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SUBJECTIVE GLOBAL ASSESSMENT RATING FORM Patient Name: ID #: Date: WEIGHT Baseline Weight: (Dry weight from 6 months ago) Current Weight: (Dry weight today) Actual Wt loss/past 6 mo. % wt loss (actual.

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The assessment includes taking a history of recent intake, weight change, gastrointestinal symptoms and a clinical evaluation....The SGA assessment includes: Changes in recent food/fluid intake. Weight change. Gastrointestinal symptoms and other reasons for low intake. Physical exam for wasting of muscle and fat.

The following are specific factors to consider when completing the Subjective Global Assessment: Nutrient Intake. Weight Loss. Symptoms. Functional Capacity. Metabolic Requirement. Body Composition Assessment (fat and muscle wasting) Edema and Ascites.

The subjective global assessment (SGA) is a nutrition assessment tool that refers to an overall evaluation of a patient's history and physical examination and uses structured clinical parameters to diagnose malnutrition.

SGA is a simple bedside method used to diagnose malnutrition and identify those who would benefit from nutrition care. The assessment includes taking a history of recent intake, weight change, gastrointestinal symptoms and a clinical evaluation.

Scores of 1–2 indicates severe malnutrition, 3–5 mild to moderate malnutrition, and 6–7 normal nutrition. Nutrition assessment performed using the 7-point scale can be aligned with the conventional SGA (i.e., well nourished, moderately malnourished, or severely malnourished).

The SGA can help healthcare providers figure out why a person has become malnourished. Some conditions, such as HIV, AIDS, and cancer, cause the body to use a lot more energy. This can lead to severe weight loss and muscle wasting—a condition called cachexia.

Subjective global assessment represents a good option for assessing nutritional status in various clinical situations. As a screening tool, it better identifies established malnutrition than nutritional risk but its sensitivity is suboptimal.

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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232