Make a change today – implement these tools in your practice

Nutrition screening

Nutrition screening with a valid tool can generate a large number of requests for nutrition evaluation.  SGA is a simple and efficient first-line assessment of nutritional status that can be used following a positive screening result. Patients identified as moderate or severely malnourished with SGA require further assessment to identify targets for nutrition interventions and treatments.  Patients who are not malnourished will not warrant a nutrition assessment.

Nutrition screening

Diagnosing malnutrition

Subjective Global Assessment (SGA) is the gold standard for diagnosing malnutrition. It is a simple bedside method of assessing the risk of malnutrition and identifying those who would benefit from nutrition care. The assessment includes taking a history of recent intake, weight change, gastrointestinal symptoms and a clinical evaluation. It has been validated in a variety of patient populations. To order the updated (2015) SGA DVD please go to this link:
https://cns-scn.ca/education/cmtf/cmtf-dvd

Diagnosing malnutrition

Join the Nestlé Nutrition Institute website to access many videos of experts that define malnutrition and explain how to recognize it.

Treating malnutrition

Treating malnutrition

  • To learn more about the prevalence, causes, consequences and economic implications of malnutrition as well as the effectiveness of oral nutrition supplements (ONS) in preventing and treating malnutrition, see this evidence-based dossier from Medical Nutrition International Industry.
  • A useful document, from the British Association for Parenteral and Enteral Nutrition (BAPEN), for hospitals that are interested in an implementation guide for a program for prevention and early intervention of malnutrition.  http://malnutritiontaskforce.org.uk/resources.html – on the right side of the page under Other Resources, click on Hospitals to retrieve the document. (Please note that BAPEN has a different definition of malnutrition than does the CMTF.)

Advocating for a culture change

Advocating for a cultue change

  • Britain’s National Health Service has five documents available for developing an in hospital Protected Mealtime program:
  1. Protected Mealtimes Review
  2. Implementation Checklist
  3. Ward Poster
  4. Implementation: Top Tips
  5. Observational Audit
  6. Practical Guide – presentation

Download the documents here.

  • What does it take to serve local food to our patients? Check out the video from the University Health Network in Toronto

Patient materials

Patient materials

Coming soon…

Other malnutrition initiatives

  • Early in 2015, The McMaster Health Forum hosted a citizen panel on how to address nutritional risk among older adults in Ontario. The purpose of the panel was to support the efforts of policymakers, managers and professional leaders who make decisions about our health system. The citizen panel summary and citizen brief are now publicly available.
  • Check out Alberta Health Services’ transformational roadmap for the Diabetes, Obesity and Nutrition Strategic Clinical Network defining malnutrition as a priority….

Other malnutrition initiatives

Contact us

If you would like more information or to become a sponsor, please contact the Executive Director