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SKRINING

SKRINING

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Published by Amelia Hanis
Skrining gizi
Skrining gizi

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Published by: Amelia Hanis on Aug 15, 2012
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10/22/2015

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SKRINING GIZI

Etika Ratna Noer

2. 3. murah dan hasilnya cepat diketahui • Cakupan utama skrining : 1.What is Screening? • Penapisan/identifikasi untuk mengetahui orang yg berisiko terjadi masalah gizi atau malnutrisi • Tes Skrining sebaiknya bersifat non-invasive. Berat – IMT Penurunan BB Selera makan Kondisi medis dimana tjd peningkatan kebutuhan . 4.

doctors or others Nutrition Assessment • Purpose: to identify early signs of malnutrition and prevent it from morbidity and mortality • Detailed.Skrining vs Assessment Nutrition Screening • Purpose : to quickly identify individuals nutritionally at-risk or who are malnourished • Rapid. done by those with nutritional expertise . more specific in depth evaluation. simple general procedure done at first contact with subject to detect risk of malnutrition. done by nurses.

Start screening ASAP! • • • • MNA® Short Form SGA MUST (Malnutrition Universal Screening Tool) Nutrition Risk Screening (NRS.2002 by ESPEN) .

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56:M366-M372 .. J Gerontol 2001.54:S59-65 Vellas B et al. Nutr.. J Am Geriatr Soc 2000. non-invasive. reliable. Rev.• Developed in 1990 • Validated for ages 65+ • Simple..48:1300-1309c Rubenstein LZ et al. & quick • Inexpensive • Validated in hospital & community setting • For screening & assessment Guigoz et al. 1996.

hospitalized & free living elderly • Sensitivity 96% • Specificity 98% .Validation of ® MNA • Nursing home.

• • • 4 sections: Anthropometrics Diet questionnaire Global assessment • lifestyle • medications • mobility Subjective assessment • self perception of health & nutrition • .

.2):15-70 . 1994 (suppl. Facts & Res.MNA® score interpretation maximum score 30 points • ≥ 24 : • 17 .5 : • < 17 : normal/well-nourished border line/at risk of malnutrition undernutrition Guigoz et al. Gerontol.23.

reliable. but adults . home. long term care • Identifies individuals who are undernourished or obese • Not specific for the elderly. validated tool for nutrition screening • Allows comparable nutritional screening across different care settings by different health professionals – primary care.MUST Malnutrition Universal Screening Tool • A practical. acute care.

Malnutrition Universal Screening Tool ( Schematic ) Step 1 BMI Step 2 Weight loss Subjective criteria Step 3 Acute disease score Step 4 Overall Risk Of Malnutrition 0 Low risk 1 Medium Risk 2 or more High Risk Step 5 Consider using suggested management guidelines •Reassess risk category as subject moves through care settings .

MUST Validity Malnutrition Universal Screening Tool • Hospitals – predicts Length of stay – predicts discharge destination – mortality • Community – predicts rates of hospitali admissions – predicts rates of GP visits – shows that appropriate intervention improves outcome .

Nutrition Risk Screen • Developed in 2003 (Kondrup et al .ESPEN) • Used retrospective analysis of RCT (adults) – Nutritional criteria or characteristics – Clinical outcome Assumption: Indications for nutrition support are : • the severity of undernutrition • the increase in nutritional requirements from the disease • Screen includes measures of current potential undernutrition & disease severity .NRS .

Nutrition Risk Screen .NRS .

Nutrition Screening is NOT the end but just the beginning! .

Tugas : Resume Jurnal • NRS 2002 • Comparative 5 tools • SGA .

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