KING GEORGE’S MEDICAL UNIVERSITY, LUCKNOW

KGMU, COLLEGE OF NURSING

SUBJECT – CHILD HEALTH NURSING

DEMONSTRATION
ON
NUTRITIONAL ASSESSMENT

SUBMITTED TO : SUBMITTED BY :
MRS. ANUGRAH CHARAN MS. ANJU SHUKLA
CLINICAL INSTRUCTOR M.Sc.(N)1ST YEAR
K.G.M.U. K.G.M.U.

SUBMITTED ON : 24/09/2022
LESSON PLAN

NAME OF STUDENT TEACHER Ms. ANJU SHUKLA

SUBJECT CHILD HEALTH NURSING

TOPIC NUTRITIONAL ASSESSMENT

METHOD OF TEACHING LECTURE CUM DISCUSSION

MEDIUM OF INSTRUCTION ENGLISH

DATE AND TIME 26.08.2022

VENUE M.Sc. (N) 1st YEAR CLASSROOM

GROUP M.Sc. (N) 1st YEAR, (CHILD HEALTH NURSING SECIALITY)

DURATION 25 MINUTES
 GENERAL After the completion of the class, students will be able to gain knowledge regarding nutritional
OBJECTIVE assessment, and they will be aware about it at the end.

• introduce nutritional assessment

SPECIFIC • define nutritional assessment
OBJECTIVE • explain the importance of nutritional assessment
• classify the types of nutritional assessment
• summarize the nutritional assessment

SELF Good morning to all!

INTRODUCTION Myself Anju Shukla, today we are going to discuss about nutritional assessment.

PREVIOUS KNOWLDEGE: The participants have a little bit of previous knowledge regarding nutritional assessment.
S. Tim Specific Content A.V. Activity Evaluation
N e objective Aids Teacher Student
1 2min Introduce Introduction – Nutrition assessment includes taking PPT Teacher Students will be What is
nutritional anthropometric measurements and collecting information introduces listening actively nutritional
assessment about a client’s medical history, clinical and biochemical nutritional and writing notes. assessment?
characteristics, dietary practices, current treatment, and food assessment
security situation.

2 1min Define Definition –

nutritional
Teacher defines Define
assessment Nutritional assessment allows healthcare providers to PPT Students will be nutritional
systematically assess the overall nutritional status of nutritional listening actively
assessment assessment?
patients, diagnose malnutrition, identify underlying and writing notes.
pathologies that lead to malnutrition, and plan necessary
interventions.

Students will be What are the

3 5min Explain the Importance of nutritional assessment PPT importance of
Teacher explained listening actively
importance of nutritional
the importance of and writing notes.
nutritional • To identify people at risk of malnutrition for early assessment?
nutritional
assessment intervention or referral before they become
malnourished. assessment

• To track child growth.

• To identify malnourished clients for treatment—

malnourished people who are not treated early have
longer hospital stays, slower recovery from infection
and complications, and higher morbidity and
mortality.
S. Time Specific Content A.V. Activity Evaluation
No objective Aids Teacher Student
• To identify medical complications that affect the body’s Teacher Students What are the
ability to digest food and utilize nutrients. classified the will be types of
types of listening nutritional
• To detect practices that can increase the risk of malnutrition nutritional actively assessment?
and infection. assessment and
• To inform nutrition education and counselling. writing
notes.
• To establish appropriate nutrition care plans.

4 15min Classify the Types / ABCD of nutritional assessment

types of Demonst
nutritional ration
1. Anthropometric assessment
assessment 2. Biochemical profile
3. Clinical symptoms
4. Dietary assessment

1. Anthropometric assessment
Anthropometry is the measurement of the size, weight, and
proportions of the body. Common anthropometric measurements
include weight, height, MUAC, head circumference, and skinfold.
S Time Specific Content A.V. Activity Evaluation
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• Weight

Weighing is usually the first step in anthropometric assessment

and a prerequisite for finding weight-for-height z-score (WHZ)
for children and BMI for adults. Weight is strongly correlated
with health status.

BMI

Underweight Less than 18.5

Normal weight 18.5‒24.9
Overweight 25.0–29.9
Obese 30 or more

• Length and height

Measuring length or height requires a height board or

measuring tape marked in centimetre’s (cm). Measure length
for children under 2 years of age or less than 87 cm long.
Measure height for children 2 years and older who are more
than 87 cm tall and for adults.
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• MUAC

MUAC is the circumference of the left upper arm measured at

the mid-point between the tip of the shoulder and the tip of the
elbow, using a measuring or MUAC tape. MUAC
measurements in millimeters (mm) are more accurate than
measurements in cm.

• BMI
BMI is an anthropometric indicator based on weightto-height
ratio. It is used to classify malnutrition in nonpregnant/non-
postpartum adults. BMI is not an accurate indicator of
nutritional status in pregnant women or adults with edema. Use
MUAC for these groups.

2. Biochemical assessment

Biochemical assessment means checking levels of nutrients in a

person’s blood, urine, or stools. Lab test results can give trained
medical professionals useful information about medical
problems that may affect appetite or nutritional status.

3. Clinical assessment

Clinical assessment includes checking for visible signs of

nutritional deficiencies such as bilateral pitting edema,
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emaciation (a sign of wasting, which is loss of muscle and fat
tissue as a result of low energy intake and/or nutrient loss from
infection), hair loss, and changes in hair color. It also includes
taking a medical history to identify comorbidities with
nutritional implications, opportunistic infections, other medical
complications, usage of medications with nutrition related side
effects, food and drug interactions, and risk factors for disease.

4. Dietary assessment

Assessing food and fluid intake is an essential part of nutrition

assessment. It provides information on dietary quantity and
quality, changes in appetite, food allergies and intolerance, and
reasons for inadequate food intake during or after illness. The
results are compared with recommended intake such as
recommended dietary allowance (RDA)7 to counsel clients on
how to improve their diets to prevent malnutrition or treat
conditions affected by food intake and nutritional status (e.g.,
cardiovascular disease, cancer, obesity, diabetes, and
hyperlipidemia).
5 2min Summarize the
Summary - Full nutrition assessment can be preceded by rapid Students will What do
nutritional Teacher you
and simple identification of people who may be malnourished summarized the be listening
assessment understand
or at risk of malnutrition and need more detailed nutrition actively and
importance of by
assessment. Nutritionists and trained facility-based health care writing notes.
providers or community service providers can do nutrition nutritional nutritional
screening. assessment assessment?
REFERENCE –

• Dutta Parul, a text book of Paediatric Nursing, 3rd Edition,published by jaypee publisher 2010, Pp 237-239.
• Marlow, Textbook of Paediatric Nursing, 2013, Page no.934.
• Pal Panchali , Textbook of Paediatric Nursing, 1 st edition, 2016, Page no.43.