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* Vital signs
* Signs of change in psychological status, mood, conduct, orientation,
or alertness
* Symptoms of dehydration or fluid and electrolyte imbalance
*Abdominal evaluation, particularly for bowel noises, tenderness, pain, or distension
*Any indicators of infection
* Any queasieness and vomiting
” Mouth/throat, teeth/gums evalution, specifically condition
of the teeth and gums, mouth pain, throat or tongue inflammation, or


* Patient’s age and sex
* Particulars of individual’s wishes for food and food and fluid intake
patterns over preceding couple of days, in comparison to typical (baseline)
* All present prescription medicines, including any recent alterations,
particularly medications known to bring about anorexia
* Present diet regime (typical, mechanical, soft, etc. ) including any
constraints and any recent adjustments
* Any recent track record of mouth or throat soreness, queasieness or vomiting,
stomach pain, heartburn, or indigestion
*Any recent changes in abdominal pattern (constipation, diarrhea,
etc. )
* Recent background of alterations in mood, conduct
* Any current nutritional dietary supplements
*All current diagnoses
* Any recent lab or diagnostic assessment results


Oral Assessment
. Look for quantity and condition of teeth, particularly pairs of
teeth, in eating position
‘ Tenderness and pain due to partial plates or dentures that
do not fit properly
‘ Dried out, sticky, reddish tissue, or blisters on the tongue or floor of
oral cavity
. Dry, chapped, or blisters on or around lip region
‘ Swollen or hemorrhaging gums
. White or red sections, bleeding, or ulcers on material inside
cheeks of mouth
. Potent odor (probably due to tooth decay)
Mini-Nutritional Assessment (MNA) is a straightforward, reliable tool
for evaluating nutritionary levels in elderly people. It consists of
18 items in 4 parts. The MNA was confirmed to be 98%
accurate when compared with a comprehensive dietary
evaluation that included food records and laboratory tests.
The MNA can be acquired at http: //www. nursingcenter. com/
pdf. asp? AlD=770859 (or tool indicated by facility).

Abdominal Assessment
Listen carefully for bowel noises to see if they
are active and clear in all four quadrants. Delicately palpate
over each of the 4 abdominal quadrants. Notice if the abdomen is soft or firm. Look for tenderness, muscular rigidity,
warmth, superficial masses and watch patient’s facial expressions
in the course of palpation. Check for hard stool in the rectum
if the resident has not had a bowel movement in respect to
facility policy.

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