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NutriScreen

MNA®-LF

Declined food intake

Has food intake declined over the past 3 months due to loss of appetite, digestive problems, chewing or swallowing difficulties?

Weight loss during the last 3 months

Mobility

Has suffered psychological stress or acute disease in the past 3 months?

Neuropsychological problems

Body Mass Index (BMI)

Lives independently (not in nursing home or hospital)

Takes more than 3 prescription drugs per day

Pressure sores or skin ulcers

How many full meals does the patient eat daily?

Selected consumption markers for protein intake

Check all that apply

Consumes two or more servings of fruit or vegetables per day?

How much fluid (water, juice, coffee, tea, milk...) is consumed per day?

Mode of feeding

Self view of nutritional status

In comparison with other people of the same age, how does the patient consider his / her health status?

Mid-arm circumference (MAC) in cm

Calf circumference (CC) in cm

Please fill out all questions

Evaluation

MNA®-LF

P.

MNA®-LF

Malnourished

TREAT

  • Nutrition intervention
    Oral nutritional supplementation (400-600 kcal/d)
    Diet enhancement
  • Close weight monitoring
  • Further in-depth nutrition assessment

An evidence-based treatment algorithm for malnutrition management can be found "here"

At Risk of Malnutrition

No Weight Loss: MONITOR

  • Close weight monitoring
  • Rescreen every 3 months

Weight Loss: TREAT

  • o Nutrition intervention
    Diet enhancement
    Oral nutritional supplementation (400 kcal/d)
  • Close weight monitoring
  • Further in-depth nutrition assessment

An evidence-based treatment algorithm for malnutrition management can be found "here"

Normal Nutritional Status

RESCREEN

  • After acute event or illness
  • Once per year in community dwelling elderly

Every 3 months in institutionalized patients

Subjektive Einschätzung

Calculate nutritional goals
DE EN FR IT

Information NutriScreen

Recognised/validated and commonly used screening tools to identify patients with manifest malnutrition or at increased risk of malnutrition

Nutrition therapy starts with the identification of patients with an increased risk of malnutrition. There are various "screening tools" recognised in medical practice for this purpose. The European Society for Clinical Nutrition and Metabolism (ESPEN) recommends the use of the Nutritional Risk Screening 2002 (NRS-2002). The treatment team should perform the screening within 24 h after hospital admission. With this application, the NRS-2002 can be easily calculated online 1.
The NRS-2002 quantifies the risk of malnutrition in adults based on nutritional status disorder (BMI, weight loss, food intake), severity of illness and age over 70 years on a scoring scale of 0-7:

  • NRS ≤2: Currently no risk of malnutrition requiring treatment.
  • NRS ≥3: Increased risk of malnutrition, initiate the following measures recommended:
  1. Detailed assessment and cause clarification of malnutrition.
  2. Nutritional counselling checks the indication for nutritional therapy in a multiprofessional setting.
  3. Record the diagnosis of malnutrition according to ICD ("International Classification of Diseases") and ensure coding.

References

  1. Kondrup J, et al. Nutritional risk screening (NRS 2002): a new method based on an analysis of controlled clinical trials. Clin Nutr. 2003;22(3):321-36.

List of abbreviations

BMI Body Mass Index
ESPEN  European Society for Clinical Nutrition and Metabolism
ICD International Statistical Classification of Diseases and Related Health Problems
NRS Nutritional Risk Screening

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