Nutritional Screening

Doc.no : 73717

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Does the patient have any weight loss/ Weight gain?:
Does the patient appear emaciated or BMI is Below <18.5 ?:
Does the patient look Obese or BMI is above >30:
Does the patient have any GL Symptoms like Constipation, Nausea, Diarrhea, Anorexia, Vomiting, chewing/swallowing difficulty affecting oral intake in last 2 weeks:
Does the patient have any enteral tube feeding :
Does the patient have any parenteral tube feeding:
Food Pattern Followed :	Eggetarian
Appetite

Created & Updated

By :Dr.Sumit Singh

At : 2024-09-20