MUST Screening ☺️

Question 1

Why do we use the MUST score

Answer 1

Screening tool to detect patients at risk of malnutrition

Question 2

Step 1 - BMI, scoring

-if unable to get measurements, what else could you do?

Answer 2

BMI
0 - 20+ (if obese, 30+)
1 - 18.5-20
2 - U18.5

Self reported values
Height from ulnar length
BMI from mid upper arm circumference
If fluid retaining, consider and estimate

Question 3

Step 2 - unplanned weight loss in past 3-6 months, scoring

Answer 3

0 - U5%
1 - 5-10%
2 - 10%+

Question 4

Step 3 - acute illness AND no intake for 5+ days, scoring

Answer 4

0 - no

2 - yes

Question 5

How would you manage a

• low risk
• medium risk
• high risk

Answer 5

Low risk - 0
-repeat screen

Medium risk - 1

• document intake for 3days
• adequate => same as low risk
• inadequate => local policy to increase and improve intake

High risk - 2
-dietician referral => increase and improve intake

Question 6

How could you support nutrition intake?

Answer 6

Oral intake

• fortify with milk powders, custard, creams
• full fat products
• offer regular snacks

Oral supplements
-fortisip, fortijuice

Enteral feeding

• unable to tolerate oral intake
• NG - short term feeding
• RIG, PEG - long term feeding
• TPN - non functioning GI with obstruction