• Cover Image Improve Patient Outcomes: A.S.P.E.N.'s Step-by-Step Guide to Addressing Malnutrition

    As your home for malnutrition information, Improve Patient Outcomes: A.S.P.E.N.’s Step-by-Step Guide to Addressing Malnutrition offers care pathways, tools, quality measures, and other important resources. We want to help patients, consumers,  caregivers, clinicians, and healthcare administrators with the detection, diagnosis, prevention, and treatment of disease-related malnutrition. Features to this guide include:

    • Care pathways for adult and pediatric patients
    • Pocket cards for use at the bedside
    • Reprints of important articles on malnutrition
    • Implementation tools for optimal nutrition care

  • Cover Image Nutrition-Focused Physical Exam: An Illustrated Handbook

    The Cleveland Clinic Center for Human Nutrition (CHN) developed Nutrition-Focused Physical Exam: An Illustrated Handbook to assist bedside clinicians in the nutrition assessment of their patients and to help discern the presence and degree of malnutrition. The Academy-ASPEN Consensus Statement and Characteristics for Identification of Malnutrition (2012) has been a catalyst to realizing the importance of incorporating the NFPE as part of a comprehensive nutrition assessment. Most healthcare disciplines perform a physical exam of their patients, and a nutrition-focused physical exam (NFPE) should be part of the nutrition clinician’s skill set. With the release of the Consensus Statement, the CHN embarked on a departmental goal to standardize our approach in assessing the nutritional status of our patients. A comprehensive training program was developed centered around online education modules and live patient simulations.


    Nutrition-Focused Physical Exam: An Illustrated Handbook discusses the components of the NFPE and includes pictorial representations of various stages of muscle and fat depletion (normal–mild–moderate–severe), vitamin and mineral losses, and fluid balance. Techniques and tips that can be used in daily practice when examining patients, as well as charts and references, are provided. The Academy-ASPEN clinical characteristics are discussed, along with the influence of inflammation and functional status. This guide is intended to help the clinician develop their NFPE skills.


    ©2016 American Society for Parenteral and Enteral Nutrition