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NRS-2002 is based on an interpretation A nutritional care plan is indicated in bed regularly. Protein requirement is in-
of available randomized clinical trials. all patients who are creased, but can be covered by oral diet or
* indicates that a trial directly supports 1) severely undernourished (score =3), supplements in most cases.
the categorization of patients with that 2) severely ill (score = 3), Score = 2: a patient confined to bed due to
diagnosis. Diagnoses shown in italics 3) moderately undernourished + mildly illness, e.g. following major abdominal sur-
are based on the prototypes given below. ill (score 2 +1), or gery. Protein requirement is substantially in-
4) mildly undernourished + moderately creased, but can be covered, although artifi-
Nutritional risk is defined by the pres- ill (score 1 + 2). cial feeding is required in many cases.
ent nutritional status and risk of im- Score = 3: a patient in intensive care with
pairment of present status, due to in- Prototypes for severity of disease assisted ventilation etc. Protein requirement
creased requirements caused by stress Score = 1: a patient with chronic disea- is increased and cannot be covered even by
metabolism of the clinical condition. se, admitted to hospital due to compli- artificial feeding. Protein breakdown and
cations. The patient is weak but out of nitrogen loss can be significantly attenuated.
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