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Malnutrition universal screening essay
Malnutrition universal screening essay
Malnutrition universal screening essay
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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.
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 effective treatment plan. The Malnutrition Advisory Group (MAG) in 2000 adapted and extended their community screening tool to include care homes and hospitals, in response to national concerns. (Department of Health, 2001). In 2003 MUST was designed by MAG and the British Association for Parenteral and Enteral Nutrition (BAPEN). It was piloted across many care settings, to target patients who may be at risk of malnutrition.
I have chosen this tool as it is widely used in healthcare; however malnutrition is often unrecognised and mismanaged. According BAPEN some three million people in the UK are at risk or are malnourished. Malnutrition can affect a patient physically, mentally and can also increase recovery time (Zellipour, & Stratton, 2005). This assignment will help me understand the theory and rationale behind the development of the MUST.
The first component of the MUST involves measuring the patient’s height and weight to establish their Body Mass Index (BMI). BMI is the’ relationship b...
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...n or ulna length as-well-as the type of measuring device used to weight the patient for example chair or hoist scale. This would enable the assessment to be carried out each time using the same measurement and equipment, which would make the test fair and more reliable (Medical Education Division, 2007).
This assignment has discussed the theory and development of a trust adapted version of the MUST. A rationale of my choice has been included and linked to specific learning objectives. A discussion regarding the three components of this tool has been included; these have been linked to validity and reliability. Finally a reflection of my experiences using the MUST in a medical care of the elderly ward has been included with regards to aspects of reliability and theories about how these can be overcome to aid future use-age in a clinical setting.
A Mini Nutritional Assessment (MNA) was completed on Anne. The MNA is a tool used to provide a rapid assessment of elderly patients’ nutritional status. The MNA is made up of simple measurements and a few brief questions that can be completed by the patient in no more than ten minutes. The nutritional status of a patient is evaluated using a two-step process to accurately determine a patient’s nutritional status (McGee
The overall aim of this quality improvement is to provide an improved assessment for defining if individuals are truly overweight or obese though utilising BMI measurements alongside BIA measurements. For those individuals who are border lining the outlines of the BMI cut off for assisted reproduction ranges from 29.1 to 30 kg/m2, to identify if the individual is carrying excess body fat or if the individual carry’s extra lean mass or excess bone density. Which in some cases these individuals could be refused treatment due to the assumptions
For instance, there have been several nutritional interventions implemented in health care facilities. Specifically, screening can be effective in health care facilities to aid in identifying poor nutrition among the elderly, which is often undetected. Additionally, screening tools has been used to establish appropriate nutritional meals. One study by researchers Babineau, Jolyne, Villalon, Laporte, Manon, & Payette (2008) showed that the introduction of screening in a general hospital raised awareness of nutrition-related care. In this intervention dietitians conducts a full nutritional assessment and implemented a nutritional care plan for patients aged 65 or older (Babineau et al., 2008). The nutrition care program included nutritional screening, timely intervention, and close dietitian
technological advances on the trueness and precision of DXA to assess body composition. Obesity, 20(1), 30-39.
"Hunger and Malnutrition." KidsHealth - the Web's Most Visited Site about Children's Health. Ed. Mary L. Gavin. The Nemours Foundation, 01 May 2012. Web. 12 May 2014.
Since 1916, the United States Department of Agriculture (the government agency responsible for all U.S. policy regarding agriculture, food, and farming) has revised their recommendations several times. Unfortunately, money talks and the USDA’s recommendations are based on outdated science and are influenced by people with business interest. Even so, its recommendations are considered almost “holy” by physicians, nutritionists, and dieters, but in reality, they are the root cause of the problem. A single visit to our local public school cafeteria and it will become clear that they do not have the best interests of the children at heart. What they are feeding our innocent children is preposterous. Doctors, the people we trust and expect to be “the experts”, do not know much about the subject of nutrition. A vast majority of medical schools in the U.S. require just 25-30 hours or less of nutrition training, and some do not require at all. So doctors must rely on the ...
