A review of a patient with chronic obstructive pulmonary disease (COPD) by the general practice nurse (GPN) will usually include measures such as spirometry, smoking cessation advice, and a check of inhaler technique to name just a few. However, it also provides an ideal opportunity to assess the patient’s nutritional status and determine the level of risk this may pose. This article explores the need for nutritional assessment, how to stratify risk, how to plan interventions and, importantly, how to incorporate this vital element of care into everyday interactions with this group of patients.