OncologyNutritionAssessment

Oncology Nutrition Assessment

Patients with cancer often experience complex nutritional challenges during disease progression and treatment, including malnutrition, unintended weight loss, reduced appetite, metabolic alterations, and treatment-related side effects. Systematic nutritional assessment plays a critical role in supporting individualized nutrition care, treatment tolerance, and quality of life.

The Oncology Nutrition Assessment is designed to follow commonly used clinical assessment principles, integrating information on dietary intake, weight changes, body-related indicators, and key nutrient consumption. It aims to assist in identifying potential nutritional risks and to provide structured reference data for clinical nutrition support.

This tool does not replace medical diagnosis or treatment decisions. All assessment results should be interpreted in conjunction with the patient’s cancer type, treatment stage, laboratory data, and professional clinical judgment. The outputs are intended solely as supportive information for nutrition management.

Basic Information

1. Name

2. Age

3. Physical Activity Level

4. Gender

5. Cancer Characteristics

5.1. Primary tumor site

5.2. Disease status / stage

5.3. Receiving anticancer treatment currently?

Yes

No

If "Yes"

6. Weight Change

6.1. Height (cm)

Current Weight (kg)

6.2. Weight 1 month ago / 3 months ago / 6 months ago (at least one)

Timeframe of previous weight

*If unsure, enter your best estimate.

7. Appetite

7.1 Have you been eating poorly due to decreased appetite?

7.2 Overall appetite in the past 7 days (0–10)

0 = no appetite at all
10 = normal appetite

8. Intake Reduction

8.1 In the past 7 days, your intake compared with usual is:

8.2 Nutrition impact symptoms (select all that apply)

Dietary Records

To accurately assess the nutritional status of dialysis patients, please record all foods consumed per meal, including breakfast, lunch, dinner, and snacks.

Whenever possible, we recommend weighing each food item. If weighing is not feasible, refer to the standard portion size guide to assist with estimation. The more accurate the entry, the more reliable the analysis.

For each food entry, please provide:

Food Name: Type keywords and select the best match from the suggestion list
Amount (in grams): e.g., “Fried egg 60g”, “Whole wheat bread 40g”
Day: If recording 2–3 days of intake, use the “Which day?” dropdown to specify whether the item belongs to Day 1, Day 2, or Day 3

We recommend selecting 1 to 3 representative days from the current dialysis cycle. Up to 12 food entries per meal are supported, which is sufficient for a complete nutritional analysis.

The final report will be based on the average daily intake and include targeted nutrient evaluations and practical dietary recommendations.

ml

*If you record more than one day, please enter the total amount of beverages consumed across all recorded days
(water, tea, coffee, drinks; excluding water from foods).

report

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Libreng Pagpapadala ng Pandaigdigang Pagpapadala sa Mga Order Sa Mahigit $ 199

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