21August2014

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BAPEN

You are here: Home Screening for Malnutrition 'MUST' 'MUST' App

'MUST' App

BAPEN’s ‘Malnutrition Universal Screening Tool’ (‘MUST’) Toolkit has a new resource – the ‘MUST’ App for the iPhone.

With the growth of the use of mobile technology and Apps in particular in healthcare, BAPEN has converted its popular and validated screening tool for identifying malnutrition into an electronic version that can be used across all health and care settings by front line staff.

"An essential piece of software for a great bit of hardware," says Dr Simon Gabe, Treasurer of BAPEN and iPhone advocate!

Professor Marinos Elia demonstrating the 'MUST' App

*Please use your iPhone appropriately and in line with local and professional policies.

“This is a very exciting and innovative development and I would like to thank Marinos Elia and members of BAPEN's MAG (Malnutrition Action Group) for their continued efforts to make 'MUST’ an integral part of all healthcare.”
- Dr Mike Stroud

“The ‘MUST’ App will be invaluable to clinical practitioners with iPhones. It’s straightforward, easy and quick to use. I use it all the time. A great addition to the BAPEN ‘MUST’ Toolkit!”
- Andrea Cartwright, Senior Nutrition Nurse

“The ‘MUST’ App is a welcome addition to the ‘MUST’ Toolkit and whilst I as a dietitian will continue to use the paper version, I know that many colleagues particularly in the community will welcome this new tool.”
- Anne Holdoway, Specialist Dietitian

1. Welcome Screen 2. Tap the \'Objective measurements\' button; the BMI screen is displayed. 3. Enter the subject\'s current weight. 4. Tap \'Done\'. A warning message is displayed because the subject\'s weight is outside the 35 kg to 135 kg range. The user can tap \'Yes\' to override the warning or \'No\' to correct the weight. 5. Tap \'No\' to return to editing the weight. Change weight and enter height. 5. Tap \'No\' to return to editing the weight. Change weight and enter height. 7. Tap \'Yes\' to override the warning. Now that both weight and height have been entered, BMI and BMI score are displayed, and the \'Next\' button is available. 8. Tap \'Next\'; the Weight Loss screen is displayed. 9. Tap the \'i\' information icon to view supporting information regarding unplanned weight loss. 10. Tap \'Done\' to dismiss the help screen. Then enter unplanned weight loss. 11. Tap \'Done\'. A warning message is displayed because the subject\'s unplanned weight loss is outside the -15 kg to 15 kg range. 12. Tap \'No\' to return to editing weight loss. Change weight loss and tap the \'Done\' button. Now that the unplanned weight loss has been entered, weight loss% and weight loss score are displayed, and the \'Next\' button is available. 13. Tap \'Next\'; the Acute disease effect (ADE) screen is displayed. 14. Tap the \'i\' information icon for a help screen outlining ADE. 15. Tap \'Done\' to dismiss the help screen. Then tap \'No\'. The Acute disease effect score is displayed and the \'Next\' button is available. 16. Tap \'Next\'; the overall risk of malnutrition screen is displayed, summarising the data from the previous screens and showing the total score and corresponding risk category. 17. Tap \'Next\'; the appropriate action plan is displayed. 18. Low Risk action plan: scroll down to view the remainder of the action plan. 19. Tap the \'Next Subject\' button to return to the Welcome screen. All values for the previous subject are cleared. 20. Tap the \'Objective measurements\' button. On the BMI screen, tap the \'st/lb\' button. 21. Enter the subject\'s current weight in stones and pounds. 22. Tap the \'Estimate\' button to access the screen whereby the subject\'s height can be estimated from their sex, age range, and length of ulna. 23. Tap the \'i\' information icon for a help screen explaining how to measure the ulna. 24. Tap \'Done\' to dismiss the help screen. Tap buttons to indicate the subject\'s sex and age range, and enter length of ulna. 25. Tap \'Done\'. The estimated height of the subject is displayed. 26. Tap \'Save\'. The estimated height is returned to the BMI screen; the BMI and BMI score are calculated using this height. The \'Next\' button is available. 27. Tap the \'kg\' button to convert the current weight to kilograms, rounded to the nearest 0.1 kg. (Height conversions are similarly available.) 28. Tap \'Next\'. On the Unplanned weight loss screen, tap \'Previous weight\' and then enter the subject\'s previous weight (3-6 months ago). Tap \'Done\'; weight loss% and weight loss score are displayed, and the \'Next\' button is available. 29. Tap \'Next\'. On the ADE screen, tap \'No\'. The Acute disease effect score is displayed, and the \'Next\' button is available. 30. Tap \'Next\'; the Overall risk of malnutrition screen is displayed, summarising the data from the previous screens and showing the total score and corresponding risk category. 31. Tap \'Next\'; the appropriate action plan is displayed. 32. Medium Risk action plan: scroll down. 33. Tap the \'Next Subject\' button to return to the Welcome screen. All values for the previous patient are cleared. 34. Tap the \'Subjective criteria\' button. The Subjective Criteria screen is displayed. 35. Tap the \'Info\' button to view detailed information on the use of MUAC to estimate BMI category. 36. Scroll down to view the remainder of the MUAC information. 37. Tap \'Done\' to return to the Subjective Criteria screen. Scroll down. 38. Scroll down further. After reviewing the information, the user can tap on a risk category of Low, Medium, or High, to view the corresponding action plan. 39. Tap \'High\' to view the \'High risk\' action plan. 40. Scroll down to see the rest of the action plan. 41. Tap the \'\'MUST\' Guide\' tab, at the bottom of the screen. An outline of \'MUST\' documentation is presented. 42. Scroll down to view the remainder of the outline. A link to the BAPEN website is provided. 43. Tap the \'5 Steps of \'MUST\'\' button to view the \'MUST\' flowchart. The flowchart may be viewed in landscape mode and can be expanded by using the \'pinch\' gesture.

Here's what the App looks like page by page – the App is simple to follow and simple to use

Click on the thumbnail to view a slideshow

'MUST' saves - time - money - and lives. Use it!