Step 1 - Diagnosis
Use the diagnosis table on the website, or locally developed criteria, to determine whether the child's condition has any nutritional implications. Assign a score according to whether he/she has definite (e.g. dysphagia), possible (e.g. behavioural eating problems), or no (e.g. day case surgery) nutritional implications, and progress to step 2.
|Does the child have a diagnosis that has any nutritional implications?||Score|
Step 2 - Nutritional Intake
Use your knowledge of the child's eating habits to determine their nutritional intake. If necessary, speak to other Healthcare Professionals and the parent/carer to find out more. Assign a score according to the child's current nutritional intake, and progress to step 3.
|What is the child's nutritional intake?||Score|
|Recently decreased / poor||2|
|No change / good||0|
Step 3 - Weight and Height
Weigh and measure the child using the weighing and measuring instructions provided. Use the centile quick reference tables on the website or a growth chart to determine how many columns/centiles apart the height and weight are. Then progress to Step 4.
|Use the centile quick reference tables to determine the child's measurements||Score|
|> 3 centile spaces/≥3 columns apart (or weight < 2nd centile)||3|
|> 2 centile spaces/= 2 columns apart||1|
|0 to 1 centile spaces/columns apart||0|
Step 4 - Overall Risk of Malnutrition
Add the scores from steps 1–3 together to calculate the child's overall risk of malnutrition.
|Add the scores from steps 1–3 together to calculate the overall risk of malnutrition||Score|
|High risk||≥ 4|
Step 5 - Care Plan
Once you have calculated the child's overall risk of malnutrition, develop a care plan for the child in accordance with local guidelines. Repeat screening as recommended on the STAMP screening form.
|Develop a care plan based on the child's overall risk of malnutrition|
STAMP should be used in association with Trust referral guidelines and policies.