Get Consultant360 R-0528 2013-2025

The Consultant360 R-0528 is an essential form designed for the initial nutrition assessment of dialysis patients. This guide provides step-by-step instructions to help you complete the form online efficiently and accurately.

Follow the steps to complete the Consultant360 R-0528 form online.

1. Press the ‘Get Form’ button to access the Consultant360 R-0528 form and open it in the online editor.
2. Begin by filling out the patient’s name, sex, date of birth, and age. Ensure this information is accurate, as it is vital for identification.
3. Next, input the physician's name and the date of the assessment to establish accountability and timing.
4. Provide the medical diagnosis, listing any relevant conditions that might affect the patient's nutritional status.
5. Document all medications, supplements, herbs, and over-the-counter medicines the patient is currently using.
6. Specify the dialysis type and frequency, along with the initiation date and the name of the dialysis center.
7. Fill in the height, weight, BMI, usual weight, ideal body weight (IBW), and any weight-related notes, including any recent changes.
8. Record laboratory values with the respective dates, ensuring to include all relevant markers such as BUN, creatinine, and others as specified.
9. Assess factors affecting nutritional status including dentition, swallowing difficulties, communication abilities, and any cognitive issues.
10. Detail the patient's nutrition and exercise regimen, covering diet, fluid restrictions, and compliance issues.
11. Move on to the assessment of nutritional needs, using clinical judgment to estimate calorie, protein, and fluid needs based on the patient's condition.
12. Complete the nutrition diagnosis and plan of care, outlining specific actions intended to address the nutritional needs of the patient.
13. Finally, review all sections for accuracy. You can then save any changes, download, print, or share the completed form as required.

Complete the Consultant360 R-0528 online now to ensure thorough and accurate nutrition assessments.