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Geriatrics
Mini Nutritional Assessment (MNA)
6-item screening tool to identify elderly patients at risk of malnutrition
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Has food intake declined over the past 3 months?
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Severe decrease in food intake
Moderate decrease in food intake
No decrease in food intake
Weight loss during the last 3 months
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Weight loss greater than 3 kg (6.6 lbs)
Does not know
Weight loss between 1 and 3 kg (2.2 and 6.6 lbs)
No weight loss
Mobility
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Bed or chair bound
Able to get out of bed/chair but does not go out
Goes out
Has suffered psychological stress or acute disease in the past 3 months?
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Yes
No
Neuropsychological problems
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Severe dementia or depression
Mild dementia
No psychological problems
Body Mass Index (BMI) kg/m²
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BMI less than 19
BMI 19 to less than 21
BMI 21 to less than 23
BMI 23 or greater
Clinical Note (Optional)
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