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Department of Clinical Haematology Nursing Care Plan MUSTEX score of 3 or more (High risk of malnutrition) Malnutrition can: • Increase risk of infection • Delay wound and mucositis healing • Increase length of stay in hospital • Ensure patient is fully informed of the implications of malnutrition. Offer information about side effects of treatment / nutrition and cancer • Inform Housekeeper of MUST score • Identify any side effects impacting on nutritional status and optimise drug treatment, liaising with medical team - complete chart below • Encourage patients to choose • Encourage snacks between meals • Offer milky drinks / Build ups / supplements • Refer to Dietician • Repeat MUST screening weekly 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