To conclude this summary, “Malnutrition is under assessed and under managed problem in the elderly population. Malnutrition is fixable if people take it seriously. If a patient is not eating all of their meals let a dietician know and they can come speak with the elder and let them know the importance of good nutrition. The elderly already have enough issue with their health deteriorating. If the elderly become more educated about nutrition it can also increase their health.
Rhoads Jonathan E. 1984. The history and development of nutritional assessment of the hospitalized patient. In Wright Richard A., Heymsfield, Steven and McManus, Clifford B., editors. Nutritional Assessment. Boston, Oxford: Blackwell Scientific Publications, Inc. p3-11.
Generally, due to differences in food supply and dietary habits, there is no universally accepted FFQ that can be used for all populations in all situations. Elucidation of diet–disease relationships requires dietary assessment methods which can sufficiently describe and quantify intakes, minimize errors and provide precise estimates of variability between individuals or groups (Kaaks R et. al, 1997; Carroll RJ e t.al 1997 and Lin L et.al, 2013). Therefore, it is vital to make sure that any FFQ must be reliable and valid to be used in the population of interest, need to be designed to meet the aims of study populations and has contain an up-to-date list of foods (Jyh Eiin Wong, et. al, 2012).
The nutritional assessment is a systematic process of obtaining, verifying, and interpreting data in order to make decisions about obese or malnourished patients. It is an ongoing process that involves data collection followed by continued reassessment and analysis of the patient’s status compared with specific criteria. The patients’ BMI, score, risk which is based on low, medium and high. The loss of subcutaneous fat, muscle waste is used as evidence of malnutrition and also a dull, dry sparse hair can signify a possible protein energy deficiency. The elderly is particularly prone to wounds caused by dehydration. Gandy (2014) highlights four main causes of malnutrition as altered nutrients intake, impaired digestion or absorption and
The patient may no longer be able to orally take in food, and the artificial means of feeding may worsen the patient’s quality of life. The concept of food cessation is often difficult for the patient’s friends and family to understand and accept, especially because food is essential to life, and eating is a sociocultural experience. Family must be reminded that to feed the patient may do more harm than good. However, until the time that oral intake stops, nurses must be providing other ways to increase the patient’s nutrient intake. The performance of symptom assessments and the development of plans of care should begin at the time of diagnosis and continue throughout the remainder of the patient’s life. These assessments and plans of care are both critical to preventing the onset of early malnutrition and to maintaining the patient’s quality of
Nutrition assessments include clinical and dietary assessment, anthropometrics, as well as biochemical, laboratory immunologic and functional indices of nutritional status (Gibney, 2005). In epidemiological studies, different dietary investigation tools were designed to assess the nutritional status in individuals and populations, nutrition monitoring and surveillance and diet-disease research (Friedenreich, et al., 1992, Taren, 2002).
Rationale: These laboratory test results have been shown to be fair indicators of malnutrition. Ackley and Ladwig p. 576
Even though there are numerous families that struggle to put food on the table, protein deficiency is rare in the United States, but can be seen in third world countries like Africa. However, protein deficiency disorders can occur even in the United States with people suffering from “alcoholism, anorexia nervosa, or certain intestinal tract disorders, [as well as] those who are elderly, have limited incomes, and are chronically ill”(Schiff 2013). Under nutrition of any kind is due to a lack of food in some fashion whether from crop failures, political unrest, or civil wars, but the etiology of Kwashiorkor and other protein deficiencies is often more complicated. Protein energy malnutrition (also known as PEM) affects people who do not consume sufficient amounts of protein. According to the World Health Organization (WHO), more than 18% of children are underweight due to malnutrition of some kind, including protein-energy malnutrition. There are in fact two types of PEM, kwashiorkor and marasmus. Kwashiorkor is the most common and widespread nutritional disorder in developing countries, primarily occurring where mothers breastfeed their infants until they give birth to another child. The older
There are different ways to determine your body composition and the risks that they involve. In this lab, body measurements are taken to find the body percent fat, waist-to-hip ratio, body mass index (BMI), and basal metabolic rate (BMR). Skin folds for the chest, abdomen, and thigh were taken for males, and triceps, iliac crest, and thigh for females. Age, height, and weight for each person were recorded as well as the waist and hip circumference.