ARCHETYPE Nutritional Risk Screening (NRS 2002) (openEHR-EHR-OBSERVATION.nutritional_risk_screening.v1)

ARCHETYPE IDopenEHR-EHR-OBSERVATION.nutritional_risk_screening.v1
ConceptNutritional Risk Screening (NRS 2002)
DescriptionScreening for malnutrition using the tool NRS 2002.
UseTo be used for adults only. The first 4 questions are used as a initial screening. The main screening is only done if any of the questions in the initial screening are answered YES If all the questions in the initial screening is answered "NO" the patient needs a weekly re screening. If a patient, e.g will undergo a planned major surgery, a preventive nutritional plan needs to be considered to avoid expected nutritional risks. Is the total score ≥3 the patient has a nutritional risk, and a nutritional plan needs to be effectuated. If the total score is <3 the patient needs weekly re screening. If the patient e.g will undergo major surgery a preventive nutrition plan have to be considered to avoid the expected nutritional risk.
MisuseNot to be used in children under the age of 18 years old.
PurposeNRS is a tool used for screening the patients nutritional status. There are several NRS models, in this case a translation from 2014 made by Lene Thoresen and Hilde Wøie and corrected by Jens Kondrup is used. The version recommended by the Norwegian Directorate of Health has other time interval values ​​in the scores. Nutritional risk is defined by combining current nutritional status and the risk of impaired nutritional status due to increased need for nutrition, caused by stress metabolism in the clinical situation.
ReferencesScreening for Nutritional Deficiency in the Hospital: Nutritional Risk Screening (NRS 2002) from Kondrup J et al., Clinical Nutrition 2003; 22: 415-421, Recommended by the European Society for Clinical Nutrition and Metabolism (ESPEN) http://www.uniklinik-duesseldorf.de/fileadmin/Datenpool/einrichtungen/klinik_fuer_gastroenterologie_hepatologie_und_infektiologie_id6/Darmzentrum/Formulare_polnisch/ernhrungnrs_schuetz_2002_sept_2006_en.pdf

Kondrup J, Rasmussen HH, Hamberg O, Stanga Z, ad hoc ESPEN working group: Nutritional risk screening (NRS 2002): a new method based on an analysis of controlled clinical trials. Clinical Nutrition (2003) 22(3): 321-336.

Kondrup J, Allison SP, Elia M, Vellas B, Plauth M. ESPEN guidelines for nutritional screening 2002. Clinical Nutrition (2003) 22(4) 415-21.

Thoresen og Wøien (2014), Screening for ernæringsmessig risiko (Nutritional Risk screening NRS 2002). http://arketyper.no/ckm/document?cid=1078.51.49
Copyright© Nasjonal IKT HF
AuthorsAuthor name: Micaela Thierley
Organisation: Helse Bergen
Email: micaela.thierley@helse-bergen.no
Date originally authored: 2014-07-11
Other Details LanguageAuthor name: Micaela Thierley
Organisation: Helse Bergen
Email: micaela.thierley@helse-bergen.no
Date originally authored: 2014-07-11
OtherDetails Language Independent{licence=This work is licensed under the Creative Commons Attribution-ShareAlike 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/4.0/., custodian_organisation=Nasjonal IKT, references=Screening for Nutritional Deficiency in the Hospital: Nutritional Risk Screening (NRS 2002) from Kondrup J et al., Clinical Nutrition 2003; 22: 415-421, Recommended by the European Society for Clinical Nutrition and Metabolism (ESPEN) http://www.uniklinik-duesseldorf.de/fileadmin/Datenpool/einrichtungen/klinik_fuer_gastroenterologie_hepatologie_und_infektiologie_id6/Darmzentrum/Formulare_polnisch/ernhrungnrs_schuetz_2002_sept_2006_en.pdf Kondrup J, Rasmussen HH, Hamberg O, Stanga Z, ad hoc ESPEN working group: Nutritional risk screening (NRS 2002): a new method based on an analysis of controlled clinical trials. Clinical Nutrition (2003) 22(3): 321-336. Kondrup J, Allison SP, Elia M, Vellas B, Plauth M. ESPEN guidelines for nutritional screening 2002. Clinical Nutrition (2003) 22(4) 415-21. Thoresen og Wøien (2014), Screening for ernæringsmessig risiko (Nutritional Risk screening NRS 2002). http://arketyper.no/ckm/document?cid=1078.51.49, current_contact=Micaela Thierley, Helse Bergen, micaela.thierley@helse-bergen.no, original_namespace=no.nasjonalikt, original_publisher=Nasjonal IKT, custodian_namespace=no.nasjonalikt, MD5-CAM-1.0.1=1BF56ACE03BF868D21F84011F3C442A0, build_uid=2c467180-00f1-4c45-bc19-7adedc254ff6, revision=1.1.1}
Keywordsnutrition, Nutritional risk screening, NRS, NRS 2002, malnutrition, undernourishment, weight loss, weight, BMI, nutritional risk
Lifecyclepublished
UIDf14991ee-4c09-430c-829e-dc8eaa628d56
Language useden
Citeable Identifier1013.1.2836
Revision Number1.1.1
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Silje Ljosland Bakke, Nasjonal IKT HF, Norway (Nasjonal IKT redaktør)
Lars Bitsch-Larsen, Haukeland University Hospital, Bergen, Norway
Lisbeth Dahlhaug, Helse Midt - Norge IT, Norway
Kari Beate Engseth, Finnmarkssykehuset HF + Klinikk Kirkenes, Norway
Einar Fosse, UNN HF, Norwegian Centre for Integrated Care and Telemedicine, Norway
Lars Morgan Karlsen, Nordlandssykehuset Bodø, Norway
Heather Leslie, Atomica Informatics, Australia
Eli Taranger Ljønes, Bodø kommune, Norway
Heidi Minne, Haraldsplass Diakonale sykehus, Norway
Hugo Nilssen, UNN HF K3K/Tromsø, Norway
Rune Pedersen, Universitetssykehuset i Nord Norge, Norway
Laila Storesund, Haraldsplass diakonale sykehus, Norway
Kari Sygnestveit, Helse Bergen, Norway
Arne Løberg Sæter, DIPS ASA, Norway
Micaela Thierley, Helse Bergen/Haraldsplass sykehus, Norway
John Tore Valand, Haukeland Universitetssjukehus, Norway (Editor), originalLanguage=en, translators=Norwegian Bokmål: Gro-Hilde Ulriksen, Nasjonal senter for ehelseforskning/Forvaltningssenter EPJ Helse Nord
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  • No [The patient is not very ill.]
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  • No [Reduced nutritional intake in the previous week?]
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  • No [The patient is not very ill.]
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2: Moderate [For example: Major abdominal surgery*, stroke*, severe pneumonia, hematologic cancers.]
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