MUST
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Evaluation
MUST
P.
MUST
Low Risk
Routine clinical care
Repeat screening:
- Hospital – weekly
- Care Homes – monthly
- Community – annually
for special groups e.g. those >75 yrs
Medium Risk
Observe
- Document dietary intake for 3 days
- If adequate – little concern and repeat screening
– Hospital – weekly
– Care Home – at least monthly
– Community – at least every 2-3 months - If inadequate – clinical concern
- follow local policy, set goals, improve, and increase overall nutritional intake, monitor and review care plan regularly
High Risk
Treat*
- Refer to dietitian, Nutritional Support Team or implement local policy
- Set goals, improve and increase overall nutritional intake
- Monitor and review care plan
- Hospital – weekly
- Care Home – monthly
- Community – monthly
* Unless detrimental or no benefit is expected from nutritional support e.g.imminent death.
An evidence-based therapeutic algorithm for management of malnutrition can be found "here.”
All risk categories:
- Treat underlying condition and provide help and advice on food choices, eating and drinking when necessary.
- Record malnutrition risk category.
- Record need for special diets and follow local policy.
Obesity:
Record presence of obesity. For those with underlying conditions, these are generally controlled before the treatment of obesity.