Table 4 Delphi Round Two- Consensus Results (n = 26)

Where feasible, nutrition screening can be completed by the patient as part of the pre-admit documentation. (n = 25)

68.0 % (17)

24.0 % (6)

8.0 % (2)

0

92.0 % (23)

For non-elective admissions, nutrition screening occurs on day 1 or 2 of admission.

73.1 % (19)

11.5 % (3)

3.8 % (1)

11.5 % (3)

84.6 % (22)

SGA should be completed within 24 h of screening.

53.8 % (14)

38.5 % (10)

7.7 % (2)

0

92.3 % (24)

If patient is classified as SGA ‘C’, RD comprehensive assessment occurs on the same day.

46.2 % (12)

50.0 % (13)

3.8 % (1)

0

96.2 % (25)

Potential treatment options for the Advanced Nutrition Care should be flexible/individualized to the patient/setting.

76.9 % (20)

11.5 % (3)

3.8 % (1)

7.7 % (2)

88.5 % (23)

NPO status should be monitored on a daily basis.

80.8 % (21)

19.2 % (5)

0

0

100 % (26)

Being NPO for 3 days necessitates an RD comprehensive assessment (n = 25)

52.0 % (13)

24.0 % (6)

12.0 % (3)

12.0 % (3)

76.0 % (19)

In low-risk/well-nourished patients, food intake is monitored on Day 3 and 5 of admission using a meal intake form completed by the patient/family or Health Care Aid/Diet Technician.

46.1 % (12)

34.6 % (9)

19.2 % (5)

0

80.8 % (21)

If a low-risk patient has suboptimal food intake on day 3, they should be moved to Advanced Nutrition Care. (n = 24)

58.3 % (14)

33.3 % (8)

8.3 % (2)

0

91.2 % (22)

Suboptimal oral food intake for low-risk patients should be defined as <50 % of the meal. (n = 25)

56.0 % (14)

32.0 % (8)

8.0 % (2)

4.0 % (1)

88.0 % (22)

Patients receiving Advanced Nutrition Care should have their food intake monitored at minimum one meal per day.

46.2 % (12)

26.9 % (7)

19.2 % (5)

7.7 % (2)

73.1 % (19)

Lower-priority moderately malnourished (SGA 'B') patients receiving Advanced Nutrition Care should receive a comprehensive RD assessment if their food intake is suboptimal after two days of receiving standard treatment(s).

46.2 % (12)

42.3 % (11)

11.5 % (3)

0

88.5 % (23)

Suboptimal oral intake for lower priority B patients is defined as <50 % of the meal. (n = 25)

52.0 % (13)

40.0 % (10)

4.0 % (1)

4.0 % (1)

92.0 % (23)

Low-risk patients should have their body weight measured at minimum once/week.

65.4 % (17)

19.2 % (5)

15.4 % (4)

0

84.6 % (22)

Lower priority SGA B patients should have their body weight measured at minimum once/week.

65.4 % (17)

26.9 % (7)

7.7 % (2)

0

92.3 % (24)

Food intake, and not change in body weight, is the primary mechanism for determining a change in nutrition care (e.g. from Standard Nutrtion Care to Advanced Nutrition Care) for low risk and lower priority SGA B patients.

76.9 % (20)

19.2 % (5)

3.8 % (1)

0

96.2 % (25)

Suboptimal oral intake for consideration of AFN should be < 50 % of offered meals and supplements. (n = 25)

52.0 % (13)

44.0 % (11)

4.0 % (1)

0

96.0 % (24)