Determining the Nutritional Risk of a Patient

As part of the nutrition assessment process, the dietitians at CAMC need to determine the nutritional risk of a patient by using a scoring method. A patient who is scored at a higher nutritional risk is put at a higher priority in terms of follow-up and monitoring. Thus, the higher the risk score, the closer the follow-up time frame.

The nutritional risk and follow-up criteria are shown below:

Determining the Level of Nutritional Risk

Criteria Score
Nutrition Support (enteral/parenteral nutrition) 6
Admitting Diagnosis (this can be a number of different things such as pancreatitis and chronic renal disease) 2
Weight Loss 2
Oral intake <50% OR NPO/Clear liquid > 5 days 2
Dysphagia 2
Albumin <2.5, Pre-albumin <16 2
Vent dependent 2
Skin breakdown/Deep tissue injury 2
BMI <18.5 2

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Time Frame for Follow-Ups Based on Level of Nutritional Risk

Score Level of Risk Follow-Up
< 8 High 5 Days
6-8 High-Moderate 5-7 Days
4-6 Moderate 7 Days
2-4 Moderate-Low 7-10 Days
2 Low 10 Days
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One thought on “Determining the Nutritional Risk of a Patient

  1. Thanks for sharing! So you add up the “score” and then you see the patients with the highest scores first? And then the follow-up dates indicate how often you should follow up with the patient? (Just want to make sure I’m prepared for Charleston! 🙂 ) It seems that most patients should be gone within 2-3 days, so I bet there’s a lot that don’t ever need a follow-up. Unless CAMC has a longer average patient stay than Mon Gen?

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