Download Nursing Care Plan MUSTEX score of 1-2 (Medium to high

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Transcript
Department of Clinical Haematology
Nursing Care Plan
MUSTEX score of 1-2
(Medium to high risk of malnutrition)
Malnutrition can:
• Increase risk of infection
• Delay wound/mucositis healing
• Increase length of stay in hospital
•
Inform Housekeeper of MUST score
•
Identify any side effects impacting on nutritional status and optimise drug treatment,
liaising with medical team - complete chart below
•
Offer patients information about side effects of treatment / nutrition and cancer
•
Encourage patients to choose
•
Encourage snacks between meals
•
Offer milky drinks / Build ups / cocktails
•
Complete food charts - patient may do this if able
•
Repeat MUST screening weekly
•
Prior to discharge give patient “Have you a small appetite” or “If you have lost
weight….” leaflet if appropriate
•
If after 3 days, intake has not improved, discuss with ward dietician
options from the menu
Side effects that could be impacting on nutritional status
Side Effects
Symptomatic
Drug Treatment - has it been optimised?
Nausea and
Vomiting
Poor appetite
Mucositis
Taste changes
Diarrhoea
Other
Name
Hospital Number
Signature
Version 3
Approved by: RR and SH
May 2009