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UK NHS Malnutrition Universal Screening Tool free printable template

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MALNUTRITION UNIVERSAL SCREENING TOOL (MUST) Patients Name: DOB: Location: NHS Number: Initial screening Date: Normal Weight (kg): Height (M): estimate/actual For each section below circle one score
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How to fill out UK NHS Malnutrition Universal Screening Tool

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How to fill out UK NHS Malnutrition Universal Screening Tool (MUST)

01
Step 1: Measure the patient's height and weight to calculate their Body Mass Index (BMI).
02
Step 2: Calculate the BMI using the formula: weight (kg) / (height (m) x height (m)).
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Step 3: Record the BMI and categorize it into one of the following groups: underweight, healthy weight, overweight, or obese.
04
Step 4: Determine if there has been any unintentional weight loss in the past 3 to 6 months.
05
Step 5: Use the weight loss information to assign a score based on the percentage of weight lost.
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Step 6: Add the BMI score and weight loss score together to get the overall MUST score.
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Step 7: Interpret the MUST score: 0 = low risk, 1 = medium risk, 2 or more = high risk.
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Step 8: Implement appropriate nutritional interventions based on the risk level.

Who needs UK NHS Malnutrition Universal Screening Tool (MUST)?

01
Individuals who are hospitalized or in long-term care facilities.
02
Patients with chronic illnesses that affect nutrition.
03
Elderly individuals with possible malnutrition risk.
04
Any patients showing signs of weight loss or poor dietary intake.
05
Healthcare professionals who assess nutritional status in clinical settings.
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People Also Ask about

To calculate weight loss (%): 1 - New weight ÷ Previous weight = Weight loss score (e.g. 1 - 40kg ÷ 45kg = 0.11 x 100 = 11%) If you don't have a previous recorded weight, use self-reported previous weight (if realistic). MUST is not suitable for patients receiving end-of-life care.
MUST consists of 5 simple steps: Measure the Height and Weight of a Patient to Get a BMI Score. Note the Percentage of Unplanned Weight Loss and Score. Establish Acute Disease Effect and Score. Calculate the Final Score. Use the Management Guidelines to Decide on the Next Steps.
Step 5. Refer to 'The 'MUST' Explanatory Booklet for more information when weight and height cannot be measured, and when screening patient groups in which extra care in interpretation is needed (for example, those with fluid disturbances, plaster casts, amputations, critical illness, and pregnant or lactating women).
The BMI is an indicator of chronic malnutrition. Europeans are considered underweight when BMI is <18.5 kg/m2. BMI values under this cutoff are associated with poor outcome and higher mortality rates, as are BMI values greater than 30 kg/m2 (typically classified as obesity).
Scores of 12-14 are considered normal nutritional status; 8-11 indicate at risk of malnutrition; 0-7 indicate malnutrition. An advantage of the tool is that no laboratory data are needed. An in-depth assessment and physical exam should be performed when patients are identified to be malnourished or at nutritional risk.
A score of 0 – 1indicates a low risk of malnutrition. A score of 2 indicates a moderate risk of malnutrition. A score of 3 – 5 indicates a high risk of malnutrition.

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The UK NHS Malnutrition Universal Screening Tool (MUST) is a screening tool designed to identify adults who are malnourished or at risk of malnutrition. It provides a simple method for healthcare providers to assess nutritional status and guide appropriate interventions.
Healthcare professionals involved in patient care, including nurses, doctors, and dietitians, are required to file the MUST screening tool for patients, particularly in hospital settings, care homes, and community services.
To fill out the MUST, you must measure the patient's height and weight, calculate the Body Mass Index (BMI), assess any unintentional weight loss, and determine the overall risk of malnutrition. Each criterion is scored, and the total score helps to identify the level of risk.
The purpose of MUST is to identify individuals who are malnourished or at risk of malnutrition, to provide a standardized method for assessment, and to enable appropriate nutritional interventions to improve patient outcomes.
The MUST requires reporting of the patient's height, weight, BMI, any unintentional weight loss, and the total MUST score which categorizes the patient into low, medium, or high risk for malnutrition.
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