Matt Richardson (Look to notes under slide to read what is to be said about slide) Burton Score
Purpose of Score This score was created to assess the nutritional status of patient’s in a hospital setting. Not uncommon that patients, especially elderly have spent time in a hospital or related facility. Their nutrition status may have altered during their hospital stay, which is important to know.
Explanation to Patients Patients understand certain factors affect nutrition Such as: What you eat How much you eat However, some factors fly under the radar Such as: Dementia Arthritis Diarrhea Must recognize and make patients aware of factors affecting their nourishment
Development of Tool King Fund Report Report on malnourishment in hospitals Burton Score utilizes data from the Waterlow score Waterlow score Risk for developing pressure ulcers Factors determining Waterlow Score: Sedentary state Nutritional status Demographic Stature (Link Below will show scoring card) http://www.judy-waterlow.co.uk/downloads/Waterlow%20Score%20Card-front.pdf
Development of Tool continued Determining the Burton Score Utilize certain data from Waterlow Score Build/Weight for height Skin Type Malnutrition screening tool Tissue Malnutrition 3 additional questions: Patients ability to eat (i.e. ill-fitting dentures) Any symptoms affecting nutrition (i.e. diarrhea, vomiting) Unintentional weight loss in last 3 months
Purposed Mechanism The Burton Score utilizes: Diet Activity level Ability to eat Demographics Smoking status All of above factors are necessary to determine in order to assess nutritional status.
Safety of Use The Burton Score is incredibly safe. No adverse affects could be found in determining score.
Case studies, Testimonials, Methods of Marketing No case studies could be found regarding this particular score.
Literature Review The Burton Score was highly associated with the assessment of a registered dietician. The Waterlow Score and Burton Score were highly associated, however the Burton score was more specific and indiciated malnourishment in certain patients the Waterlow Score did not.
Patient Selection Criteria This score does not have to be used for any particular population However, is intended to be used for elderly or patients who’ve recently spent time in a hospital. Younger and even middle aged patients who are relatively healthy are not ideal participants for this score. These patient’s would most likely appear “well nourished” due to lowered standards to account for the intended unhealthier subjects.
Conclusion This Burton Score should be used for patients. For optimal function of the score, the patients should however has spent several weeks in a hospital. As stated in previous slide, younger, healthier subjects should utilize other assessment tools unless they’ve recently spent time within a hospital (as a patient)
References Green, S.M., Watson, R., Nutritional screening and assessment tools for use by nurses: a literature review. Journal of Advanced Nursing, 50(1), 69-83 Russell, L., Malnutrition and pressure ulcers: nutritional assessment tools. British Journal of Nursing, 2000;9(4), 198-204 Russell, L., Taylor, J., Brewitt J., Ireland, M., Reynolds, T., Development and validation of the Burton Score: a tool for nutritional assessment. J Tissue Viability, 1998 Oct;8(4), 16-22.