‘Malnutrition Universal Screening Tool’ materials are available here to view and download in PDF format. Printed copies are also available to. What is the Malnutrition Universal Screening Tool (‘MUST’)? The ‘MUST’ is reproduced here with the kind permission of BAPEN (British Association for. ‘MUST’ is a five-step screening tool to identify adults, who are malnourished, ‘ Malnutrition Universal Screening Tool’. BAPEN. Advancing Clinical Nutrition.

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Reasons for implementing your project Peterborough PCT has a process for implementing NICE guidelines and the dietetic service was required to produce an action plan in response to this guidance. Laviano A, Meguid MM.

The implementation of this training program using MUST led to: Three independent criteria are used by MUST to determine the overall risk for malnutrition: We suggest further research on a larger sample size and more varieties of participants as well as developing more specific strategies and finding comparative nutrition changes among outpatients. Economic impact of malnutrition: The programme is designed to teach care homes how to recognise and monitor residents for signs of under-nutrition using the Malnutrition Universal Screening Tool MUSTand to take appropriate action and treat at risk residents.

Nutritional treatment of liver disease. We would like to express our sincere appreciation to the subjects for their participation and to all clinical registered dietitians RDwho kindly provided the supplements for this trial. The average daily intake of energy and proteins were The dietetic service was already working with care homes and had good relationships with care home managers.

As a result, it was decided to prioritise the implementation of MUST in care homes. In an adult the normal range of serum albumin is defined as 3. There is convincing evidence that the lower the serum albumin level, the higher the risk for bzpen complications and death [ 19 ]. MUST used these factors to ba;en a simple, valid, reproducible score baen formed the basis of a care plan.


Conflict of interest None of the authors reports a conflict of interest. For bed-bound patients, for whom weight and height cannot readily be measured, the research demonstrated that alternative measures e. Health statistics in Taiwan.

In hospitals, further aspects of mst disease have to be considered in combination with nutritional measurements in order to determine whether nutritional support is likely to be beneficial.

An evaluation of the process was undertaken by audit, pre and post implementation.

Statistical analysis The data obtained on food and nutrient intake was then analyzed statistically. Preoperative nutritional risk assessment in predicting postoperative outcome in bapem undergoing major surgery. Nutrition support for adults: Staff were trained to take appropriate action to treat at risk residents, and follow up training and monitoring was undertaken.

Healthcare Professionals

Chemosensory dysfunction is a primary factor in the evolution of declining nutritional status and quality of life in patients with advanced cancer. The objective mmust this study is to evaluate if there is a benefit to nutrition education and oral nutritional supplementation on the nutritional status of patients with cancer that are at a high risk of malnutrition.

Reasons for implementing your project. Study design The number of MUST scores undertaken by an experienced clinical nurse on patients within 24 h of admission. Discussion Malnutrition is common in cancer patients and has a negative muts on disease outcome. Unlike many previous tools, MUST is designed to be user-friendly, making it suitable for routine use in both hospitals and the community for clinical and public health purposes, and even self-screening [3.

Cancer has been the number one cause of death in Taiwan for decades [ 1 tol. Unit of Assessment Clinical Medicine.

Malnutrition Universal Screening Tool (‘MUST’)

Following the baseline audit, the education package was implemented into 6 care homes, 3 nursing homes, and 3 residential care homes, as a pilot. All other authors declare no conflict of interest. These strategies include patient nutrition education programs, and the use of oral nutritional supplements, which can significantly impact bapenn status [ 10 ]. Please review our privacy policy.

Prevalence of malnutrition and use of nutritional support in Peterborough Primary Care Trust. This is a chart review retrospective cross-sectional observation study that was approved by the Institutional Review Board with patients and their families signing waivers of informed consent. All patients were at risk of malnutrition. Nutritional support is recommended for malnourished people who are unable to maintain body weight by appetite and food intake often in the decline of a disease.


The increase in intake was found statistically significant after imparting the nutritional education, with daily intake of energy and proteins becoming We also thank the nurses at the cancer care ward for providing expert assistance regarding the Nutritional Screening Project.

Elia, M, et al Malnutrition in hospital outpatients and inpatients: Meal patterns were assessed by asking the caregivers to indicate how many times they provided meals and snacks to the patients. DK Organ masses and tissue specific metabolic rates across age and race Consultant. The aim of the project was to implement NICE guidance surrounding nutritional screening through an education and training programme for care homes, in order to appropriately identify and manage under-nutrition which in turn may reduce overall NHS burden and be of benefit to the care home residents.

The guidelines of the European Society for Clinical Nutrition and Metabolism ESPEN state that nutritional screening should be able to predict the clinical course based on nutritional status and whether a patient could benefit from nutritional treatment [ 7 ].

It is strongly supported that nutritional education can be used as an effective measure to bring about favorable and significant changes in the dietary patterns of hospital oncology patients.

Implementing nutritional screening in care homes | NICE

Nutrition ; 28 5: Submitting Institution University of Southampton. Author information Article notes Copyright and License information Disclaimer. Supportive care of the cancer patient: J Natl Cancer Inst.