Malnutrition

Registered dietitian nutritionists have the opportunity and responsibility to be at the forefront of the fight against malnutrition. Using the evidence-based tools and resources below, RDNs and NDTRs can help assess, document, diagnosis and treat malnutrition in a variety of practice settings.

Malnutrition Resources from the Academy of Nutrition and Dietetics

Academy of Nutrition and Dietetics Health Informatics Infrastructure
ANDHII provides the tools to track malnutrition in practice. Through the electronic nutrition care process and terminology, ANDHII can be used to track and report the incidence and prevalence of malnutrition alongside the impact of nutrition care on the clinical characteristics of malnutrition and patient outcomes.

Electronic Clinical Quality Measures
The Academy is a measure steward of four malnutrition electronic clinical quality measures. These four measures aim to promote appropriate screening, assessment, diagnosis and nutrition care for malnourished adults in order to improve patient outcomes.

Evidence Analysis Library
The Academy's Evidence Analysis Library published a systematic review in 2010 that includes a comparison of adult nutrition screening tools, nutrition screening tool parameters and definitions and criteria of nutrition screening.

House of Delegates Dialogue Session on Malnutrition
In 2015, the Academy's House of Delegates conducted a dialogue session to explore how RDNs can be leaders in the identification and management of malnutrition. Read the backgrounder that framed the issue along with the outcomes of the meeting.

Journal of the Academy of Nutrition and Dietetics
The Journal publishes a multitude of malnutrition-related content, including:

Malnutrition Coding
This eatrightPRO page contains resources on hospital reimbursement for malnutrition and practice tools.

Nutrition Care Process and Terminology
The electronic Nutrition Care Process and Terminology provides up-to-date standardized language for documentation of malnutrition diagnoses, supporting evidence and nutrition interventions. The 2015 edition adds etiology-based malnutrition diagnosis terms to mirror the Academy and ASPEN consensus paper and all eNCPT malnutrition terms are mapped to SNOMED-CT for full compatibility with clinical information systems.

Nutrition Focused Physical Exam Hands-on Training Workshop
The Academy offers in-person training for registered dietitian nutritionists to accurately identify and nutrition diagnose adult or pediatric patients with, or at risk for, malnutrition. While a nutrition-focused physical exam is only one component of the nutrition assessment, it can provide necessary supportive data. Pocket guides for both pediatric and adult nutrition-focused physical exams are available in eatrightSTORE.

Malnutrition Resources from Other Organizations

Abbott Nutrition
Abbott's website houses a free RDN CPEU adult malnutrition training. Abbott Nutrition's on-line Ensure Quality Improvement Project is available to hospitals and healthcare providers for improvement of patient outcomes and to monitor and assess their nutritional care process.

Alliance to Advance Patient Nutrition
A collaboration of the Academy, Abbott Nutrition, The Society of Hospital Medicine and The Academy of Medical-Surgical nurses, the Alliance's website provides a consensus paper, reports, grants and the Alliance nutrition care model and toolkit.

Alliance for Aging Research
The Alliance for Aging Research's website contains information on malnutrition in older adults including a short film, quiz and a health care professional tip sheet.

ASPEN Malnutrition Toolkit
Health care professionals can access malnutrition definitions, a nutrition care algorithm, screening and assessment tools, publications and more via ASPEN's Malnutrition Toolkit. Malnutrition-related online educational opportunities also are available.

Canadian Malnutrition Task Force
The Academy serves as a partner to the CMTF, which provides malnutrition screening, diagnostic, treatment and monitoring resources on its website. Also available are guidelines, protocols, research posters and information on advocating for a culture of change in hospital foodservice.

Defeat Malnutrition Today
A coalition including the Academy and many other organizations, Defeat Malnutrition Today emphasizes malnutrition screening and intervention. The website features infographics, articles, studies and the Malnutrition Quality Improvement Initiative Toolkit, which provides practical, interdisciplinary tools and resources to help hospitals implement malnutrition best practices and adopt eCQMs to measure their success in meeting the standards of care.

Food and Agriculture Organization of the United Nations
The FAO website houses an interactive hunger map which illustrates hunger by country since 1990. FAO publishes hunger reports and maintains a large database of statistics.

ENact Nutrition
Nestlé Health Science developed this web-based, integrated enteral nutrition program aimed at improving patient outcomes through the adoption of nutrition-focused quality improvement initiatives in the hospital setting.

Toolkit for Using the AHRQ Quality Indicators
The QI Toolkit is designed to support hospitals in assessing and improving the quality and safety of care they provide.

UNICEF
UNICEF's website houses nutrition status data, annual global nutrition reports and publications on topics such as improving child nutrition.

United Nations Standing Committee on Nutrition
The UNSCN website contains numerous malnutrition-related resources such as a food & nutrition resource portal, Scaling Up Nutrition framework and movement and the Committee on World Food Security.

World Health Organization
The WHO maintains an ongoing list of malnutrition-related publications, as well as basic malnutrition information, infographics and events.