Nutrition screening 
       Nutrition screening 
        and assessment
        and assessment
       Description and presentation of tools 
       Description and presentation of tools 
               used
               used
               Objectives
               Objectives
     „ To describe the purpose of doing nutrition 
     „ To describe the purpose of doing nutrition 
      screening and assessment
      screening and assessment
     „ To differentiate between nutrition screening and 
     „ To differentiate between nutrition screening and 
      assessment
      assessment
     „ To show the different tools of nutrition screening 
     „ To show the different tools of nutrition screening 
      and assessment
      and assessment
         Nutrition Support                          Admission
         Program Design
                                                 Patient Screening            Not at Risk
                                                              At Risk
                                                Patient Assessment
                                         Development of Nutrition Care Plan
                                        Implementation of Nutrition Care Plan
                Patient Reassessment                                          Evaluation of Care 
                   and Updating of               Patient Monitoring                Setting
                  Nutrition Care Plan
                                         Goals Achieved     Progressing                 In Patient Care No 
                                                           Towards Goals                 Longer Required
                                              Termination of Therapy         Discharge Planning
              ASPEN Board of Directors – Standards of nutrition support for hospitalized patients
                       Standard of care
                       Standard of care
        „    Criteria shall be established for identification of 
        „    Criteria shall be established for identification of 
             patients who are nutritionally-at-risk by an initial 
             patients who are nutritionally-at-risk by an initial 
             screening mechanism. 
             screening mechanism. 
        „    This will determine the need for assessment of the 
        „    This will determine the need for assessment of the 
             patient’s nutrition status.
             patient’s nutrition status.
        „    All patients admitted to the hospital for a specified 
        „    All patients admitted to the hospital for a specified 
             length of stay shall undergo a nutrition screening 
             length of stay shall undergo a nutrition screening 
             process using subjective and/or objective criteria.
             process using subjective and/or objective criteria.
        „    Reference:
        „    Reference:
           „   JCAHO Board of Directors, 1995 Comprehensive 
           „   JCAHO Board of Directors, 1995 Comprehensive 
               Accreditation Manual for Hospitals. JCAHO, Oakbrook, IL 
               Accreditation Manual for Hospitals. JCAHO, Oakbrook, IL 
               1994.
               1994.