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Nutritional status in chronic dialysis patients : associations with development of disease and survival

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Nutritional status in chronic dialysis patients : associations with development of disease and survival

Mutsert, R. de

Citation

Mutsert, R. de. (2009, January 29). Nutritional status in chronic dialysis patients : associations with development of disease and survival. Retrieved from https://hdl.handle.net/1887/13440

Version: Corrected Publisher’s Version

License: Licence agreement concerning inclusion of doctoral thesis in the Institutional Repository of the University of Leiden

Downloaded from: https://hdl.handle.net/1887/13440

Note: To cite this publication please use the final published version (if applicable).

(2)

Subjective Global Assessment, Scoreformulier

Naam patiënt: Nummer: Datum: ____-_____-______

Zie ook de aandachtspunten in de praktische handleiding

Deel A: Anamnese

Gewichtsverandering

Totale verandering over de afgelopen 6 maanden: kg

Percentage verandering:

‰

Toename of <5% afname

‰

5%-10% afname

‰

>10% afname

Verandering over de afgelopen 2 weken:

‰

Toename

‰

Geen verandering

‰

Afname

Voedselinname Huidige voeding

Duur: weken Gastro intestinale symptomen

‰

Gebrek aan eetlust

‰

Misselijkheid

‰

Braken

‰

Diarree

Duur: weken

Deel B: Lichamelijk onderzoek

Tekenen van:

Afname onderhuids vetweefsel Spieratrofie

Deel C: SGA Classificatie

‰

Adequate inname

‰

Inadequate inname

Aandachtspunten voedingsinname

‰

Weinig vast voedsel

‰

Vloeibaar

‰

Voedingssupplementen

‰

Bijna niets

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