Table 2 Nutrition and clinical assessment checklist
Nutritional assessment | Demographic | ||
(A) Anthropometrya | Age | ||
Weight and weight history | Gender | ||
Height | Race | ||
Body Mass Index | Social: occupation, living arrangement | ||
Triceps skinfold | Clinical data | ||
Mid-Arm circumference | Cause of kidney failure | ||
(B) Biochemistry /blood resultsa | Co-morbidities, presence of: | ||
Serum creatinine, eGFR | Coronary artery disease | ||
Serum albumin, potassium, phosphate and C reactive protein, CRP (if available) Haemoglobin | Chronic lung disease | ||
(C) Clinical signs and symptomsa | Cerebral vascular disease | ||
Appetite score | Peripheral vascular disease | ||
Presence of nausea | Diabetes Mellitus | ||
Presence of taste change | Other conditions affecting nutrition status e.g. cancer, liver disease etc. | ||
Presence of other symptoms (see section “O”) | Smoking habits | ||
(D) Dietary intake/ Druga | Future treatment option | ||
Diet history (structured diet history method) | Conservative care | ||
Nutrient & food group analyses | Haemodialysis(home/hospital) | ||
Drug (relevant medications e.g., phosphate binders etc. and drug- nutrient interaction) | Peritoneal dialysis | ||
(E) Exercise and Physical activitya | Transplantation | ||
(F) Functional statusa | |||
Handgrip strength | Discharge from current program | ||
(O) Othersa | Date | ||
Subjective Global Assessment, SGA (7 point scale) | Treatment modality or other reasons | ||
Palliative care outcome scale (POS) | eGFR and nutritional status | ||
How patients are feeling? Any question about the diet? Barrier and enabler to better diet adherence. | |||