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Nutritional Assessment Impersonal DetailsFirst Nameless NameD ate Of Birth (DOB)DayMonthYearOccupationPlease enter current and previous occupationHeight [cm]Weight [Kg]Gender male female otherAgeContact
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How to fill out mini nutritional assessment form

01
Begin by gathering the necessary information such as weight, height, mid-arm circumference, calf circumference, and dietary intake.
02
Assess the individual's overall health status and any relevant medical history.
03
Utilize the scoring system provided in the form to determine the individual's risk of malnutrition.
04
Interpret the results and provide appropriate recommendations or referrals as needed.

Who needs mini nutritional assessment form?

01
Individuals who are at risk of malnutrition or are experiencing weight loss, decreased appetite, or other signs of inadequate nutrition.
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Mini Nutritional Assessment form is a screening tool used to evaluate the nutritional status of individuals, particularly in the elderly population.
Healthcare professionals, caregivers, and individuals concerned about their nutritional status may use the Mini Nutritional Assessment form.
The form typically includes questions about weight loss, dietary habits, mobility, psychological status, and BMI.
The purpose of the Mini Nutritional Assessment form is to identify individuals at risk of malnutrition.
Information such as weight history, recent food intake, mobility, BMI, and overall health status must be reported on the form.
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