Tag: Personal history

According to ICD-10-CM guidelines, a patient's resolved past conditions, including nutritional deficiencies, are documented using specific Z-codes, which provide crucial context for ongoing care. This detailed documentation influences a provider's understanding of a patient's overall health picture, even for issues that are no longer active.

According to research, psychosocial and socioeconomic factors are just as important as medical history in determining nutritional status. The personal and social history is a crucial part of a comprehensive nutrition assessment, providing context that goes beyond just dietary recall to identify underlying factors affecting a patient's health.

The World Health Organization (WHO) has expanded the definition of malnutrition to include conditions from both insufficient and excessive nutrient intake. To fully evaluate a patient's nutritional status and identify underlying risk factors, it is essential to determine **what information should be included as part of the patients' personal and social history when performing a nutrition assessment?**.