Get the free Diet Order Screening Report - CBORD

Nutrition Service Suite Annotated Report Set Master Edition The CHORD Group, Inc. Ithaca, NY Please send any comments about this document to: Marketing and Media Department The CHORD Group, Inc. 61

How to fill out diet order screening report

How to fill out a diet order screening report:

1. Start by gathering all the necessary information about the patient. This includes their full name, age, gender, medical history, and any dietary restrictions or allergies they may have.
2. Begin the report by documenting the reason for the screening. This could be due to a recent hospitalization, a change in medical condition, or a request from the patient or their healthcare provider.
3. Next, assess the patient's current nutritional status. This involves recording their height, weight, body mass index (BMI), and any recent weight changes. Additionally, note if the patient has any malnutrition symptoms or signs of nutrient deficiencies.
4. Evaluate the patient's dietary intake. Ask them about their typical eating habits, including the types and amounts of food they consume. It is essential to document any specific dietary patterns or restrictions the patient follows, such as a vegetarian or gluten-free diet.
5. Assess the patient's appetite and tolerance to food. Find out if they have any difficulties chewing, swallowing, or digesting certain foods. Also, inquire about any gastrointestinal symptoms they may be experiencing, such as bloating, nausea, or diarrhea.
6. Consider the patient's medical and medication history. Take note of any diagnoses, chronic diseases, or surgeries they have undergone. Additionally, document the medications they are currently taking, as certain medications can affect nutrient absorption or have interactions with specific foods.
7. Discuss the patient's lifestyle and activity level. Inquire about their occupation, exercise routine, and any relevant cultural or religious practices that may impact their dietary choices.
8. Finally, summarize and analyze all the gathered information. Identify any nutritional concerns or specific dietary modifications that may be required based on the patient's condition and needs.

Who needs a diet order screening report?

1. Patients who have been recently hospitalized and require assessment of their nutritional needs for an accurate diet plan during their recovery.
2. Individuals with specific medical conditions, such as diabetes, cardiovascular disease, or kidney disease, who need a tailored diet to manage their condition effectively.
3. Patients with malnutrition or potential nutrient deficiencies, where a diet order screening report can help in determining the appropriate interventions for their nutritional support.
4. Individuals who have requested a dietary assessment or follow-up due to personal health goals, weight management, or changes in their lifestyle.

Remember, a diet order screening report should always be filled out by a qualified healthcare professional or a registered dietitian with expertise in nutrition assessment and care planning.

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