List the five historical factors used in the SGA?

List the five historical factors used in the SGA?

• A. Weight history; Dietary intake; Sleep patterns; Functional status; Metabolic demand
• B. Weight history; Dietary intake; Gastrointestinal symptoms; Functional status; Metabolic demand
• C. Weight history; Dietary intake; GI symptoms; Functional status; Metabolic rate
• D. Weight history; Dietary intake; Gastrointestinal symptoms; Functional status; Metabolic demand

Answer: (B)

The five historical inputs used in the Subjective Global Assessment focus on how a patient’s recent history reflects malnutrition risk: weight history, dietary intake, gastrointestinal symptoms, functional status, and metabolic demand. Weight history captures recent, often unintended, weight loss and trends over time. Dietary intake looks at the amount and quality of food consumed compared with needs. Gastrointestinal symptoms encompass issues such as nausea, vomiting, diarrhea, and poor appetite that interfere with intake or absorption. Functional status reflects the patient’s ability to perform daily activities and work, which tends to deteriorate with malnutrition and illness. Metabolic demand refers to disease processes that raise energy requirements or create a catabolic state, driving higher nutritional needs. These components together provide a comprehensive view of how malnutrition is manifesting in a patient’s history and guide the clinical assessment and plan.

The five historical inputs used in the Subjective Global Assessment focus on how a patient’s recent history reflects malnutrition risk: weight history, dietary intake, gastrointestinal symptoms, functional status, and metabolic demand. Weight history captures recent, often unintended, weight loss and trends over time. Dietary intake looks at the amount and quality of food consumed compared with needs. Gastrointestinal symptoms encompass issues such as nausea, vomiting, diarrhea, and poor appetite that interfere with intake or absorption. Functional status reflects the patient’s ability to perform daily activities and work, which tends to deteriorate with malnutrition and illness. Metabolic demand refers to disease processes that raise energy requirements or create a catabolic state, driving higher nutritional needs.

These components together provide a comprehensive view of how malnutrition is manifesting in a patient’s history and guide the clinical assessment and plan.