caa a22 4500 388096926 CHVBK 20180307125306.0 cr unu---uuuuu 161130e199902 xx s 000 0 eng 10.1079/PNS19990007 doi S0029665199000099 pii (NATIONALLICENCE)cambridge-10.1079/PNS19990007 Edington Jacqueline Abbott Laboratories, Abbott House, Norden Road, Maidenhead, Berkshire SL6 4XE, UK Problems of nutritional assessment in the community [Elektronische Daten] [Jacqueline Edington] The present paper explores the problems associated with assessment of nutritional status in the community and reviews the literature related to this subject. The first problem is one of terminology, since a logical first step before assessment is screening, which identifies characteristics known to be associated with dietary or nutritional problems. Its purpose is to differentiate individuals who are at high nutritional risk or have poor nutritional status. There are certain factors which should alert the primary health care team to the fact that nutritional intake may be reduced and that risk of malnutrition is increased. These include disease condition, functional disabilities, inadequate or inappropriate food intake, poor dentition or difficulty swallowing, polypharmacy, alcoholism, depression, poor social circumstances or recent discharge from hospital. Patients suffering from these factors need to be identified so that screening becomes a routine part of their medical treatment. At-risk groups include the elderly, the chronically ill, those with cancer and neurological disorders, post-surgical patients and children with developmental disabilities. In the community, practice and community nurses see the majority of at-risk patients and should carry out screening. A number of screening tools have been developed for community use. Most are aimed at the elderly population, but there are others designed to assess nutritional risk in children with developmental disabilities and the general population. These are reviewed and problems of content and validity identified. Some problems associated with nutritional assessment are also reviewed. Copyright © The Nutrition Society 1999 Nutritional status assessment nationallicence Nutritional screening tools nationallicence Malnutrition nationallicence Proceedings of the Nutrition Society Cambridge University Press 58/1(1999-02), 47-51 0029-6651 58:1<47 1999 58 PNS https://doi.org/10.1079/PNS19990007 text/html Onlinezugriff via DOI 1 conference jats NATIONALLICENCE 856 40 https://doi.org/10.1079/PNS19990007 text/html Onlinezugriff via DOI NATIONALLICENCE 100 1- Edington Jacqueline Abbott Laboratories, Abbott House, Norden Road, Maidenhead, Berkshire SL6 4XE, UK NATIONALLICENCE 773 0- Proceedings of the Nutrition Society Cambridge University Press 58/1(1999-02), 47-51 0029-6651 58:1<47 1999 58 PNS CC0 http://creativecommons.org/publicdomain/zero/1.0 nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-cambridge