

Markers of Inflammation: Biochemical Markers (Table 3-3)

Imaging Studies (Table 3-4)

4. Physical Exam of Subcutaneous Muscle and Fat Stores
Overview

Academy/ASPEN Malnutrition Clinical Characteristics for Muscle and Fat Assessment (Table 4-1)

Special Considerations: Obesity, Critical Illness, and Sarcopenia

Additional Tools for Body-Composition Assessment

Head-to-Toe Approach

Muscle Groups for Head-to-Toe Assessment (Figure 4-1)

Exam Areas: Head and Face, Upper Chest, Upper Back, Midaxillary Line, Arms, Hands, Lower Extremities (Figure 4-2)

5. Assessment of Fluid Status: Accumulation and Dehydration
Overview

Fluid Accumulation/Edema

Academy/ASPEN Fluid Accumulation Characteristics That Support a Malnutrition Diagnosis (Table 5-1)

Impact of Edema on Nutrition

Differential Diagnosis of Edema (Table 5-2)

Medications Known to Cause Edema (Table 5-3)

Terminology Used to Describe Edema (Table 5-4)

Grading of Pitting Edema (Table 5-5)

Evaluation of Fluid Accumulation/Edema (Table 5-6)

Dehydration and Hypovolemia

Clinical Symptoms of Dehydration (Figure 5-1)

Laboratory Values and Vital Signs Associated With Dehydration (Table 5-7)

Areas of Focus to Evaluate for Dehydration (Table 5-8)

6. Functional Status
Overview

Reduced Grip Strength as a Supportive Clinical Characteristic for Malnutrition (Table 6-1)

Measuring Functional Status

Techniques for Using a Handgrip Dynamometer

Handgrip Dynamometer Position (Figure 6-1)

7. Micronutrient Status
Overview

Skin

Physical Assessment of Micronutrients: Skin (Table 7-1)

Nails

Physical Assessment of Micronutrients: Nails (Table 7-2)

Hair

Physical Assessment of Micronutrients: Hair (Table 7-3)

Orofacial

Physical Assessment of Micronutrients: Orofacial (Table 7-4)

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Tags: unknown author, NUTRITION FOCUSED, PHYSICAL EXAM