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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.

* If a person is at risk of malnutrition, recording their dietary intake will show

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

The BAPEN MUST assessment complies with the NICE (2006) guidelines on nutritional support in adults and stipulates that a clear process should be established for documenting the outcomes of screening and have developed a section which shows audit criteria. The standards clearly urge and support the implementation of effective nutritional screening and stress the importance of its use within practice under section 1.2, commenting that screening should be carried out by healthcare professionals with the appropriate skills are training on all hospital inpatients on admissions, which should be repeated weekly, matching the guidelines for the screening tool used (NICE, 2006). The nutritional tool used by the authors Trust also

Increased mortality rate (incidence of mortality of malnourished patients at 1 year being nearly 30% in 1 Australian study8)

In today’s society malnutrition has always been an issue for older adults and young individuals. There has been studies that have stated that older adults among young people are the most susceptible to having poor eating habits. Malnutrition alongside obesity is a national issue. There have been many programs that have been put in place to solve this issues. There are many programs that are created in order to provide assistance for older adult’s health and safe (Nutrition and Aging, 2016).

With careful nutritional assessment, there are guidelines which have been developed with the aim of improving and maintaining the nutritional status of

Malnutrition associated with children under the age of 5 in Texas will be examined in an effort to address and promote health and disease prevention by targeting the root of the problem in conjunction with a decrease in the global burden of disease which results in morbidity and mortality. The long term objective is to eradicate malnutrition. In order to do so it is essential to give special attention to the trends and percentiles of low birth weight babies and low weight preschoolers. Body mass index and growth stun will be taken into consideration as well. Within the city of Chicago there are target neighborhoods that are in desperate need of assistance. It is important to follow the resources that are available for the children and stay

Most of us see bloated bellies or skins and bones. But the appearance of a hungry child might surprise you”. This might surprise you because even if a person is still fat it does not mean that they have eaten a lot. It means that they have eat empty calorie foods with no nutritions which is horrible for the body because this can create growth stunt. There are many examples of this happening because of malnutrition. According to “Action Against Hunger”, “ To assess the root causes of a malnutrition outbreak, we collect baseline data on key nutritional indicators like local capacities and resources, cultural practices, infrastructure, and geography. These nutrition surveys are essential for mounting an effective, customized response”. I think Looking for key nutrition indicators is a way to stop the cause of a malnutrition outbreak. This goes back to the appearance of a child because you may think that person is 5 years when they are really 9 but you didn't know that because of the lack of nutrition.According to the USDA, “More than 23 million people in America live in food deserts. They don’t have grocery stores, so their only choices for food are convenience stores and fast food restaurants” (Feed the Children). Another thing that affects you when you don't eat

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

According to the results it shows there is a malnutrition problem across both setting due to the fact there is a high percentage of at risk elders in both populations (Donini, L., et al., 2013). When taking care of the elderly population is it important to be able to recognize when there is malnourishment occurring. Malnutrition is associated with decreased immune function and muscle, impaired wound healing, impaired quality of life, and maybe an increased hospital stay (Donini, L., et al., 2013). When looking at the malnourishment it is important to be able to identify what the causes of it are, if the nurse or caretaker is unable to identify the problem then it will never get fixed. Some signs of malnourishment among the elderly are increased nutrient loss such as bronchitis or kidney failure and involuntary weight loss (Donini, L., et al., 2013). It is important to not only look at the physical factors, but also the psychological factors as well. It is imperative to look at all aspect of the patient because they all play hand in hand and if the nurse or caretaker only looks at one side they may never be able to truly understand why the patient is malnourished. Some psychological factors are deprived affection, loss of active social role, and depression (Donini, L., et al., 2013). It is important within the community to be able to analyze whether or not the population is more at risk for certain factors over others. The caretakers and nurses need to know the environment and see how it plays a factor in the populations’

The article titled “Is there adequate feeding assistance” by Tsang is about elderly patients who are elderly and observe those patients at different meal times. Tsang (2008) stated, “Poor nutritional intake and undernourishment has been documented in as many as 61% of hospitalized elderly patients” (p. 222). There have been other studies done that show that elderly patients are at a specific risk of malnutrition because of high food wastage (Tsang, 2008). One reason for malnutrition was due to the patient not having adequate eating assistance. The goals of this study were to observe the patients during mealtimes and determine what time of assistance is needed, explore if the patients are receiving enough assistance at mealtimes, and evaluate

      Physiological changes and changes in nutritional requirements are not the only cause of elderly malnutrition.  Illness and physical limitations often affect nutritional status, as 19.7% of people over age 65 have at least one disability and 28.8% reported a limitation caused by a chronic condition (9).  For

This study was designed to determine the association between feeding behaviour and infants’ nutritional status. Although HAZ, WHZ and WAZ are all indicators of nutritional status and were assessed in this study, more emphasis will be given to WAZ as it is the generally used indicator in the municipal. It also incorporates elements of WHZ and HAZ. A high prevalence of underweight (15%) was seen in this study. This is almost thrice the prevalence in the municipal (6%) (Ho Municipal Health Service, 2016) and also higher than the national prevalence (11%). The variance here could be due to the differences in selection of participants. The municipal uses monthly sentinel data which is a random selection of 10 sentinel sites and collates the results over the year. This study however employed convenience sampling hence it is possible that only mothers who were concerned about the poor nutritional state of their children attended the clinic. Another possible explanation is that there is overestimation of infants weight from the monthly sentinel data. The mean WAZ was -0.88±1.357 which indicates that the population is more at risk of malnutrition than a normal population with an expected mean WAZ of 0.0.

Once all preliminary planning is complete, the Malnutrition Steering Committee will formally present the current screening analysis and project plan to Senior Leadership, including data collection, efficiency, and cost-benefit analysis. The Committee will illustrate how this change aligns with the hospital’s strategic plan by highlighting its potential to decrease the length of stay, improving patient nutritional status and support inter-professional patient-family centered care and innovation initiatives. The Committee will also present to staff on both units the current Canadian malnutrition research, highlight new ways of detecting malnutrition, one being the new MST, and opportunities this change will present. Communicating the urgency to change the tool, would promote buy-in from the senior leadership team as well as unit staff members (Senior and Swailes, 2010).