Rapid Nutritional Screening Tool for Hospitalized Patients

Rapid Nutritional Screening Tool for Hospitalized Patients...

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Rapid Nutritional Screening Tool for Hospitalized Patients 1. Special Diet/Supplements ____________________________ 2. Patient/Family verbalizes understanding of prescribed diet _____ Yes _____ No * 3. Appetite: ____ Normal _____ Increased ____ Decreased (> 7 days or > 1 meal/day)* 4. Weight change in last 6 months:
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Unformatted text preview: _____ None _____ Loss of >10% of body weight* 5. Swallowing: _____ Within Normal Limits _____ Difficulty* (solids/liquids) 6. Stage II or> decubitis (bed sores)*_____ 7. Infected Wound* _______ 8. TPN or Enteral Feeding* _____ * Requires further nutritional assessment by dietitian...
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