Treatment FAQ

what is the appropriate method for recording the food intake of a patient on a treatment sheet

by Randall Yundt Published 3 years ago Updated 2 years ago

Full Answer

What is the best method for registering food intake in hospitals?

The weighed method is regarded the gold standard for accuracy towards registering food intake in the hospital setting. However, this method is extremely time-consuming and impractical for use in daily practice.

Does the data collection procedure influence the patient’s food intake?

Additionally, the data collection procedure did not influence the patients’ meal time nor food intake.

How can electronic Food Records be used to measure intake?

Electronic food records can produce intake estimates comparable to those from traditional food records or recalls [36,37]. Alternatively, mobile phones or digital cameras may be used to photograph each meal, snack, or beverage [38].

Is there a tool to monitor dietary intake during hospitalization?

Background/objectives Monitoring food intake of patients during hospitalization using simple methods and minimal training is an ongoing problem in hospitals. Therefore, there is a need to develop and validate a simple, easy to use, and quick tool that enables staff to estimate dietary intake.

How do you record food intake?

When keeping a food diary, some basic rules to remember are:Write everything down. Write everything down, no matter how small it seems.Do it now. Don't rely on your memory at the end of the day. ... Be specific. Record your food exactly how you eat it. ... Estimate amounts.

What is food record method?

Description. A food record (also called a food diary) is a self-reported account of all foods and beverages (and possibly, [glossary term:] dietary supplements) consumed by a respondent over one or more days (i.e., an [glossary term:] n-day food record).

What methods are used to assess someone's nutritional intake?

Subjective dietary assessment methods that assess an individual's intake include the 24-hour dietary recall (24HR), dietary record (DR), dietary history, and FFQ. Data are collected with the help of a trained interviewer or by self-report.

Which method is the nurse using to assess dietary intake on a patient?

Which method is the nurse using to assess this patient's dietary intake? (The easiest and most popular method for obtaining information about dietary intake with a patient is the 24-hour recall. The nurse records everything that the patient has eaten for the last 24 hours.

Which method of assessing dietary intake is most accurate and requires food and beverages to be recorded as they are consumed?

Food Frequency Questionnaire (FFQ): Subjects report how frequently certain food and beverage items were consumed over a specific period of time (typically 1 year).

What is nutritional assessment sheet?

A nutrition assessment is an in-depth evaluation of both objective and subjective data related to an individual's food and nutrient intake, lifestyle, and medical history. Once the data on an individual is collected and organized, the practitioner can assess and evaluate the nutritional status of that person.

What are the 4 types of methods that health care providers can use for nutritional assessments?

An easy way to remember types of nutrition assessment is ABCD: Anthropometric, biochemical, clinical, and dietary.

What is the most accurate method of assessing nutritional status?

A 3-7d weighed food record is the best method for an accurate assessment of an individual's current macro- & micronutrient intake.

What is a nursing nutrition assessment?

Nutritional assessment is used to evaluate nutritional status, identify disorders of nutrition and determine which individuals need instruction and/or support (Moore, 2005). An assessment should include screening for malnutrition using a validated tool.

What is the nurse's role in nutritional assessment?

Nurses have the expertise and responsibility to ensure that patients and clients' nutritional needs are met. Providing nutrition screening and appropriate nutrition advice is essential to improve healthy eating and subsequent health outcomes. Non-communicable diseases are often associated with modifiable risk factors.

Background

Increasing healthcare costs related to lifestyle-related chronic diseases require new solutions. Research on self-management tools is expanding and many new tools are emerging. Recording food intake is a key functionality in many of these tools. Nutrition monitoring is a relevant method to gain an overview of factors influencing health.

Purpose

To gain insight into the existing approaches to recording food intake, and to analyze current functionalities and input methods.

Methods

We searched digital libraries, vendor markets and social networks focusing on nutrition. Selection criteria were publications written in English, and patient-oriented tools that offered recording of food intake or nutrition.

Results

31 publications met the selection criteria. The majority of the identified food recording systems (67%) facilitated entry of food type and the consumed quantity of food; 16% of the systems were able to record more than one type of data. The three most frequent target populations were people with obesity, diabetes and overweight.

Conclusion

The analyzed apps reflected a variety of approaches to recording food intake and nutrition using different terminals – mostly mobile phones (35%), followed by PCs (29%) and PDAs (23%) for older studies, designed mainly for users with obesity (45%), diabetes mellitus (42%) and overweight (32%), or people who want to stay healthy (10%).

How often should you reassess your food intake?

