TX HHS Form 2272. Determine Your Nutritional Health Handout

The TX HHS Form 2272, "Determine Your Nutritional Health Handout", is a tool designed to help individuals assess their nutritional health and identify potential risks. This handout provides a simple scoring system to determine an individual's nutritional health status, ranging from good (0-2) to high risk (6 or higher). The form highlights several key warning signs that may indicate poor nutritional health, including disease, eating poorly, tooth loss/mouth pain, economic hardship, reduced social contact, multiple medicines, involuntary weight loss/gain, and needs assistance in self-care.

The Determine Your Nutritional Health Checklist is based on the warning signs described in this handout. The form advises individuals to recheck their nutritional health score every three or six months, depending on their initial score. For those at moderate risk (3-5), the handout suggests seeking help from senior nutrition programs, area agencies on aging, senior citizens centers, county extension agents, or health departments. Individuals at high risk (6 or higher) are encouraged to discuss any problems with their doctor, dietitian, or social service professional and seek assistance in improving their nutritional health.

This handout is intended for use by individuals who want to assess their nutritional health and identify potential risks. It may be particularly useful for older adults, as it highlights the importance of a healthy mouth, teeth, and gums for proper eating and overall well-being. By using this form, individuals can take proactive steps to improve their nutritional health and reduce their risk of poor health outcomes.