BAPEN nutritional measurement tool update: 25th November 2014

Ongoing testing of the BAPEN malnutrition measurement tool has received a total of 204 responses. There are 25 records incomplete.

The feedback from the additional responses this week are in line with themes in the previous testing phase but have also included suggestions for two additional changes which have been made in addition to those outlined below up to the 4th November (which are just included for reference).  The survey will continue to be available for testing at the same link as previously:

Throughout this testing phase we will be collating suggestions for additional questions for inclusion and then asking testers for their comments on what they would like to see added to the tool.  Look out for a survey towards the end of December!

Survey feedback

Whilst the majority of testers do not feel that that questions need to be added to the survey (figure 5) there are a number of themes that have emerged in addition to those that have already been addressed:

  • Tracking weight change over time
  • Including alternative assessment measures (other than MUST)
  • Source of admission (is the patient moving between care settings)
  • Clarification of organisation name for care homes (i.e. individual home or parent company)
  • Change ‘old age psychiatry’ to EMI
  • Adjust specialty lists to be more reflective of community based care
  • Additional options for feeding route to include an ‘other dietary needs’
  • Use a yes/no box to record unplanned weight loss, with a box for recording the degree of weight loss if the answer is yes; this will enable recording of weight loss even if the actual weight loss is unknown.

Changes made in response to third wave of feedback (up to 25th November 2014):

  1. Change in weight loss recording to enable user to record a yes/no answer linked to logic that enables entry of recorded weight loss and estimation indicator is answer is ‘Yes’.  Skips to ‘patient height’ question is answer is ‘No’
  2. ‘Old age psychiatry’ specialty change to ‘Elderly Mental Illness’

Changes made in response to first wave of feedback (up to 4th November 2014):

  1. Explicit notes of the following added to the front page of the survey:
    a. This survey is not suitable for surveying patients or clients who are being cared for in their own homes.
    b. This survey is not suitable for surveying patients or clients in an outpatient (clinic) setting.
    c. The tool has been explicitly designed for use with adult patients and clients only.
  2. Deletion of the ‘patient reference’ question
  3. Additional checkbox for oedema in patients/clients who are identified with renal, liver or heart failure diagnoses
  4. Simplification of the questions with regard to weight, and inclusion of a checkbox to indicate whether weight and weight loss has been estimated or not
  5. Addition of an e-mail address field to enable ongoing contact with testers