Food intake should be re-assessed every 24 to 48 hours [ 1 ]. Despite this firm recommendation for nutrition intake, neither this review, or the guidelines question or recommend which methods to use for obtaining information about food intake, also known as “ dietary record methods ” [ 1 - 4 ].

What is the purpose of the 24-hour recall dietary interview?

The purpose of the study was to investigate whether the nurses’ quartile nutrition registration method and the 24-hour recall dietary interview, may be used as a valid indication of a patient’s energy- and protein intake in daily practice as well as clinical research, with regard to accuracy and feasibility.

Why were patients selected in the afternoons?

This selection took place after ward rounds, to reduce the risk that enrolled patients who were discharged before end of study on the following day .

Is 24-hour recall dietary interview valid?

This study aimed to investigate whether the nurses’ nutrition registration method and the 24-hour recall dietary interview, may be used as a valid indication of a patient’s energy -and protein intake in daily practice as well as in clinical research, with regard to accuracy and feasibility.

Is the nurses method for registration of food intake including quartiles of served portion statistically significant?

The nurses’ method for registration of food intake including quartiles of served portion had a statistically significant correlation to weighed method, and is evaluated to be practicable and sensitive enough for clinical practice as well as for research purposes.

Is the nurses quartile method for food intake sensitive enough for clinical practice?

Conclusion: The nurses’ quartile method for registration of food intake is practicable and sensitive enough for clinical practice as well as for research purposes. The 24-hour dietary recall interview is found less sensitive, however sensitive enough for decision-making in clinical practice.

When providing and monitoring fluid intake and output, clinical care providers use two types of forms/charts, one for

When providing and monitoring fluid intake and output, clinical care providers use two types of forms/charts, one for purposes of planning and the other for recording findings . Each type consists of different components as shown below:

Why is the intake output chart so named?

The Intake-Output chart is so named because on one side is the Intake and the other the Output. Measurements of volume are in ml. The chart is for a 24 hour period but, for practical reasons, it does not follow the calendar day (i.e. is not from 12 Midnight to 12 Midnight of the next day).

What is IV fluid order?

A proper IV fluid order would indicate the type of fluid to be given, the starting time, the period it is to be administered. When properly written it also acts as the plan. It is important that the doctor prescribes the type of fluid to be given, the amount of each type, the total amount for period and the route / site planned. It would mean that the order and plan is written on the same form. The nurse needs only to calculate the rate. This arrangement is subject to policies of the hospital concerned.

How much water does a 50-90 kg person need?

The water intake of a 50-90 kg adult person is about 2500 to 3000 ml per day or 2 ml/kg/hour. Normally, this is accomplished by:

Why is monitoring important in clinical care?

Monitoring is an important clinical care process that provides the means to determine the progress of the disease and the beneficial as well as detrimental effects of treatment. Monitoring of Intake help care givers ensure that the patient has proper intake of fluid and other nutrients. Monitoring of output helps determine whether there is adequate ...

Why is it important to keep IV drips in a ward?

It is very convenient for IV drip solutions to be kept as part of the ward stock, because large amounts are used especially in acute care wards. However, issues arise when additions like electrolyte such as Potassium or drugs such as inotropes (dopamine, dobutamine), heparin and antibiotics need to be added.

Is an intake output chart necessary?

For patients taking well orally and on a normal diet, an Intake-Output Chart is quite unnecessary. It is only in situations where there is clear indication that the patient’s oral intake needs to be monitored and controlled that an I-O chart is indicated. Indications include:

How long do you have to record food in epidemiology?

Food records or diaries require individuals to record all foods and beverages consumed during a specified period of time, usually 3–7 days. Participants are asked to carry the record with them and to record foods as eaten in real time. Some protocols require participants to weigh and/or measure foods before eating and review the record with a registered dietitian, whereas less stringent protocols use food models or other aids to instruct respondents on estimating serving sizes and do not engage in extensive review or documentation [34]. To obtain nutrient estimates, the food consumption information from records/diaries must be entered into a specialized software program. This data-entry step is a time-consuming task and requires trained data technicians or registered dietitians. Food records are burdensome for study participants and, due to the staff time required, are expensive to administer. Therefore, for large epidemiologic studies with tens of thousands of study participants, food records are cost prohibitive.

What is a food record?

