Instrument for assessing nutritional risk in elderly patients in any setting.

Quick and easy to administer 10 item questionnaire to patient or proxy.  The checklist identifies patients who may benefit from nutritional counseling or home delivered meals as well as, evaluation of activities of daily living, depression, poor oral health, polypharmacy or status of underlying chronic conditions

The instrument is dependent on the patient or proxy having the information and being forthright.

Click on this icon  to view the full resource and applicable interpretive guides.  You will need the Adobe Acrobat Reader.