GROUP 3
A CASE STUDY REPORT:
Male Adult
ASSESSING THE NUTRITIONAL STATUS AND
HEALTH OUTCOMES OF A SPECIFIC POPULATION
BSND 2103 ND 202L 2023
Overview
01 Introduction 06 Dietary Assessment
02 The Patient General Information 07 Importance of Multifaceted Assessment
03 Anthropometric Assessment 08 Recommendations and Interventions
04 Biochemical Assessment 09 Conclusion
05 Clinical Assessment 10 Appendices
Introduction
Nutrition assessment is vital for health and wellness. It helps identify
nutritional deficiencies, develop personalized plans, prevent chronic
diseases, monitor interventions, and support growth.
Anthropometric assessment
Measuring physical characteristics like height, weight, and body composition to
evaluate nutritional status.
Biochemical assessment
Analyzing blood or other bodily fluids to measure nutrient levels and identify
deficiencies or imbalances.
Clinical assessment
Evaluating medical history, physical examination, and symptoms to assess
overall health and identify signs of nutrient deficiencies.
Dietary assessment
Collecting information on food intake to evaluate nutrient intake, identify
dietary imbalances, and inform dietary recommendations.
The Patient General
Information
Personal Data
Name: N/A (Patient X)
Age: 69
Birthdate: April 04,1954
Civil Status: Married
Place of Residence: 408
Masaya,Rosario,Batangas
Socioeconomic Status: Middle class
Weight: 67
Height: 5’1 ft (153cm)
BMI: (WHO Reference) 28.6 kg/m²- Overweight
The Patient General
Information
Type of Physical Activity: Light Physical Activity
Blood Pressure: 129/65
Date of Confinement: December 2021
Physician’s Diagnosis
Stage 5 Chronic Kidney Disease
On maintenance hemodialysis
Medical History
History of Present Illness
Up until today, the patient has been continuously undergoing
dialysis and treatments to counter the 5th stage of chronic
kidney disease.
History of Past Illness
In the past, the patient had experienced gout swelling of
joints, especially in his ankle.
Medical History
Family History
In his family, both the father and mother do not experience this
kind of severe chronic disease that he is now shouldering and
experiencing. On his mother's side, they have a family history of
arthritis.
Personal and Social History
The patient used to work as a truck driver, construction worker, and
community watchman, but his health issues have forced him to
stop. The patient, who is married and has three working children,
does not appear to have a family history of serious chronic
illnesses, though his mother's side of the family does have arthritis.
Anthropometric
Assessment
Height 153 cm
Actual Body Weight (ABW) 67 kg
Usual Body Weight (UBW) 69 kg
Desirable Body Weight (Tannhauser’s
47.7 kg
Formula)
DBW Range 42.93 kg - 52.47 kg
Arm Span 141 cm
Demi Span 74 cm
Ulna Length 24.33 cm
Waist 96 cm
Hip 100 cm
Waist-hip Circumference Ratio 0.96 (Moderate health risk)
Mid-upper arm circumference 30 cm
Present Overweight/ Underweight
% STD. Wt. = 𝐴𝑐𝑡𝑢𝑎𝑙 𝑊𝑒𝑖𝑔ℎ𝑡 / 𝐷𝑒𝑠𝑖𝑟𝑎𝑏𝑙𝑒 𝐵𝑜𝑑𝑦 𝑊𝑒𝑖𝑔ℎ𝑡 x 100%
% STD. Wt. = 67 kg / 47.7 kg x 100%
= 140.46%
Overweight
Percent Weight Change
% Wt. Change = 𝑈𝑠𝑢𝑎𝑙 𝐵𝑜𝑑𝑦 𝑊𝑒𝑖𝑔ℎ𝑡 (𝑈𝐵𝑊)− 𝐴𝐵W / 𝑈𝑠𝑢𝑎𝑙 𝐵𝑜𝑑𝑦 𝑊𝑒𝑖𝑔ℎt x 100
% Wt. Change = 69kg - 67 kg / 69 kg x 100
= 2.90 %
Biochemical
Assessment
Laboratory Test Result Rationale
Creatinine
High levels of creatinine typically indicate the kidneys
Normal Values: 624.4 (High)
are unable to function properly.
63.6-110.5
mg/dL
RDW-CV
A high RDW indicates that your red blood cell size
16.3 (High)
Normal Values: varies more than what is considered as normal.
11.0-15.0%
Laboratory
Result Rationale
Test
Pre Dialysis
Urea
The kidneys are not filtering and eliminating waste products from the
19.7 (High) blood, including urea.
Normal Values:
3.2-7.4 mg/dL
Uric Acid
This occurs when uric acid builds up in the blood due to the kidneys'
640 (High) inability to adequately eliminate it from the body.
