EXERCISE 1.

NUTRITIONAL SCREENING

Daniela Canseco Medina

Endonutrición
Docente:
Elisa Gomez Reyes

January 20, 2024

Instructions
1. Using the following clinical case information
1.1. Apply 3 different Screening Tools (MUST, MNA, NRS) to identify the risk of
nutrition of the patient.
1.2. You will find right here the screenshots of the screening tools, complete
them (you can add shapes or icons on the tools).
1.3. By the endo of each Screening Tool add a text box with the result.
1.4. At the end of this document, please complete the summary; compare results
and write a conclusion (1 – 3 paragraphs).

Clinical Case
• Sex: Male.
• Age: 70 years old.
• Has lost 12% of his usual weight in less than 1 month.
• Type 2 Diabetes for 15 years.
• Kidney Disease for 5 years (KDOQUI 4).
• Hemodialysis (1 ½ months ago).
• He mentioned to have nausea every time that he attends the hemodialysis
session and that has diminished his oral intake.

2
MUST

4 points
>2: High risk

According with the

information provided, the
patient has a high risk of
malnutrition wich needs
to be treated
NRS - 2002

Score 1
Score <3: weekly re-screening
According with the information
provided, it is recomended to re-
screen the patient weekly

4
Full MNA

9 points
<11 or below: possible malnutrition,
continue assesment
According with the information
provided, the assment should be
extended because of possible
malnutrition

5
Score 1

The information provided it is not

enough to complete the assesment,
therefore,The MNA cannot be
calculated.
6
MNA – SF

6 points.
0-7 points: malnourished
According with the information
provided, the patient is
malnourished.

7
8
Summary -Nutritional screening tools endorsed by ESPEN
◦ Community: Malnutrition Universal Screening Tool (MUST)
◦ Result: Suggests a high risk of malnutrition that has to be treated.
◦ Hospital: Nutritional Risk Screening (NRS-2002)
◦ Pre-screening and final screening component
◦ Result: Weekly rescreening is recommended according to the information provided.
◦ Elderly (>65 y): Mini Nutritional Assessment (MNA)
◦ Full MNA includes 18 items: The information provided it is not enough to complete the assesment,
therefore,The MNA cannot be calculated.
◦ The MNA-SF includes only 6 items, but it is quicker and as effective as the long version.

Conclusion:
Nutritional well-being is vital for the evolution of a patient; therefore these tools are very useful for screening and
optimizing resources for the correct medical intervention. Nutritional assessment is a non-pharmacological approach to
not only acute but also chronic illnesses as it is a resource to provide nutrients, comfort, and strength to those who are in
physiological stress. Furthermore, is a tool to prevent the development of chronic pathologies, not only metabolic
syndrome, and elongate the elation of a population.