Question

5. Screen the following patients for nutrition risk. Provide what tool was used, the risk status, and the components that increased risk. (5 pts each)

a. George T is a 72-year-old man with severe chronic obstructive pulmonary disease. The patient is attending physical therapy twice a week to build strength. He lives alone and is often anxious and depressed. His health affects his day to day functions and he is very limited in what he is able to do including preparing meals and shopping. Due to SOB, he feels “full” easily when eating Weight history: Height: 183cm, BMI 18, Current Weight: 61kg Usual weight: 77kg

b. Tess is a 43-year-old female admitted to the General Medicine unit for UGIB. She is currently NPO. Tess has a history of ETOH abuse and ESLD. She reports she was sober for almost 3 months but relapsed recently. She has been on a drinking binge and was eating very little. Weight history: 5°4”, Current Weight 111#, Usual Body Weight 134#.

Answer 1

Malnutrition Universal Screening Tool (MUST) for adults

a. George T  Malnutrition Universal Screening Tool score total (score 4) =bmi <18.5 (score2) +wt loss percentage 16/77x100=20.77% (score2)+Acute disease effect (score 0)  

OVERALL RISK OF UNDERNUTRITION 4 belongs to high risk category and need treatment

b. Tess is a 43-year-old female

Malnutrition Universal Screening Tool (total score 4) =bmi >20( score0)+wt loss percentage 23/134100= 17% ( score 2)Acute disease effect (score 2)  

OVERALL RISK OF UNDERNUTRITION 4 belongs to high risk category and need treatment

Malnutrition Universal Screening Tool (MUST) for adults scoring criteria is attached