This assignment will discuss a trust adapted version of the Malnutrition Universal Screening Tool (MUST). It will demonstrate an understanding of theoretical knowledge used to develop the assessment tool. The assignment will focus on three components within the tool; discussing the reliability and validity when used in a clinical environment. A reflection of my own experience using the tool will be included and linked to aspects of reliability. Any issues with reliability will be identified and suggestions given on how they can be corrected to aid future use. MUST is a five-step screening tool designed for healthcare professionals to identify adult patients who at risk of, or are malnourished. It includes guidelines on how to develop an …show more content…
(Jeukendrup & Gleeson 2005). BMI provides some indication as to the patient’s nutritional status. A low BMI is associated with inadequate nutritional intake; this occurs when there is a deficiency or imbalance in the nutrients consumed, which can lead to malnutrition. (Lennard-Jones,1992). However some patients may have a normal or high BMI and be classed as malnourished. This can be because they have a low intake of nutrients such as vitamins and protein, or because they may be consuming the wrong type of foods (Ward and Rollins, 1999). There are three main ways that malnutrition can occur, either through impaired absorption, impaired nutritional intake or an increased metabolic demand. (Cartwright & Williams, 2002). BMI cannot differentiate between body fat and muscle mass. This often results in misleading information with regard to the amount of fat in the individual, as muscle is denser than fat. (British Heart Foundation 2009). Meaning there is a potential risk of overestimating BMI in individuals with a high muscle mass, such as athletes. The reliability of the BMI depends on the individual’s abilities to accurately measure, calculate and record the BMI. The tools used to measure the patients height and weight should also be checked to ensure they read accurately, for example calibrating
Patient malnutrition is a very real and serious matter; it can lead to a worsening of the patient's
The Nutrition Screening Initiative (NSI) was developed in order to address the prevalence of malnutrition among older adults. This initiative represents the work of the American Academy of Family Physicians and the American Dietetic Association to create a coalition whose goal is to promote the integration of nutrition screening and intervention into healthcare for older adults. NSI helps to increase older adults' awareness about nutrition and health. It differentiates among adequate nutritional status, malnutrition risk and
However, some signs and symptoms associated with malnutrition include: weight loss, fatigue, unable to carry out usual tasks, not being able to perform physical activity at the same level as normally, changes in mood such as becoming depressed, dizziness, loss of appetite, and inability to stay focused. They may also be sensitive to the cold and be more susceptible to becoming sick because their immune system is weaker. If there has been any unintended weight loss in 3 to 6 months such as a loss of 5-10% weight loss, malnutrition may be suspected. Calculating the BMI or body mass index is used to diagnose malnutrition. If the result is 17-18.5 this points toward mild malnutrition. 15-17 points toward moderate malnutrition and any number below 16 is considered severe
When your body does not get enough nutrients such as fats, carbohydrates, protein, vitamins, and minerals, it is known as malnutrition. Malnutrition is especially harmful in seniors who have specific dietary requirements due to medical complications such as heart disease or diabetes. Seniors suffering from dementia are at a particular risk of malnutrition.
Everyone has what you would call “BMI” which is a body mass index. This allows doctors as well as other individuals to measure and calculate one’s body fat. Every individual’s
Body Mass Index (BMI): An indicator used to determine the state of a person’s weight, used to screen for health markers. It is calculated by dividing weight in kilograms (kg) by height in meters (m) squared, then multiplying by 703, resulting in kg/m2.
In contrast to other methods, BMI relies solely on height and weight and with access to the proper equipment, individuals can have their BMI routinely measured and calculated with reasonable accuracy. Furthermore, studies have shown that BMI levels correlate with body fat and with future health risks.
This guideline is very effective to prevent malnutrition, because it does not only focus on the preventive measure but also identifies the predominant factor for malnutrition and develop a plan according to the score from BMI, weight loss score and acute disease effect score for example: artificial nutritional support if the score is low. Furthermore, it also monitors the effectiveness of the plan. Therefore, it is comprehensive and evidence based preventive measure guidelines for
According to The World Health Organization (WHO) Obesity is becoming an international epidemic, creating greater need and relevance for the taking and recording of body measurement through the BMI assessment tool in contemporary nursing practice. WHO indicate that individuals who possess a BMI reading greater than 25.0 to 29.9 may be at risk of chronic illnesses such as, hypertension, high blood cholesterol and diabetes due to the alarming
Malnutrition and undernutrition may cause remarkable complications in brain development, physical growth, and greater susceptibility to a prolonged infection and disease.
First, let’s take a look at the BMI (Body Mass Index) chart. This chart was invented in 1830 and was originally designed to show health on a massive scale (population) and not an individual. So using it on an individual was not it’s intended use. It’s supposed to indicate a person’s fat level, but does so by simply using weight and height, which
Body Mass Index (BMI) is a commonly used and highly practical measure to indicate overweight and obesity, in which the person’s weight in kilograms is divided by the square of the person’s height in meters. A BMI of 23 – 24.9 kg/m2 is classified as overweight while a BMI of 25 – 29.9 kg/m2 is classified as obese for adults (lcsd). Severely obesity is indicated with a BMI equals or over 30 kg/m2.
Malnutrition is defined as state of being poorly nourished or the imbalance between intake and requirement that changes metabolism, loss of body mass, and impaired function.1 Malnutrition is a common problem among patients with severe or chronic diseases. The main cause of malnutrition in developed countries is disease. Either acute or chronic disorder can aggravate malnutrition in many ways such as change in metabolism due to infection or inflammation, response to trauma, absorption, or appetite. Other than pathological causes for malnutrition, socioeconomic factors such as isolation and low income may contribute more in developing malnutrition. Dementia, anorexia, immobilization, and poor dentition are factors that can worsen the case
Analysis: -tables are used to compare comparison of the accuracy of different malnutrition screening tool
The purpose of this research is to identify malnutrition at early stages in people who are exposed to it and to manage this problem in people who might be at risk of developing malnutrition.