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Jean Inman_ Domain II ADIME - Questions with Explanations of Answers

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Jean Inman_ Domain II ADIME - Questions with Explanations of Answers

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  • June 16, 2024
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  • 2023/2024
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Jean Inman: Domain II ADIME
Nutrition Screening - ✅✅ -Use of preliminary nutrition assessment techniques to
identify people who are malnourished or who are at risk for malnutrition.
- All health care team members can participate (not part of the 4 step process, but
serves a supportive role)
- Brief, 5-10 min.

Nutrition Screening - The Joint Commission - ✅✅ -Nutrition risk is identified in
hospitalized patients within 24 hours of admission, but does not mandate a method
of screening.

Subjective Global Assessment (SGA) - ✅✅ -A clinical method of assessing
nutritional status based on findings in a health history and physical examination.
- No lab values

Mini Nutritional Assessment (MNA) - ✅✅
-- A validated tool used for nutrition
screening and assessment for the population > 65yo
- Assesses:
1. Independence
2. Meds
3. # meals consumed/d
4. Protein intake
5. F/V
6. Fluid
7. Mode of feeding

✅✅-Used on elderly population.
Nutrition Screening Initiative (NSA) -

Geriatric Nutritional Risk Index (GNRI) - ✅✅-Screening tool which assesses
1. Serum Albumin
2. Weight changes

Malnutrition Screening Tool (MST) - ✅✅-Used on adult acute care patients.
Assesses:
1. Recent weight loss
2. Recent poor dietary intake

Nutrition Risk Screening (NRS) - ✅✅ -Used on medical-surgical population.
Assesses:
1. Weight loss
2. Effect of acute disease on intake for >5 days

, Malnutrition Universal Screening Tool (MUST) - ✅✅-Screening tool which
assesses
1. BMI
2. Unintentional weight loss
3. Effect of acute disease on intake for >5 days

Food Frequency Lists - ✅✅ -How often an item is consumed. Community setting,
quick way to determine intakes on large numbers of people.

Adjusted IBW Equation for Amputation - ✅✅-[(100 - % Amputation)/100]*IBW for
original ht

Amputation % for Entire Leg - ✅✅-16%
Amputation % for Lower Leg with Foot (BKA) - ✅✅-6%
Amputation % of entire arm - ✅✅-5%
Amputation % of Forearm with Hand - ✅✅-2.3%

Spinal Cord Injury - Quadriplegic - ✅✅-Reduce by 10-15% of (?IBW)

Spinal Cord Injury - Paraplegic - ✅✅-Reduce by 5-10% of (?IBW)

Triceps Skinfold Thickness (TST) - ✅✅-Measures body fat reserves & calorie
reserves

Arm Muscle Area - ✅✅
-- Measures skeletal muscle mass
- IMPORTANT MEASURE IN GROWING CHILDREN

Male Waist Circumference - ✅✅-> 40"
Female Waist Circumference - ✅✅-> 35"

Male WHR - ✅✅-≥1.0

Female WHR - ✅✅-≥0.8

Bioelectrical Impedence Analysis (BIA) - ✅✅-A method of assessing body
composition (FFM and Total Body Water) by running a low-level electrical current
through the body at bedside.
- MUST BE WELL HYDRATED
- no caffeine, alcohol or diuretics in the past 24 hrs

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