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Abstract
A manual and scoring sheet for nutritional assessment of the pediatric patient has been developed. The manual includes a list of appropriate dietary and medical historical questions to aid in identifying the pediatric patient at risk for nutritional deficiencies; a system oriented nutritional physical examination to identify physical findings of nutritional deficits; and a list of specific nutritional deficits associated with pediatric disease processes. Guidelines are included for obtaining, 1) additional blood studies such as serum vitamin and mineral levels, 2) x-ray studies, such as chest x-ray, bone age, and CT scan of the brain, 3) EKG, 4) and collections of urine and feces. The scoring sheet includes consideration of percent ideal body weight, percent weight change, weight for height, triceps and subscapular skin fold thickness, arm muscle circumference, albumin, transferrin, skin testing, and absolute lymphocyte counts that have been adapted for use in the various age groups within pediatrics. A numerical score is assigned to each item indicating degree of deficit and a total nutrition score is calculated. A score of 0 to 5 indicates normal nutritional status, 6 to 10 mild, 11 to 15 moderate, and > 15, severe nutritional deficits. This type of manual and scoring sheet provides a means to teach concepts of pediatric nutritional assessment.
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