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At GERATEC workshops we share the ‘Individual Care Plan Assessment Tools’ and have found that the tools were welcomed and very necessary. We would like to share this information with you too, and welcome any comments and feedback on our Facebook page.
- Braden Scale – Pressure ulcer risk assessment [ENGLISH]
- Geriatric Depression Scale [ENGLISH]
- Hendrich II Fall Risk Model [ENGLISH]
- Katz – Activities of Daily Living (ADL) [ENGLISH]
- Mini Nutritional Assessment (MNA) [ENGLISH]
- Urinary Incontinence Assessment (UDI- 6) [ENGLISH]
Nutritional Screening & Assessment Tools
Nutritional assessment entails a multi-disciplinary team effort. Every team member is equally important. The end priority is to optimise quality of life for the elderly individual. This will only be possible if accurate nutritional assessment takes place and if the necessary interventions are implemented.
The evaluation and monitoring of the nutritional status of elderly people in long-term care facilities is of the utmost importance as discussed in the section.
Calculate your BMI
Body mass index (BMI) is determined when weight is divided by the squared height of an individual
BMI = Weight / (Height2) OR BMI = Weight / (Height x Height)
Accuracy of weight and height measurements is essential to ensure a reliable value. It is best to determine weight with the help of an electronic sit scale. There are formulas that make use of knee-height values that can be used to estimate the height of a person that cannot stand up straight. The BMI should preferably not be used as an isolated assessment tool. Its conclusion should be supportive of the mini nutritional assessment results.
Measure your arm circumference
Mid upper arm circumference (MUAC) is an indicator of muscle and subcutaneous adipose tissue. Measurements should be very accurate to ensure a valid conclusion. The measurement is taken directly in the middle of the upper right arm at the midpoint between the lateral projection of the acromion process of the scapula (a) and the olecranon process of the ulna (b), as indicated in the figure. The value should be interpreted with caution and in support of the mini nutritional assessment.
MUAC values can be interpreted as follow:
- MUAC < 22.1 cm: Malnutrition Grade 3
- MUAC 22.1-23 cm: Malnutrition Grade 2
- MUAC 23.1-24 cm: Malnutrition Grade 1
- MUAC 24 cm: Normal nutritional status
- Every month
- Use an electronic sit scale if possible
- Trained personnel
- Record weight
- Plot graphs
- Act on values!
Comprehensive nutritional assessment
- Every three to six months
- Integrate conclusions from MNA, BMI and MUAC
- Follow a team approach
- Compare with previous assessment
- Act on values!