Normal Values:
210-240
Clinical
Assessment
Associated Disorder or
Body Area Signs
Nutrient
Pruritus
Skin (Vitamin B12 and Vitamin Itchy skin
A)
Dietary Assessment
3 day food recall
Diet Prescription:
CHO CHON
FAT (g) KCAL 1700 kcal, 280 g CHO, 65 g CHON, 40 g FATS
(g) (g)
Day 1 215.41 52.14 7.95 1141.75
% Adequacy of Calories:
53.52 %
Day 2 280.5 49.5 3 1347
Day 3 188.5 41.5 3 947 % Adequacy of Protein:
67.20 %
ACTUAL HOME INTAKE
NGF (PTA)
VARIANCE
CKD diet recommends prioritizing fresh, homemade
foods over high-sodium restaurant and packaged
options, striving for low-sodium choices by checking
The patient was unable
food labels. While adapting to a lower-salt diet,
to follow eating a variety individuals are encouraged to enhance flavors with
Eat a variety of foods of food because of herbs and spices but should be cautious with salt
substitutes due to their potential high potassium
everyday to get the nutrients having the same meal content. Depending on the CKD stage, there may be
needed by the body. for 3 consecutive days. a need to decrease potassium, phosphorus, and
protein intake to prevent complications, with a
dietitian providing guidance on maintaining a
balanced diet for optimal kidney health. (CDCP,
2022)
Breastfeed infants exclusively
from birth up to six months and
then give appropriate
complementary foods while Not applicable Not applicable
continuing breastfeeding for two
years and beyond for optimum
growth and development.
The patient consumes fruits
Eat more vegetables and fruits
particularly apple and orange
to get the essential vitamins,
and vegetables like ampalaya Followed
minerals, and fiber for
and talbos ng kamote.
regulation of body processes
People with kidney disease or
transplant recipients typically don't
Consume fish, lean meat, need to restrict fish intake, but in
The patient consumes fish, advanced stages, doctors may
poultry, egg. dried beans or
particularly milkfish and suggest limiting overall protein.
nuts daily for growth and Despite this, incorporating fish into
tilapia.
repair of body issues. the diet remains an option, with a
potential need for smaller portions.
(National Kidney Foundation, 2022)
According to Da Vita, Milk is
Consume milk, milk products, and By prescription black coffee is
limited in a Kidney diet as it
other calcium-rich food such as better than milk products or dairy
contains high levels of potassium
small fish and shellfish, everyday products so the patient consumes
and calcium. It's better to have
for healthy bones and teeth. black coffee
black coffee as an alternative.
Consume safe foods and Since the patient is on
water to prevent diarrhea and dialysis treatment, every food
other food-and water-borne and water, particularly
Followed
diseases. mineral water consumed are
safe.
According to Da Vita, Individuals with
They use different kinds of kidney disease must exercise caution
Use iodized salt to prevent regarding the sodium content in their
salt available but prefer
iodine Deficiency Disorders. diets due to its propensity to elevate
Iodized salt more. blood pressure, promote fluid
retention, and contribute to significant
health complications.
Limit intake of salty, fried,
fatty, and sugar-rich foods to
Followed Followed
prevent cardiovascular
diseases.
Walking for 30 minutes is
Attain normal body weight considered as an exercise.
The patient’s status is
through proper diet and Start by having a walk around
overweight with a BMI of
moderate physical activity to the house where large muscles
28.6 kg/m² with a light type of
maintain good health and get to move continuously.
physical activity.
help prevent obesity. (National Kidney Foundation,
2022)
Be physically active, make Walking for 30 minutes is
The patient doesn't engage
healthy food choices, considered as an exercise.
in physical activity because
manage stress, avoid Start by having a walk around
his right arm is being
alcoholic beverages, and do the house where large muscles
punctured during dialysis.
not smoke to help prevent get to move continuously.
Being physically active may
lifestyle-related non- (National Kidney Foundation,
adversely affect his right arm.
communicable disease. 2022)
Overall Health and Well Being
The data highlights the patient's adherence to dietary restrictions for Stage 5 Chronic Kidney
Disease but reveals challenges like limited calorie intake. The 3-day food record indicates a
concerningly low energy intake less than the prescribed intake. Despite commitment to pre-
dialysis recommendations, limited physical activity is noted due to the maintenance dialysis
treatment. Also, The patient has been diligent in taking meals, medicines and vitamins on
time.
Overall, collaborative efforts are crucial to optimize nutritional intake and address specific
challenges for the patient's well-being in Stage 5 Chronic Kidney Disease.
Meal Plan
Meal Plan
Meal Plan
Meal Plan
Meal Plan
Importance of
Multifaceted
Assessment
Anthropometry
Biochemical
Clinical
Dietary
Recommendations and
intervention
Follow the diet plan
Get physically active
Take your medicine and create a restful space
Conclusion
Group 3
Thank
You!
