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NutriScreen

SNAQ 65+

Weight loss

Measure the mid-upper arm circumference

Did you have a poor appetite in the past week?

Can you walk up and down a staircase of 15 steps without resting?

If the patient doesn’t climb stairs anymore, ask the following question: Are you able to walk outside for 5 minutes without resting? or if a patient is wheelchair bound: Are you able to move your own wheelchair for 5 minutes without resting?

Please fill out all questions

Evaluation

SNAQ 65+

SNAQ 65+

Not undernourished

take no action

At Risk of Undernutrition

  • provide information about the consequences of undernutrition and stress the importance of good nutrition
  • advise the use of full-fat products as well as the importance of more frequent meals per day (6 times daily)
  • provide patient with a brochure
  • consult the general practitioner or dietitian if necessary

Undernourished

  • provide information and advice as is done with risk of undernutrition
  • consult the general practitioner
  • refer the patient to a dietitian within 1 day

An evidence-based therapeutic algorithm for management of malnutrition can be found "here.”

Repeat the assessment depending on the situation:

  • at least once a year
  • as part of the evaluation of the medical treatment plan
  • as part of the home care evaluation

Subjektive Einschätzung

Calculate nutritional goals
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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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