This website uses cookies to ensure you have the best experience. Learn more

Malnutrition Universal Screening Tool Essay

2045 words - 8 pages

This assignment will discuss a trust adapted version of the Malnutrition Universal Screening Tool (MUST). It will demonstrate an understanding of theoretical knowledge used to develop the assessment tool. The assignment will focus on three components within the tool; discussing the reliability and validity when used in a clinical environment. A reflection of my own experience using the tool will be included and linked to aspects of reliability. Any issues with reliability will be identified and suggestions given on how they can be corrected to aid future use.
MUST is a five-step screening tool designed for healthcare professionals to identify adult patients who at risk of, or are malnourished. It includes guidelines on how to develop an effective treatment plan. The Malnutrition Advisory Group (MAG) in 2000 adapted and extended their community screening tool to include care homes and hospitals, in response to national concerns. (Department of Health, 2001). In 2003 MUST was designed by MAG and the British Association for Parenteral and Enteral Nutrition (BAPEN). It was piloted across many care settings, to target patients who may be at risk of malnutrition.
I have chosen this tool as it is widely used in healthcare; however malnutrition is often unrecognised and mismanaged. According BAPEN some three million people in the UK are at risk or are malnourished. Malnutrition can affect a patient physically, mentally and can also increase recovery time (Zellipour, & Stratton, 2005). This assignment will help me understand the theory and rationale behind the development of the MUST.
The first component of the MUST involves measuring the patient’s height and weight to establish their Body Mass Index (BMI). BMI is the’ relationship between weight and height that is associated with body fat and health risks’ (Bumgardner 2008). BMI gives an idea into the health risks associated with being a certain height for your weight; however it does not take into account the persons, age, frame size or muscularity. (Jeukendrup & Gleeson 2005).
BMI provides some indication as to the patient’s nutritional status. A low BMI is associated with inadequate nutritional intake; this occurs when there is a deficiency or imbalance in the nutrients consumed, which can lead to malnutrition. (Lennard-Jones,1992). However some patients may have a normal or high BMI and be classed as malnourished. This can be because they have a low intake of nutrients such as vitamins and protein, or because they may be consuming the wrong type of foods (Ward and Rollins, 1999).
There are three main ways that malnutrition can occur, either through impaired absorption, impaired nutritional intake or an increased metabolic demand. (Cartwright & Williams, 2002).
BMI cannot differentiate between body fat and muscle mass. This often results in misleading information with regard to the amount of fat in the individual, as muscle is denser than fat. (British Heart Foundation 2009). Meaning...

Find Another Essay On Malnutrition Universal Screening Tool

needs assessment in nursing Essay

4080 words - 16 pages Untitled This essay will emphasise the importance of assessing the needs of a patient within the nursing care along with the use of the twelve activities of daily living. It will focus of the needs assessment for a patient called Carl and discuss the Malnutrition Universal Screening Tool (MUST). Nursing assessment is the first stage of the nursing process between the patient and the nurse upon admission to determine the

Genetic Testing and Screening Essay

2660 words - 11 pages the PCR reaction. This along with the ease with which GAWTS lends itself to automation can increase the efficiency at which the screening takes place. Genetic Screening Genetic screening is a process to analyze blood or skin for the systematic search for persons with a particular genotype in a defined population. It also serves as an important tool of modern preventive medicine. Such screening has the potential to lessen the devastating

Cystic Fibrosis

1509 words - 6 pages and impedes natural infection-fighting mechanisms found in the lungs resulting in an increase of respiratory infections. Eventually, the body’s immune system will turn against its own lung tissue resulting in lung failure. CF is carried as an autosomal recessive trait. This implies that in order to exhibit CF, both the mother and the father must carry and pass the defected gene to the child. Through carrier screening, researchers have determined

Caring For Patients with Dysphagia

1616 words - 6 pages including information regarding the types of dysphagia, how to use the screening tool and populations that may be at risk for aspiration. Screening tests nurses most often use are the two-phase question screen, a water swallow test and a swallowing management plan (Cichero, pg. 1651). Along with important assessment tools that are key in understanding the dysphagia in the patient and improving quality of life, it is important for nurses conduct a daily

Autism Spectrum Disorders

1536 words - 6 pages multidisciplinary team. Katie Moisse from ABC News writes, “Current screening methods can signal autism in toddlers 18 months and older.” Screenings do not serve to officially diagnose the patient, but to determine whether or not to refer the patient to a diagnostic team. There are various instruments that may be used in a screening. The Checklist of Autism in Toddlers is a screening tool for two-year-olds, while the Social Communication Questionnaire

