Lack of nutritional and functional effects of nutritional supervision by nurses: a quasi-experimental study in geriatric patients (original) (raw)
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Nutritional status and functional capacity of hospitalized elderly
Nutr J, 2009
The nutritional status of the aging individual results from a complex interaction between personal and environmental factors. A disease influences and is influenced by the nutritional status and the functional capacity of the individual. We asses the relationship between nutritional status and indicators of functional capacity among recently hospitalized elderly in a general hospital.
Background: Malnutrition may be associated with poor functional and clinical outcomes, but may be unrecognized. We sought to evaluate assessment of malnutrition and explore its relationship with functional and other outcomes in older in-patients. Methods: We selected a random sample of 200 patients admitted under geriatric medicine in a tertiary hospital, and excluded those for whom medical records were unavailable. We assessed the use of the Malnutrition Screening Tool (MST), diagnosis of malnutrition, and their association with dependence in personal activities of daily living (PADL) at discharge (primary outcome) and other patient outcomes. Results: In total, 188 patients were included. Over half (57.6%) were at risk of being malnourished per MST assessment (MST ≥2). Only 42.42% (42/99) underwent formal dietetic assessment; 73.81% were identified as malnourished (50% severely so), and this was commoner in males (OR 6.25, CI 1.15-33.33, p=0.03). Nutritional status was not associated with outcomes assessed. Conclusions: Many patients at risk of malnutrition were sub-optimally assessed. Male sex was associated with malnutrition, but malnutrition was not associated with assessed outcomes. Further studies exploring malnutrition and clinical outcomes in hospital, are warranted.
Nutritional and functional assessment of hospitalized elderly: Impact of sociodemographic variables
European Geriatric Medicine, 2013
Background. This work was constructed in order to assess the nutritional and functional status in hospitalized elderly and to study the associations between them and sociodemographic variables. Methods. 200 elderly patients (>65 years old) admitted to Internal Medicine and Neurology Departments in nonemergency conditions were included. Comprehensive geriatric assessments, including nutritional and functional assessments, were done according to nutritional checklist and Barthel index, respectively. Information was gathered from the patients, from the ward nurse responsible for the patient, and from family members who were reviewed. Results. According to the nutritional checklist, 56% of participants were at high risk, 18% were at moderate risk of malnutrition, and 26% had good nutrition. There was a high nutritional risk in patients with low income and good nutrition in patients with moderate income. Also, there was a high nutritional risk in rural residents (61.9%) in comparison with urban residents (25%). Barthel index score was significantly lower in those at high risk of malnutrition compared to those at moderate risk and those with good nutrition. Conclusions. Hospitalized elderly are exposed to malnutrition, and malnourished hospitalized patients are candidates for functional impairment. Significant associations are noticed between both nutritional and functional status and specific sociodemographic variables.
2021
This research project has the following general objectives: the description of the attitudes of nurses towards protein-energy malnutrition in elderly patients in hospital and health residences and the search for suitable strategies to prevent, recognize and treat it. The observation and survey period was the quarter from February 2019 to May 2019. A questionnaire was created based on the "The Staff Attitudes to Nutritional Nursing Care Geriatric" scale (SANN-G scale), which was validated in Italian (SANN-Gita Scale). For each question a report of the responses given by the nurses was reported. Malnutrition has today become a real pathology that must be diagnosed and prevented. For this reason, good care practices in hospitals and nursing homes are important for recognizing the signs of malnutrition and, the earlier this occurs, the earlier correction can be made. At the musculoskeletal level, a decrease in muscle mass can occur with a reduction in function and strength and a loss of autonomy. It is important to remember the phenomenon of sarcopenia, as it is a condition that involves the skeletal muscles and which has negative
Nursing open, 2018
The aim was to explore planned nursing interventions and evaluations of such interventions, in older people at risk for malnutrition living in municipal residential care homes. A registry study. The study was conducted using data from the Swedish national quality registry Senior Alert. Data on all persons assessed and registered in Senior Alert living in municipal residential care homes in a mid-sized town between January and December 2014 were subjected to statistical analysis. In total, 677 nutritional risk assessments were performed among the participants ( = 587), who were between 65-109 years. A larger proportion of women were estimated as being at risk for malnutrition compared with men. The three most common prescribed nursing interventions were nutritional treatment, dietary support and weight control; however, interventions were not prescribed for all participants at risk for malnutrition. Lesser than 50% of the interventions were evaluated, with dietary support, pharmaceut...
The journal of nutrition, health & aging, 2002
Up to 65% of elderly patients are protein-energy undernourished at admission or acquire nutritional deficits while hospitalised. The aims of this project were: 1) to assess the quality of care concerning nutrition among geriatric units; 2) to assess the impact of implementive nutritional interventions on nutritional status and on the length of hospitalisation. Two hundred and six patients consecutively admitted in a geriatric unit of a general hospital were studied prospectively for 6 months (from January to June 2001). All patients underwent a comprehensive geriatric assessment. For the first 3 months the nutritional status of the patients on admission and at discharge were assessed without particular recommendations for nutritional intervention. A standardised nutritional intervention was proposed for the last 3 months. Median value of Mini-Nutritional Assessment was 19 points (ranged from 9 to 29), mean admission s prealbumin concentration (PAB) was 0.179 g/l, and C-reactive prot...
International Journal of Nursing Studies, 2002
This study describes frequencies and associations between eating difficulties, assisted eating and nutritional status in 520 elderly patients in hospital rehabilitation. Eating difficulties were observed during a meal and nutritional status was assessed with Subjective Global Assessment form. Eighty-two percent of patients had one or more eating difficulties, 36% had assisted eating and 46% malnutrition. Three components of eating were focused upon ingestion, deglutition, and energy (eating and intake). Deglutition and ingestion difficulties and low energy were associated with assisted eating, and low energy associated with malnutrition. Underestimation of low energy puts patients at risk of having or developing malnutrition. r
The Journal of Nutrition Health and Aging
Up to 65% of elderly patients are protein-energy undernourished at admission or acquire nutritional deficits while hospitalised. The aims of this project were: 1) to assess the quality of care concerning nutrition among geriatric units; 2) to assess the impact of implementive nutritional interventions on nutritional status and on the length of hospitalisation. Two hundred and six patients consecutively admitted in a geriatric unit of a general hospital were studied prospectively for 6 months (from January to June 2001). All patients underwent a comprehensive geriatric assessment. For the first 3 months the nutritional status of the patients on admission and at discharge were assessed without particular recommendations for nutritional intervention. A standardised nutritional intervention was proposed for the last 3 months. Median value of Mini-Nutritional Assessment was 19 points (ranged from 9 to 29), mean admission s prealbumin concentration (PAB) was 0.179 g/l, and C-reactive prot...
International Journal of Nursing Studies, 2002
This study describes frequencies and associations between eating difficulties, assisted eating and nutritional status in 520 elderly patients in hospital rehabilitation. Eating difficulties were observed during a meal and nutritional status was assessed with Subjective Global Assessment form. Eighty-two percent of patients had one or more eating difficulties, 36% had assisted eating and 46% malnutrition. Three components of eating were focused upon ingestion, deglutition, and energy (eating and intake). Deglutition and ingestion difficulties and low energy were associated with assisted eating, and low energy associated with malnutrition. Underestimation of low energy puts patients at risk of having or developing malnutrition.