Nutrition risk screening is a means to quickly and easily identify those who may have nutrition problems. It is the first step in a comprehensive nutrition care program which will meet the nutrition needs of clients and patients.
Nutrition risk screening….
- identifies those individuals “at risk” of inadequate food intake
- identifies those who can benefit from nutrition treatment
- needs to be specific to the population of interest
Nutrition screening tools need to be valid, reliable, feasible and culturally appropriate. Examples of good tools include:
- SCREEN© (Seniors in the Community Risk Evaluation for Eating and Nutrition)
- NutriSTEP® (Nutrition Screening for Toddlers and Preschoolers).
A good screening tool is just the start! For screening to really change outcomes for clients/patients, interventions need to be put in place post screening.
Practitioners need to consider their ability to screen as well as the capacity of the system to provide interventions for those identified to be at risk. The Bringing Nutrition Risk Screening to Seniors (BNSS) Implementation Guide can help you to develop your screening program and is located under Resources. A research brief has also been created to help SCREEN© users communicate screening results to older adults.
Dr. Keller is currently co-chair of the Canadian Malnutrition Task Force. CMTF is a group of clinicians and researchers and their mandate is to improve nutrition care in Canada. Working with stakeholder Partners Against Malnutrition, they are active in policy, knowledge translation and training to improve the nutritional care process.
Keller HH. Promoting food intake in older adults living in the community: a review. App Phys Nutr Met 2007;32: 991-1000.
Keller HH, Haresign H, Brockest B. (2007). Bringing Nutrition Screening to Seniors (BNSS) Process Evaluation. Can J Diet Pract Res 68(2), 86-91.
Beath H, Keller HH. (2007). Nutrition screen showed good agreement when self- and interviewer-administered. J Clin Epi 60(10), 1085-89.
Keller HH, Brockest B, Haresign H. (2006). Building capacity for nutrition risk screening. Nutrition Today, 41(4), 164-70.
Keller HH. (2006)The SCREEN I (Seniors in the Community Risk Evaluation for Eating and Nutrition) index adequately represents nutritional risk. J Clin Epi 59(8), 836-841.
Keller HH, Goy R, Kane S-L. (2005). Validity and reliability of SCREEN II (Seniors in the Community: Risk Evaluation for Eating and Nutrition- version II). Eur J CLin Nutr 59, 1149-1167). Abstract
Bowman J, Keller H.H. (2005). Validation of the oral/nutrition status section of the Minimum Data Set 2.0 for long-term care residents. Can J Diet Res 66(3), 155-161).
Keller H.H., McKenzie J.D. (2003). Nutritional risk in vulnerable community-living seniors. Can J Diet Prac Res 64, 195-201. Abstract
Keller H.H., Allen, J. (2002). Ontario Older-Adult Programs: Self-Identified Interest in and Resources for Nutritional Risk Screening. Can J Aging 21(4), 587-594.
Keller H.H., McKenzie J.D., Goy R. (2001). Construct validation and test-retest reliability of the seniors in the community: risk evaluation for eating and nutrition questionnaire. J Gerontol: Med Sci 56A(9), M552-M558. Abstract
Keller H.H., Hedley M.R, Wong Brownlee S. (2000) Development of SCREEN – Seniors in the Community: Risk Evaluation for Eating and Nutrition. Can J Diet Prac Research 61(2), 67-72. Abstract