Human Rights Issues

1660 words - 7 pages whose rights are being stolen everyday. The Universal Declaration of Human Rights is a tool that can help one understand some of the basic human rights, however one must go beyond simply informing themselves on what human rights are. Once these rights have been read and understood, the value of human rights and their importance must be taken into consideration when making a moral decision to stand-up for those whose rights have been stolen.It is

Post Partum Depression and Mental Health in Maori Women in New Zealand

2490 words - 10 pages PHQ 2-3 questions. However, although this is a universal screening tool, its effectiveness in detecting postnatal depression in Maori women is lacking research, and having a screening tool without appropriate referral pathways is an unethical practice, and may lead to a delay in treatment (Johnstone, & Read, 2000; Murray, 2003; Appleton, & Cowley, 2004).   Current professional development within Plunket often includes topics about maternal

A voice in Sign

1006 words - 4 pages American Sign Language (ASL) is a complete, complex language that employs signs made by moving the hands combined with facial expressions and postures of the body. It is the primary language of many North Americans who are deaf and is one of several communication options used by people who are deaf or hard-of-hearing.TopIs sign language the same in other countries?No one form of sign language is universal. Different sign languages are used in

The Importance of Human Rights Education

1759 words - 7 pages and is well positioned to achieve universal primary education. Unfortunately, all of the factors discussed in this essay could easily undo all the progress made so far. The Millennium Development Goal report recommends that the situation can be helped by reintroducing free primary education; improving the quality and relevance of primary education; providing school lunches to mitigate problems caused by chronic malnutrition; improving the

Domestic Violence Intervention for Women Visiting Accident & Emergency Departments in UK

7363 words - 29 pages , Lawrence, O'Toole and O'Brien's (1997) study reported that two-thirds of the nursing institutes in Australia did not have domestic violence included in the curriculum of nursing training. Nurses working in hospitals were the people least likely to identify victims of domestic violence and had reported a sense of fear in offending women if they enquired about abuse (Ellis, 19-99).In 1999, a universal screening program was carried out in an emergency

integrative theory

1105 words - 5 pages -behavioral assessments on youth of ages 8-15, African-American and/or Latino. I also collect a DNA sample and several surveys. When approaching families to participate in the research I have to be careful in explaining the purpose of the study which is to create a screening tool for dyslexia. Families immediately jump out and believe that the only answer to reading difficulties or dyslexia is genetics, one gene, and that if one parent were to have given

Similar Essays

The Nurses Role In Relation To Risk Assessment

4062 words - 16 pages £1,064 for a grade 1 pressure ulcer to £10,551 for a grade 4 pressure ulcer, with higher grade pressure ulcers taking longer to heal and being associated with a higher incidence of complications. This is also evident with the malnutrition universal screening tool (MUST) for patients who are undernourished; NICE (2006) offers practice information on the care of adults who are undernourished or at risk of becoming undernourished in

Integrated Governance: Health Policy Essay

2443 words - 10 pages Tool & Standards. The author has chosen the Malnutrition Universal Scoring Tool (MUST) to analyse and critically evaluate its ability to capture the relevant data, in regards to and in line with the CQC outcome 5; meeting nutritional needs. Standards, policies and guidelines that show the supporting framework will also be explored as they explain the reasons why the tool has been created and the importance for its use by healthcare professionals in

Reflection On Mdt Meeting Attended For Stroke Rehabilitation Patients Reflective Writing

491 words - 2 pages the current status of the patient and the goals achieved so far, progression or regression of set goals were also discussed. Other issues such as expected date of discharge and outcome of family meeting were deliberated upon. The NIC ensured that assessment tools such as Waterloo pressure ulcer risk assessment tool and Malnutrition Universal Screening Tool (MUST) were updated prior to the MDT meeting. Each patient was presented based on their

Barriers To Screening Pregnant Women For Substance Abuse

1885 words - 8 pages Obstetric and Gynecologic Practice. (n.d.). ACOG. Retrieved November 20, 2013, from 2. Azadi, A., & Dildyiii, G. (2008). Universal Screening For Substance Abuse At The Time Of Parturition. American Journal of Obstetrics and Gynecology, 198(5), e30-e32. 3. Chasnoff, I