A Dietitians Perspective on Malnutrition Sara Ingersoll MS

A Dietitian’s Perspective on Malnutrition Sara Ingersoll, MS, RD, LD Morison Healthcare Clinical Nutrition Manger Truman Medical Centers

Objectives 1. To provide a general understanding of Malnutrition using ASPEN/Academy Malnutrition guidelines 2. To provide a general understanding of WHO guidelines and Glim criteria 3. Discuss and review Malnutrition performance improvement

ASPEN & The Academy of Nutrition and Dietetics Malnutrition Guidelines

Clinical Characteristics – Energy Intake – Weight Loss – Physical Findings • • Muscle Mass Body Fat Fluid Accumulation Reduced Grip Strength

Documentation to Support a Diagnosis of Malnutrition

Documentation to Support a Diagnosis of Malnutrition

Additional Guidelines

GLIM Criteria

World Health Organization • Limited guidance for Adults • Pediatric diagnosis correlates with zscores

Malnutrition Performance Improvement

Steps for Success 1. Hospital Approved Malnutrition Criteria 2. Completion of Malnutrition Screening within 24 hours of admission 3. Nutrition Assessment Completed for Patients Identified as At-Risk & Nutrition Focused Physical Exam 4. Nutrition Care Plan 5. Appropriate Documentation 6. Discharge Planning & Outcomes

Goals 1. Improving -Patient Care -Outcomes -Documentation -E 46 Unspecified -Severity of Illness (SOI) -Risk of Mortality (ROM) -Reimbursement -Length of Stay/Readmissions

Next Steps • CMS Proposal • Malnutrition Quality Improvement Imitative – http: //mqii. defeatmalnutrition. today/ • Academy of Nutrition and Dietetics – Malnutrition Clinical Characteristics and Staffing Study

Questions?