http://www.fpnotebook.com/

Nutritional Health Checklist

Aka: Nutritional Health Checklist

Indication
1. Assess nutritional status of older adults
Questions: Answer each with yes or no (score for yes/positive answer in parentheses)
1. Illness interferes with diet (2)
2. Less than 2 meals daily (3)
3. Few fruits, vegetables or milk products (2)
4. Three or more Alcohol drinks almost everyday (2)
5. Dental or oral problems interfere with eating (2)
6. Limited finances to buy food (4)
7. Eats alone (1)
8. Takes 3 or more medications including OTC (1)
9. Unintentional 10 pound weight change in the last 6 months (2)
10. Physically limited to shop, cook or eat (2)
Interpretation
1. Score 0-2: Good
2. Score 3-5: Moderate nutritional risk
3. Score 6+: High nutritional risk
References
1. Elsawy (2011) Am Fam Physician 83:48-56

Family Practice Notebook

Patients should address specific medical concerns with their physicians.

Although access to this page is not restricted, the information found here is intended for use by medical providers.

This page was written by Scott Moses, MD, last revised on 2/5/2012 and last published on 5/17/2012.

This is one of 5740 pages in the Family Practice Notebook