SCENARIO: Paediatric Nutritional Assessment

Munasar is a 4-year-old who his mother complains, decreased apatite, diarrhoea, vomiting
associated with physical loss for last 2 weeks, while you are in paediatric stabilization word
duty nurse. Sofar, your responsibility was to respond the complaints of the mother and
finding out what to do.
Aim:( SKILLS): Perform Nutrition Screening

Definition: Malnutrition refers to the decreased in the intake of sufficient nutrition to support the body’s
requirements for growth, healing, and maintenance of life.
Types: Acute or Chronic.

There are three main reasons why someone might become malnourished:

 Inadequate amounts of nutrients (e.g., poor variety in diet)

 Difficulty absorbing nutrients (e.g., gastrointestinal dysfunction such as coeliac disease)
 Increased nutritional demands (e.g., post-surgery for healing)

Clinical Features:

 Wasting: low weight for height

 Stunting: low height for age
 Underweight: low weight for age

Module name: Paediatric Nursing Trial Osce examination

Candidate NO: Programme General Nursing
Examiner Name: Abdirahman Muse Station No: Date :2022/11/09

S. No History Possible Scored

Marks Marks
Areas to cover in the history
1. Weight history: including current weight, recent
changes to weight and changes to fit of clothes
2. Meal history: regularity of meals including skipping
meals
3. Protein intake: intake of high-quality protein
4. Hydration: intake of fluids
Clinical examination
5. Monitor weight of the child
6. Measure Body mass index (BMI): a child’s BMI indicates
whether they might be malnourished.
7. Review of muscle mass stores
8 Review of subcutaneous fat stores.
9 Measure rip strength, triceps skin fold thickness and mid-arm
muscle circumference.
Management
10 oral nutritional support
11 orally, nasogastric feeding
12 Parenteral nutrition
13 Perform Documentation at all
14 Global rating

1
 Total

Essential criteria must pass at least 4 out of 6 of the essential criteria Examiners Ratings

4. 3. 2. 1. 0.

4= excellent 3= very good 2=clear pass. 1=borderline 0=Fail