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

Combines self report, clinical assessment and simple bedside evaluation for dysphagia.  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.

A significant proportion of the instrument requires patient or proxy report and depends on the history being available and correct.

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