Food records (also called dietary records or dietary diaries ) collect data on dietary intake by subjects' self-record over a specified period. This dietary assessment approach does not rely on individual's memory since respondents are asked to record foods and beverages as they are consumed throughout the reporting day (a “real-time” accounting). Duration of the survey depends on the study aim and the desired level of precision in estimating food consumption or nutrient intake. To assure accurate and detailed data, respondents must be trained to record adequately the food items consumed, including the name of the food, amount consumed, preparation methods, brand names of commercially available products, recipes of composite dishes, as well as other particularities of interest (Van Staveren et al., 2012 ). Additional data regarding the time and location of consumption, parallel activity, and the presence of other people could be useful for the interpretation of an individual's eating pattern and social context of diet. Traditionally, food records capture information in an open-ended manner and accommodate any food consumed by the participant with an unlimited level of specificity and detail in the dietary intake description ( Willet, 2013 ). This highly flexible method for dietary intake assessment could be applied in diverse groups with various lifestyle and eating habits.

How long are dietary recalls kept?

Because of the participant burden, dietary recalls or records are generally only kept for 3 or 4 days.

How are 24-hour recalls used?

The 24-hour dietary recall, food records, and food frequency instruments have all been used to assess children's intakes, which is considered to be even more challenging than assessing the diets of adults [260–265 ]. Children tend to have diets that are highly variable from day to day, and their food habits can change rapidly. Younger children are less able to recall, estimate, and cooperate in usual dietary assessment procedures, so much information by necessity has to be obtained by surrogate reporters. Adolescents, while more able to report, may be less interested in giving accurate reports. Baranowski and Domel [266] have posited a cognitive model of how children report dietary information.

What is weighted food record?

In a weighted record, a subject weights foods and beverages prior to consumption, as well as any leftovers, and records detailed description of all the items and their weights in the recording sheet. Weighted food records provide precise food amount quantification, but are more expensive and demanding for the participant.

Can you collect information about acrylamide?

With short-term instruments such as 24-HR or food records, which are usually open-ended, it is theoretically possible to collect sufficient descriptive details about the food sources of acrylamide (e.g., cooking method, brand/product name information).

Introduction

Aims

Subjects and Methods

  • The study, which went on for four week-days, was designed as a comparison between four dietaryregistration methods, where the weighed method was considered the gold standard. The Bland- Altman method was used to determine the quality of the nurses’ registration method, the 24-hour diet recall method and DIMS, compared to the gold standard. Participants were patient…
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Results

  • Demographic information Over the four days, 32 patients were included in the study. All had meals, snacks and drinks registered by the nurses’ records and weighed food records. Above 75% of nutritional requirements were overall fulfilled by 97% of patients with regard to energy and 67% with regard to protein in both methods. Of the 32 patients, only 27 participated in 24-hour dietar…
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Discussion

  • This study aimed to investigate whether the nurses’ nutrition registration method and the 24-hour recall dietary interview, may be used as a valid indication of a patient’s energy -and protein intake in daily practice as well as in clinical research, with regard to accuracy and feasibility. We included 32 patients, and anticipated that patients would have all registration methods performed. The si…
See more on scitechnol.com

Limitations

  • The fulfilling of energy and protein above 75% is strived in all nutritionally at risk patients. In this study this was practically fulfilled in all patients with regard to energy, but only in 76% of the patients for protein. However, there may be some uncertainty associated with this serving model, as all caregivers, including nurses serving for patients, are not professionally trained to estimat…
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Conclusions

  • The nurses’ method for registration of food intake including quartiles of served portion had a statistically significant correlation to weighed method, and is evaluated to be practicable and sensitive enough for clinical practice as well as for research purposes. The 24-hour dietary recall interview is found less sensitive, however sensitive enough...
See more on scitechnol.com

References

  1. Kondrup J, Allison SP, Elia M, Vellas B, Plauth M (2003)ESPEN Guidelines for Nutrition Screening 2002. Clin Nutr 22: 415-421.
  2. Bounoure L, Gomes F, Stanga Z, Keller U, Meier R, et al. (2016)Detection and treatment of medical inpatients with or at-risk of malnutrition: Suggested procedures based on validated guidelines. Nut...
  1. Kondrup J, Allison SP, Elia M, Vellas B, Plauth M (2003)ESPEN Guidelines for Nutrition Screening 2002. Clin Nutr 22: 415-421.
  2. Bounoure L, Gomes F, Stanga Z, Keller U, Meier R, et al. (2016)Detection and treatment of medical inpatients with or at-risk of malnutrition: Suggested procedures based on validated guidelines. Nut...
  3. Braga M, Ljungqvist O, Soeters P, Fearon K, Weimann A, et al. (2009)ESPEN Guidelines on Parenteral Nutrition: surgery. Clin Nutr 28: 378-386.
  4. Kondrup J, Bak L, Hansen BS, Ipsen B, Ronneby H (1998)Outcome from nutritional support using hospital food. Nutrition 14: 319-321.

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