10/12/22
                          N11 –Nursing Foundations
                  Nursing Management: 
               Nutrition and Metabolism
                      Kenny-lynn B. Baccay, RN, MA (Nursing)
                                                  kbbaccay@up.edu.ph
        1
                              Discuss essential components and 
                              purposes of nutritional assessment and 
                              screening
                              Identify significant finding from data 
                              obtained from nursing assessment
           Objectives         Identify nursing diagnoses based on 
                              nursing assessment
                              Statement outcome criteria for evaluating 
                              client responses to measure that promote 
                              adequate nutrition and good metabolism
        2
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                                                  10/12/22
                         Describe common interventions to 
                         address client’s nursing problems in 
                         nutrition and good metabolism
                         Discuss roles and responsibilities of 
                         nurses in providing diet therapy and 
         Objectives      nutritional support
                         Describe the steps in providing diet 
                         therapy and support
                         Evaluate outcomes of care and client’s 
                         response to interventions
       3
                                  ASSESSMENT
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           Assessment
           • A nutritional assessment or 
            nutritional screening identifies 
            clients at risk for malnutrition 
            and those with poor nutritional 
            status
           • Nutritional assessment is a 
            shared responsibility of the 
            healthcare team
        5
             Nursing history
             • Age, sex, and activity level
             • Difficulty eating (e.g., impaired chewing or swallowing)
             • Condition of the mouth, teeth, and presence of dentures
             • Changes in appetite
             • Changes in weight
             • Physical disabilities that affect purchasing, preparing, and eating
             • Cultural and religious beliefs that affect food choices
             • Living arrangements (e.g., living alone) and economic status
             • General health status and medical condition
             • Medication history
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                            Anthropometric
           Components       Biochemical
           of a 
           nutritional      Clinical
           assessment
                            Dietary
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                            • Noninvasive techniques that aim to quantify 
                             body composition
                            • Skinfold measurement is performed to 
                             determine fat stores. 
                              • Triceps skinfold
           Anthropometric     • Mid-upper arm circumference (MUAC)
           Measurements       • Mid-arm muscle area (MAMA)
        8
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