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RAI-MDS 2.0 Nutritional Care Resource Guide April 2011 - CCIM

RAI-MDS 2.0 Nutritional Care Resource Guide April 2011 - CCIM

RAI-MDS 2.0 Nutritional Care Resource Guide April 2011 - CCIM

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Essential <strong>Nutritional</strong> Assessment Areas for Further Considerations (Part A <strong>Resource</strong> <strong>Guide</strong>) Non-Triggered Clinical Problem IdentificationDietary restrictions:Cultural/religious purposesOther dietary restrictions<strong>RAI</strong>-<strong>MDS</strong> <strong>2.0</strong>: Sections K5, I1Special diet recommended previously: Yes Reason:Did you follow it?  Yes  No, Reason:Religious/cultural needs: Self-imposed dietary restrictions:Food intolerance/hypersensitivitiesFood and fluid restrictions/dislikes (state specific food and beveragedislikes/restrictions) Vegetables  Fruits  Grain Products  Milk and Alternatives Meat and Alternatives  Others:Comment:Signs & symptoms of malnutritionnutrient deficiency <strong>RAI</strong>-<strong>MDS</strong> <strong>2.0</strong>: Sections H, K, L, I, M, PNutrition related skin problem is managed by:Anthropometry and body composition:Body mass index (BMI) Frame size<strong>RAI</strong>-<strong>MDS</strong> <strong>2.0</strong>: Section K2a-bBiochemical data<strong>RAI</strong>-<strong>MDS</strong> <strong>2.0</strong> Section PEstimation of energy, protein, fluid, micronutrients<strong>RAI</strong>-<strong>MDS</strong> <strong>2.0</strong>: Sections B, K, M, I, J, H, N, GBMI:Laboratory Data:Energy (kcal)/day: Protein (g.)/day: Fluid (cc)/day:Other:For Information: 416.327.7625 31ltchrai@ontario.ca3131

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