The Facts
Malnutrition affects approximately one-third of patients living in nursing homes or care homes. Multi-morbidity is thought to be the most important cause of malnutrition in these persons. With increasing age the burden of chronic and acute disease increases, which directly influences the balance of nutritional needs and intake. Malnutrition is associated with functional decline or failing functional recovery after hospitalization, an increased risk for life-threatening complications like sepsis and delirium, increased risk of non-elective hospital readmission, poor quality of life and increased mortality.
Therefore, nursing homes and care homes are now paying more attention to the prevention and treatment of malnutrition. Improving meal ambiance has been proven to be a succesfull method to improve a patient's nutritional intake. Early detection of malnutrition is another method.
The earlier a patient is recognized with (a possible risk of) malnutrition, the earlier he can be treated, thus preventing negative events associated with malnutrition.
For nursing homes and care homes we have developed the SNAQRC, the Short Nutritional Assessment Questionnaire for Residential Care. Performing the SNAQRC takes only little time and requires no calculation. The SNAQRC traffic light system combines BMI with four questions related to involuntary weight loss, loss of appetite, and eating with help. It takes into account the higher Body Mass Index for elderly. A treatment plan is available for patients found to be at risk of malnutrition.
The development and validation of the SNAQRC has been described in a document that can be downloaded here.
Scientific evidence regarding the optimal management of malnutrition in geriatric patients is...
At ESPEN 2011, Hinke Kruizenga presented the Dutch approach in a symposium on Implementation of...