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Patient ID InformationScored PatientGenerated SubjectiveGlobal Assessment (PG SGA) History (Boxes 14 are designed to be completed by the patient.) 1.2. Food Intake: As compared to my normal intake,
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How to fill out pg-sga - form ottawa
How to fill out pg-sga - form ottawa
01
To fill out the PG-SGA form Ottawa, follow these steps:
02
Start by writing down the patient's name and relevant identification details in the designated fields.
03
Proceed to the 'History and Physical' section and provide information about the patient's medical history, including any underlying conditions, previous treatments, and current symptoms.
04
Move on to the 'Dietary Intake' section and document the patient's dietary habits, including types of food consumed, portion sizes, and any difficulties with eating or swallowing.
05
In the 'Weight History' section, record the patient's weight fluctuations over time, noting any significant changes or trends.
06
Fill out the 'Symptoms' section by describing the severity and frequency of symptoms experienced by the patient, such as fatigue, pain, or loss of appetite.
07
In the 'Nutritional Interventions' section, indicate any nutrition-related interventions or therapies that have been recommended or implemented for the patient.
08
Complete the 'PG-SGA Score' section by assigning scores for each relevant category based on the patient's condition and symptoms.
09
Finally, review the form to ensure all necessary information has been provided, and sign and date the document before submitting it as required.
Who needs pg-sga - form ottawa?
01
The PG-SGA form Ottawa is primarily used by healthcare professionals and clinicians to assess the nutritional status and needs of patients, particularly those who are undergoing cancer treatment or with chronic illness.
02
It is also beneficial for individuals who are experiencing significant weight loss, malnutrition, or those who require close monitoring of their nutritional status.
03
By evaluating the information collected through the form, healthcare providers can develop personalized nutrition plans and interventions to optimize patient care and improve overall well-being.
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