Metric Calculation |
|
FBBC Malnutrition Screening Tool ©
|
Have you lost weight recently without trying? If no ............... If unsure ...... If yes, how much weight (kg) have you lost? 0.5 - 5.0 ....... >5.0 - 10.0 .... >10.0 - 15.0 .... >15.0 ..... Unsure ...... |
0 2 1 2 3 4 2 |
|
Have you been eating poorly because of a decreased appetite? No Yes |
1 2 |
|
TOTAL |
If the score is 3 or more, please refer to the dietitian
|
Kilograms |
Pounds |
Stone/Pounds |
|
0.5 - 5.0 |
1 - 11 lb |
1 lb - 11 lb |
|
>5.0 - 10.0 |
> 11 - 22 lb |
> 11 lb - 1st 8 lb |
|
>10.0 - 15.0 |
> 22 - 33 lb |
> 1st 8 lb - 2st 5 lb |
|
>15.0 |
> 33 lb |
> 2st 5 lb |
FBBC malnutrition screening tool, Copyright © 1996 FBBC Nutrition Research Group
Reproduced with permission of the FBBC Nutrition Research Group