![]() ![]() Clavicular region (pectoralis major and deltoids).Do so in a scooping motion forward, back, and diagonal. Use your thumbs or fingers to palpate the muscle over the temporal bone. There are several areas you will want to assess for muscle loss. You will then assess for muscle loss, fat loss, fluid status, and micronutrient deficiencies. Remember to wash and dry your hands thoroughly and wear gloves before starting. Components of the examīefore you begin an NFPE, introduce yourself to the patient and if present, the family members too.Įxplain the rationale for the exam and then ask the patient for permission to examine them. Identifying malnutrition early allows you to provide timely nutrition interventions, which can decrease the length of stay, falls, pressure ulcers, readmissions, as well as overall health care costs ( 3, 4, 5). While NFPEs are commonly performed in the acute-care setting, they also serve an important role in identifying and documenting malnutrition in long-term care. Performing an NFPE can provide you with the necessary supportive data to identify and diagnose a patient with, or who is at risk of, malnutrition. ![]() ![]() The specific focus of the NFPE is on nutrition to determine whether the fat, muscle, fluid, and micronutrient status of a patient has diminished due to inflammation, illness, or poor nutrient intake. It also employs palpation, which requires the use of touch with the tips and pads of fingers to evaluate and assess texture, size, and tenderness. The exam requires a critical eye to determine the color, shape, texture, and size of the patient. The NFPE is a system-based examination of each region of the body to assess for physical findings related to nutrition. The importance of the nutrition-focused physical exam This article serves as a beginner’s guide on how to confidently conduct a thorough NFPE. ![]()
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