ARCHETYPE Malnutrition Universal Screening Tool (MUST) (openEHR-EHR-OBSERVATION.must.v0)

ARCHETYPE IDopenEHR-EHR-OBSERVATION.must.v0
ConceptMalnutrition Universal Screening Tool (MUST)
DescriptionScreening tool for malnourishment, undernutrition or obesity.
UseMUST is a five-step screening tool: Step 1.- Measure height and weight to get a BMI score. If unable to obtain height and weight, the alternative procedures shown in the MUST Explanatory Booklet should be used. Step 2.- Note percentage unplanned weight loss and score using tool specific tables. 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. This archetype registers data for calculation of the overall risk of malnutrition score.
MisuseNot to be used for children.
PurposeThe Malnutrition Universal Screening Tool (MUST) is a scoring system designed to help identify adults who are malnourished, at risk of malnutrition (undernutrition), or obese. It intends to identify risk of poor protein-energy status, rather than status of individual nutrients. It has not been designed to detect deficiencies in or excessive intakes of vitamins and minerals. It was developed and is maintained by the British Association for Parenteral and Enteral Nutrition (BAPEN).
ReferencesElia, Marinos (2003): Screening for malnutrition: a multidisciplinary responsibility. Development and use of the ‘Malnutrition Universal Screening Tool’ (‘MUST’) for adults. Malnutrition Advisory Group, a Standing Committee of BAPEN. Redditch: BAPEN (ISBN 1899467 70 X).

Stratton, RJ, Hackston, A, Longmore, D, et al. (2004): Malnutrition in hospital outpatients and inpatients: prevalence, concurrent validity and ease of use of the ‘malnutrition universal screening tool’ (‘MUST’) for adults. Br J Nutr 92, 799–808. http://tinyurl.com/jj8grzo

Todorovic, Vera, Russell, Christine, Elia, Marinos (2011): The ‘MUST’explanatory booklet: A Guide to the ‘Malnutrition Universal Screening Tool’ (‘MUST’) for adults. Redditch: BAPEN (ISBN 978-1-899467-71-6). http://tinyurl.com/7vrjsyb
Copyright© openEHR Foundation
AuthorsForfatternavn: Alan D. March
Organisasjon: Hospital Universitario Austral, Pilar, Buenos Aires, Argentina
E-post: alandmarch@gmail.com
Opprinnelig skrevet dato: 2016-06-12
Other Details LanguageForfatternavn: Alan D. March
Organisasjon: Hospital Universitario Austral, Pilar, Buenos Aires, Argentina
E-post: alandmarch@gmail.com
Opprinnelig skrevet dato: 2016-06-12
OtherDetails Language Independent{licence=This work is licensed under the Creative Commons Attribution-ShareAlike 3.0 License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/3.0/., custodian_organisation=openEHR Foundation, references=Elia, Marinos (2003): Screening for malnutrition: a multidisciplinary responsibility. Development and use of the ‘Malnutrition Universal Screening Tool’ (‘MUST’) for adults. Malnutrition Advisory Group, a Standing Committee of BAPEN. Redditch: BAPEN (ISBN 1899467 70 X). Stratton, RJ, Hackston, A, Longmore, D, et al. (2004): Malnutrition in hospital outpatients and inpatients: prevalence, concurrent validity and ease of use of the ‘malnutrition universal screening tool’ (‘MUST’) for adults. Br J Nutr 92, 799–808. http://tinyurl.com/jj8grzo Todorovic, Vera, Russell, Christine, Elia, Marinos (2011): The ‘MUST’explanatory booklet: A Guide to the ‘Malnutrition Universal Screening Tool’ (‘MUST’) for adults. Redditch: BAPEN (ISBN 978-1-899467-71-6). http://tinyurl.com/7vrjsyb, current_contact=Alan D. March, Alan D. March, original_namespace=org.openehr, original_publisher=openEHR Foundation, custodian_namespace=org.openehr, MD5-CAM-1.0.1=FF37872118D906244EC8BCEAB503FC3E, build_uid=f478ac45-d50e-4a27-bc39-6002a63fe76b, ip_acknowledgements=This artefact includes content from SNOMED Clinical Terms® (SNOMED CT®) which is copyrighted material of the International Health Terminology Standards Development Organisation (IHTSDO). Where an implementation of this artefact makes use of SNOMED CT content, the implementer must have the appropriate SNOMED CT Affiliate license - for more information contact http://www.snomed.org/snomed-ct/get-snomedct or info@snomed.org., revision=0.0.1-alpha}
KeywordsMUST, malnutrition, undernutrition, obesity, nutrition, nourishment
Lifecyclein_development
UID7aa7f578-0b71-4313-8322-eca9ada2c8c7
Language useden
Citeable Identifier1078.36.1878
Revision Number0.0.1-alpha
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  • Direct height measurement [*]
  • Recently documented or self-reported height [Recently documented or self-reported height (if reliable and realistic).]
  • Derived from ulna length [*]
  • Derived from knee height [*]
  • Derived from demispan [*]
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  • Direct weight measurement [*]
  • Recently documented or self-reported weight [Recently documented or self-reported weight (if reliable and realistic).]
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  • Derived from mid upper arm circumference measurement [*]
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  • Recently documented or self-reported weight change [*]
  • Clinical impression [*]
  • Derived from changes in mid upper arm circumference measurement [*]
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2: <18.5 [*]
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2: >10 % [*]
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2: Acutely ill and there has been or is likely to be no nutritional intake for >5 days [If patient is acutely ill and there has been or is likely to be no nutritional intake for >5 days.]
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  • Medium risk [Total score equal to 1.]
  • High risk [Total score equal or greater than 2.]
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  • Direct height measurement [*]
  • Recently documented or self-reported height [Recently documented or self-reported height (if reliable and realistic).]
  • Derived from ulna length [*]
  • Derived from knee height [*]
  • Derived from demispan [*]
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  • Direct weight measurement [*]
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  • Derived from mid upper arm circumference measurement [*]
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  • Recently documented or self-reported weight change [*]
  • Clinical impression [*]
  • Derived from changes in mid upper arm circumference measurement [*]
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