Early Recognition of Malnutrition in the Older Adult: A Quality Improvement Project Using a Standardized Nutritional Tool

Abstract

Purpose: The purpose of this project was to identify the nutritional status of older adults in a primary care setting by using a standardized nutritional tool and to improve clinical outcomes by implementing appropriate interventions. Methods: A retrospective chart review of 50 records was conducted prior to any intervention to document what was being done before the use of a standardized nutritional tool. Clinic staff was instructed on the Mini Nutritional Assessment tool. After implementing the tool, a chart review was conducted on 25 participants. Results: Prior to implementing the tool, data showed that 42% of the patients’ charts recorded a body mass index and there was no documentation of any nutritional concerns. After the implementation of the standardized tool, data showed 40% of the older adult patients had normal nutritional status, 56% were at risk, and 4% were malnourished. Furthermore, 100% of records continued to show no documentation of any nutritional interventions. Conclusion: Data suggest that many older adult patients are at risk or have malnourishment that is unrecognized. Documentation of nutritional interventions needs to be evaluated and recorded.