A 78-year-old woman is seen by the district nurse at home. She has been recently discharged following a hip fracture. She weighs 48 kg, is 160 cm tall...

Question

A 78-year-old woman is seen by the district nurse at home. She has been recently discharged following a hip fracture. She weighs 48 kg, is 160 cm tall (BMI 18.8). She is eating small amounts and her MUST score is 2 (high risk). What is the MOST appropriate initial management?

Accepted Answer

Prescribe oral nutritional supplements and arrange dietitian review

Answer

Refer for parenteral nutrition

Answer

Start Megestrol acetate to increase appetite

Answer

No intervention as her BMI is above 16

Answer

Advise increased physical activity to stimulate appetite

uk-dgm MCQ (SBA): MUST Score and Nutritional Intervention

A 78-year-old woman is seen by the district nurse at home. She has been recently discharged following a hip fracture. She weighs 48 kg, is 160 cm tall (BMI 18.8). She is eating small amounts and her MUST score is 2 (high risk). What is the MOST appropriate initial management?