Unit 4 Nutritional Assessment
Nutrition Assessment
Unit 4 Assignment
Kaplan University
Tasha Howard
Professor Wunderly
August 26, 2013
During a nutritional assessment, the client’s height, weight, age, sex, and physical activity level are gathered and used in determining the body mass index (BMI) and daily caloric intake requirements of micro- and macronutrients. The following formula, from the Center for Disease Control and Prevention, was used to determine Josephine’s body mass index (BMI) using her current height and weight of 5’ 7” and 117 pounds: height (inches) x [weight (pounds)2] x 703 (Healthy Weight, 2011). During Josephine’s initial session she mentions wanting to lose weight; however, when using the formula above, her BMI is within normal range at …show more content…
The lowered albumin can be an indication of several factors, including malnutrition, low iron intake, and reduced liver function (Jaeger & Hedegaard, 2001). Albumin is a protein synthesized in the liver and helps maintain blood volume, and it acts as a carrier for substances, such as medications; therefore, it is important that Josephine’s slight lowered albumin not be overlooked or misdiagnosed. Josephine’s low iron can be an indicator of a damaged liver because the liver stores iron; however, her diet recall showed insufficient iron intake consuming less than half of the recommended intake for a 1200 kcal daily intake at more than 1800 kcal (Food Diary, 2013). Vitamin B12 or folic is essential for healthy blood cells and the prevalence of Vitamin B12 is more common in the Hispanic culture than their non-Hispanic, white counterparts according to the July 1, 2002 issue of The Journal of Nutrition; therefore, there should be an emphasis on consumption of fortified foods not typical in the Hispanic diet, such as cereals, and foods naturally high in folic acid, such as leafy greens, lean meats, poultry and fish (Kwan, Bermudez, & Tucker,
Unit 4 Assignment
Kaplan University
Tasha Howard
Professor Wunderly
August 26, 2013
During a nutritional assessment, the client’s height, weight, age, sex, and physical activity level are gathered and used in determining the body mass index (BMI) and daily caloric intake requirements of micro- and macronutrients. The following formula, from the Center for Disease Control and Prevention, was used to determine Josephine’s body mass index (BMI) using her current height and weight of 5’ 7” and 117 pounds: height (inches) x [weight (pounds)2] x 703 (Healthy Weight, 2011). During Josephine’s initial session she mentions wanting to lose weight; however, when using the formula above, her BMI is within normal range at …show more content…
The lowered albumin can be an indication of several factors, including malnutrition, low iron intake, and reduced liver function (Jaeger & Hedegaard, 2001). Albumin is a protein synthesized in the liver and helps maintain blood volume, and it acts as a carrier for substances, such as medications; therefore, it is important that Josephine’s slight lowered albumin not be overlooked or misdiagnosed. Josephine’s low iron can be an indicator of a damaged liver because the liver stores iron; however, her diet recall showed insufficient iron intake consuming less than half of the recommended intake for a 1200 kcal daily intake at more than 1800 kcal (Food Diary, 2013). Vitamin B12 or folic is essential for healthy blood cells and the prevalence of Vitamin B12 is more common in the Hispanic culture than their non-Hispanic, white counterparts according to the July 1, 2002 issue of The Journal of Nutrition; therefore, there should be an emphasis on consumption of fortified foods not typical in the Hispanic diet, such as cereals, and foods naturally high in folic acid, such as leafy greens, lean meats, poultry and fish (Kwan, Bermudez, & Tucker,