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Nutrition-Focused Physical Exam: An Illustrated Handbook [EBOOK ONLY]
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Non-Member Price$31.50
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Nutrition-Focused Physical Exam: An Illustrated Handbook

ebook version


Editor: Cindy Hamilton, MS, RD, LD, FAND

Contributors: Peggy Hipskind, MA, RD, LD; Marianne Galang, RD, LD, CSO; Andrea Jevenn, RD, LD, CNSC; Cassandra Pogatschnik, RD, LD, CNSC


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, CHN embarked on a departmental goal to standardize our approach for 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.


This soft-cover handbook is easily carried in a clinician’s laboratory coat pocket. The ring-bound cover allows the handbook to lay flat for easy referral. Assessment charts include side-by-side color illustrations.


Chapters include:


  • Preparation for the Physical Exam
  • Inflammation
  • Physical Exam of Subcutaneous Muscle and Fat Stores
  • Assessment of Fluid Status: Accumulation and Dehydration
  • Examination of Functional Status
  • Assessment of Micronutrient Status
  • Appendix: Nutrition-Focused Physical Exam Checklist


©2016 American Society for Parenteral and Enteral Nutrition

56 pages, paperback, 70 color and 5 black and white Illustrations

ISBN-13: 978-1-889622-29-3 (print); ISBN-13: 978-1-889622-30-9 (ebook)

View Table of Contents


Electronic Access

Instructions to access the online publication will be sent via email upon confirmation of your order. Returns are not offered on ebook purchases.


This book is available in print. Bundle print + ebook formats to save. companion video is also available. 


Please note that only one ebook of each title can be purchased.  Access is limited to one individual whose account's email and password are assigned to the ebook; the ebook cannot be transferred or shared. 
Medical libraries and other institutions that seek multi-user access, can order this and other ASPEN ebooks by contacting EBSCO for pricing options.