Attending the Nutritional Needs of Patients in Nursing Homes—Theory and Practice

Kinnaman, Joseph H.; Browe, John H.; Agnew, Elizabeth M.; Nelson, Ruth N.

doi:10.2105/ajph.45.5_pt_1.627

Cited by 4 publications

(2 citation statements)

References 1 publication

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“…AMedical consuiltation relating to diet is available withlini the counity department. Results of the Nassau Counity program with respect to food practices, safety, and nlursin(g care confirm the usefuilness of this educational approach (21).…”

Section: Nutrition Consultationmentioning

confidence: 67%

Cooperation between Departments of Health and Welfare

Bierman¹,

Jn²

1956

Public Health Reports (1896-1970)

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IN 1952 the Joinit Committee on Medical Care of the American Public Health and Public Welfare Associations posed the thesis that the interests and practices of public health and public welfare were bringing the agencies concerned closer together(1). This was not a new thesis but a restatement that was especially timely in the light of the Social Security Act amendments of 1950(2, 3). These amendmenits made possible federally matched direct payments to the providers of medical care for certain needy persons and established the Federal-State program of aid to the permanently and totally disabled.

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Section: Nutrition Consultationmentioning

confidence: 67%

Cooperation between Departments of Health and Welfare

Bierman¹,

Jn²

1956

Public Health Reports (1896-1970)

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“…In 1955, the nutritional needs of patients were already recognized [ 1 ] and remain a topic of interest today. For example, recently malnutrition was frequently observed in hospitalized patients with COVID-19 [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

Comparison of energy expenditure measurements by a new basic respiratory room vs. classical ventilated hood

Van Soom,

Tjalma,

Van Daele

et al. 2023

Nutr J

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Background Nutritional support is often based on predicted resting energy expenditure (REE). In patients, predictions seem invalid. Indirect calorimetry is the gold standard for measuring EE. For assessments over longer periods (up to days), room calorimeters are used. Their design makes their use cumbersome, and warrants improvements to increase utility. Current study aims to compare data on momentary EE, obtained by a basic respiration room vs. classical ventilated hood. The objective is to compare results of the basic room and to determine its 1)reliability for measuring EE and 2)sensitivity for minute changes in activity. Methods Two protocols (P1; P2)(n = 62; 25 men/37 women) were applied. When measured by hood, participants in both protocols were in complete rest (supine position). When assessed by room, participants in P1 were instructed to stay half-seated while performing light desk work; in P2 participants were in complete rest mimicking hood conditions. The Omnical calorimeter operated both modalities. Following data were collected/calculated: Oxygen uptake ($$\dot{\mathrm{V}}$$ V ˙ O2(ml/min)), carbon dioxide production ($$\dot{\mathrm{V}}$$ V ˙ CO2ml/min), 24h_EE (kcal/min), and respiratory exchange ratio (RER). Statistical analyses were done between modalities and between protocols. The agreement between 24h_EE, $$\dot{\mathrm{V}}$$ V ˙ O2 and $$\dot{\mathrm{V}}$$ V ˙ CO2 obtained by both modalities was investigated by linear regression. Reliability analysis on 24h_EE determined ICC. Results No significant differences were found for 24h_EE and $$\dot{\mathrm{V}}$$ V ˙ O2. $$\dot{\mathrm{V}}$$ V ˙ CO2 significantly differed in P1 + P2, and P2 (hood > room). RER was significantly different (hood > room) for P1 + P2 and both protocols individually. Reliability of 24h_EE between modalities was high. Modality-specific results were not different between protocols. Discussion/conclusion The room is valid for assessing momentary EE. Minute changes in activity lead to a non-significant increase in EE and significant increase in RER. The significant difference in $$\dot{\mathrm{V}}$$ V ˙ CO2 for hood might be related to perceived comfort. More research is necessary on determinants of RER, type (intensity) of activity, and restlessness. The design of the room facilitates metabolic measurements in research, with promising results for future clinical use.

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Nutrient Content of Food Served in Nursing Homes

Leighton¹,

Harrill²

1968

Journal of the American Dietetic Association

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Attending the Nutritional Needs of Patients in Nursing Homes—Theory and Practice

Cited by 4 publications

References 1 publication

Cooperation between Departments of Health and Welfare

Cooperation between Departments of Health and Welfare

Comparison of energy expenditure measurements by a new basic respiratory room vs. classical ventilated hood

Nutrient Content of Food Served in Nursing Homes

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