Nutritional assessment and support algorithm

Nutritional assessment and support algorithm

Nutritional assessment and support algorithm Treatment Treatment

«Flowchart»

Albumin 3.5, TLC 1,800, and patient eating or weight >80% of ideal?

Albumin 3.5, TLC 1,800, and patient eating or weight >80% of ideal?

Albumin 3.5, TLC 1,800, and patient eating or weight >80% of ideal?

No

No

No No

Yes

Yes

Yes Yes

Is dietary intake adequate?

Is dietary intake adequate?

Is dietary intake adequate?

Assessment of physical and psychosocial barriers to intake

Assessment of physical and psychosocial barriers to intake

Assessment of physical and psychosocial barriers to intake

Oral nutritional supplements and assistance

Oral nutritional supplements and assistance

Oral nutritional supplements and assistance

Tube feeding

Tube feeding

Tube feeding

Periodic reassessment

Periodic reassessment

Periodic reassessment

Is dietary intake adequate?

Is dietary intake adequate?

Is dietary intake adequate?

No

No

No No

Yes

Yes

Yes Yes

End

End

End

Is dietary intake adequate?

Is dietary intake adequate?

Is dietary intake adequate?

No

No

No No

Yes

Yes

Yes Yes

TPN

TPN

TPN

Hospice/comfort care

Hospice/comfort care

Hospice/comfort care

Candidate for TPN?

Candidate for TPN?

Candidate for TPN?

No

No

No No

Yes

Yes

Yes Yes

No

No

No No

Yes

Yes

Yes Yes

Is gut functioning?

Is gut functioning?

Is gut functioning?

No

No

No No

Yes

Yes

Yes Yes