Did you know... More than 100,000 people volunteer in hospices across the UK

Nutritional Screening and Assessment in Palliative Care Survey

Thank you for taking part in this important survey, which aims to find out if Hospice inpatient and Day Hospice units are using Nutritional Screening or Nutritional Assessment tools with people who have palliative care needs.

Definitions

To help you complete the questionnaire, please consider the definitions below.

Nutritional Screening

A rapid simple procedure to detect those who have significant nutritional problems or significant risks of such problems in order that clear guidelines for action can be implemented.(1)

Nutritional Assessment

A comprehensive evaluation to define nutritional status, including medical history, dietary history, physical examination, anthropometric measurements and laboratory data by a health professional with skills and training in nutrition and nutrition support.

Survey

By completing this questionnaire by Friday 29 January 2010, you are giving your consent for the information you provide to be used to inform the work of Help the Hospices.

» Indicates required fields

Nutritional Screening and Assessment in Palliative Care Survey

1. Do you use a nutritional screening tool?

2. Do you screen all your patients?

If yes, where are patients screened?

Details of screening times:

3. If you do not screen all your patients, please state, which patients are not and why?

4. What happens if the patient is screened as being 'malnourished' or at 'risk'?

5. If you do not use a Nutritional Screening tool, tell us why

6. Do you use a nutritional assessment tool? »

If Yes, what is the name of the tool you use?

7. Who assesses whether the patient has concerns about their nutrition?

other - please specify

8. If you had a tool for nutritional screening and assessment designed for people with palliative care needs, would you use it?

Please explain your answer

9. Do you provide training on food and nutrition for healthcare professionals and volunteers working in your unit?

Is the training specifically related to food safety issues?

Is the training specifically related to palliative care?

If Yes, who provides the training?

If Yes, how often do you provide training on nutrition specifically related to palliative care?

Other

10. Do you have any suggestions on how Help the Hospices could help you with improving the nutritional care of your patients?

Name of your organisation

What is your role within your organisation?

Name »

Email »

I am happy for Help the Hospices to use my email address for correspondence that relates to food and nutrition issues in palliative care. »

Sources

(1)NICE 2006. Nutrition Support in Adults Oral Nutritional Support, Enteral Tube Feeding and Parenteral Nutrition