Malnutrition Screening Basics
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Malnutrition Screening Basics
Case file: Mei's changing routine
Mei is 16 and has Crohn’s disease. At a routine appointment, Mei says they have felt nauseous more often and have been eating smaller meals. Their clothes seem looser, but they are unsure whether their weight has changed. They sometimes avoid drinking during the school day because they do not want to use the toilets frequently. Mei feels embarrassed discussing food and weight. A nurse listens, asks permission before discussing sensitive topics, and offers to arrange a private conversation with Mei and their caregiver.
Possible indicators to follow up
What is known in Mei’s case • Smaller meals • Nausea • Clothes seem looser • Sometimes avoids drinking at school
Screening is not a diagnosis
A trained health professional considers the whole picture, asks relevant questions, and decides whether further assessment or support is needed.
Read, reason and respond
Answer using evidence from the case and your understanding of safe, respectful screening.
- To diagnose a nutrition condition without further assessment
- To notice possible nutrition risk early and decide whether follow-up is needed
- To judge whether someone makes healthy food choices
- To measure a person’s worth by their body size
- Eating smaller meals
- Frequent nausea
- Clothes seeming looser
- Avoiding drinks during the school day
- Feeling embarrassed about the topic
- Mei definitely has malnutrition
- Mei has no risk because their weight is unknown
- There are concerns worth discussing with a qualified health professional, but screening alone cannot diagnose
- Mei should immediately change their diet without advice
- Give Mei a strict meal plan without asking a health professional
- Ignore the concerns until Mei becomes seriously unwell
- Support a private follow-up with a qualified health professional, who can assess concerns and discuss appropriate support
- Ask classmates to monitor what Mei eats
3 printable pages
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