Nutrition Focused Physical Exam

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Blog Post 1
Dennett, C. (2016, February). Nutrition-Focused Physical Exams. Today’s Dietitian, 18(2), 36.
Retrieved from http://www.todaysdietitian.com/newarchives/0216p36.shtml


Nutrition Focused Physical Exam (NFPE) is the most accurate and comprehensive tool used by dietitians to determine the nutritional status of patients. The physical exam detects signs of malnutrition, nutrient deficiencies or nutrient toxicities.  Loss of muscle mass and subcutaneous fat, edema and functional status are common characteristics of malnutrition that are best detected by NFPE. Dietitians conduct a hands-on physical exam that also looks at the shape, color and texture of the hair, skin and nails. Completing a NFPE becomes more imperative when a patient is ill, in pain, or unable to answer questions coherently. 
             Because nutrient deficiencies are more common in the hospital setting, identifying malnutrition can make a significant difference when caring for a patient. However, the NFPE should not be limited to in-patient dietitians only; it can be used to assess the nutritional status of adults who struggle with loss of appetite or food insecurity, those who cannot cook or shop for themselves, and those who are homeless or struggle with undernutrition.

            Despite the fact that many RDs are fearful of practicing the NFPE, the NFPE is absolutely within our Scope of Practice.  It allows dietitians to diagnose malnutrition or other conditions that physicians may overlook. Hands-on training may be incorporated into dietetic internships or undergraduate programs in effort to provide the appropriate skills and confidence needed to complete this comprehensive assessment.

-AC

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