IMBALANCED NUTRITION (LESS THAN BODY REQUIREMENTS)
Intake of nutrients insufficient to meet metabolic needs.
Common related factors: inability to ingest or/and digest foods, inability to absorb, metabolize foods or to procure adequate amounts of food, knowledge deficit, unwillingness to eat and increased metabolic needs caused by disease process or therapy.
Common expected outcome: patient or caregiver verbalizes and demonstrates selection of foods or meals that will achieve a cessation of weight loss. Patient weights within 10% of ideal body weight.
IMBALANCED NUTRITION (MORE THAN BODY REQUIREMENTS)
Intake of nutrients that exceeds metabolic needs.
Common related factors: excessive intake in relation to metabolic need, lack of knowledge of nutritional needs, food intake and/or appropriate food preparation, poor dietary habits, use of food as coping mechanism, metabolic disorders, sedentary activity level.
Common expected outcomes: patient verbalizes accurate information about benefits of weight loss and necessary measures to achieve beginning weight reduction. Patient demonstrates appropriate selection of meals or menu planning toward the goal of weight reduction.
MUST (Malnutrition Universal Screening Tool)
‘MUST’ is a five-step screening tool to identify adults, who are malnourished, at risk of malnutrition
(undernutrition), or obese. It also includes management guidelines which can be used to develop
a care plan.
Step 1
Measure height and weight to get a BMI score using chart provided.
Step 2
Note percentage unplanned weight loss and score using tables provided.
Step 3
Establish acute disease effect and score.
Step 4
Add scores from steps 1, 2 and 3 together to obtain overall risk of malnutrition.
Step 5
Use management guidelines and/or local policy to develop care plan.
Sources:
http://www.bapen.org.uk/pdfs/must/must_full.pdf
Nursing Care Plans Diagnoses, Interventions and Outcomes. Meg Gulanick, 8th Edition.
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