Indicators of oral nutritional supplements prescription in nursing home residents: A cross-sectional study

Dupuy, Charlotte; Barreto, Philipe de Souto; Ghisolfi, A.; Guyonnet, Sophie; Dorigny, B.; Vellas, Bruno; Rolland, Yves

doi:10.1016/j.clnu.2015.07.015

Cited by 9 publications

(4 citation statements)

References 35 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…About one-third of all residents received NIs, which is consistent with previous findings in German [ 18 ] and French nursing homes [ 21 ], and also worldwide [ 11 ]. Interestingly, many more residents judged by the nurses to be malnourished than objectively malnourished residents received NI ( Figure 1 ).…”

Section: Discussionsupporting

confidence: 90%

Reasons for and against Nutritional Interventions. An Exploration in the Nursing Home Setting

et al. 2021

View full text Add to dashboard Cite

Malnutrition (MN) is widespread in nursing homes. Sometimes, but not always, nutritional interventions (NIs) are made, and the reasons for or against NIs are unknown. The aim of this cross-sectional study was to describe these reasons for residents with and without MN according to nurses’ subjective judgement and according to objective signs of MN. The nutritional status of 246 nursing home residents was subjectively judged by nurses (MN, at risk of MN, no MN) and objectively assessed by body mass index (BMI), weight loss (WL), and low food intake. NIs (enriched meals and/or oral nutritional supplements) were recorded using a standardized questionnaire, and nurses’ main reasons for (not) giving NIs were obtained in an open question. Of the residents, 11.0% were subjectively malnourished, and 25.6% were at risk of MN; 32.9% were malnourished according to objective criteria. Overall, 29.7% of the residents received NIs, 70.4% of those with MN as assessed by the nurses, 53.0% of those with objective MN, and 11.0% and 18.0% of non-malnourished residents, respectively. Reasons for NIs most often stated were low intake (47.9%), WL (23.3%), and low BMI (13.7%). Reasons against NIs mostly mentioned were adequate BMI (32.9%) and sufficient intake (24.3%). The lack of NIs for residents with MN was partially—but not always—explained by valid reasons. As residents without MN frequently received NIs, criteria for both MN rating and providing NIs, require closer scrutiny.

show abstract

Section: Discussionsupporting

confidence: 90%

Reasons for and against Nutritional Interventions. An Exploration in the Nursing Home Setting

et al. 2021

View full text Add to dashboard Cite

show abstract

“…As it has been reported, the underdiagnoses of malnutrition are the leading restriction of this approach [32].…”

Section: Oral Nutritional Supplementsmentioning

confidence: 99%

Stan odżywienia pacjentów Neurochirurgicznego Oddziału Intensywnej Opieki Medycznej

Kaya

Turan

Aydın

2017

PNIN

View full text Add to dashboard Cite

Neurosurgical patients present important metabolic alterations that trigger increased energy and protein expenditure. The clinical condition in neuro patients associated with the use of sedatives, steroids, barbiturates and musclerelaxing drugs postpones the use of nutrients in these patients and, thus, complications, including infection and longer hospitalization, may occur. Weight loss, negative nitrogen balance and immune dysfunction constitute a characteristic response in neurosurgical patients. There is a strong relationship between adequate nutritional status and recovery from critical illness. Improved nutritional status is associated with positive clinical outcomes. The health care team, nurses in particular, play a major role in the management and maintenance of an optimal nutritional status in patients who are in the neurosurgical clinic. This compilation aims at highlighting the fact that inadequate nutrition is a serious problem which increases incidence of morbidity and mortality especially in neurosurgical patients. The article also emphasises the importance of nursing assessment. (JNNN 2017;6(1):33-38) Key Words: neuro patients, neurosurgery, nutrition Streszczenie U pacjentów Neurochirurgicznego Oddziału Intensywnej Opieki Medycznej występują istotne zmiany metaboliczne, które powodują zwiększone wydatkowanie energii i białka. Neurochirurgiczny stan kliniczny w wyniku stosowania środków uspokajających, steroidów, barbituranów i leków zwiotczających mięśnie opóźnia wykorzystanie składników pokarmowych w tej grupie pacjentów, a zatem mogą wystąpić powikłania, w tym infekcje i dłuższa hospitalizacja. Utrata masy ciała, ujemny bilans azotu i dysfunkcja układu odpornościowego stanowią charakterystyczną odpowiedź u pacjentów neurochirurgicznych. Istnieje silny związek pomiędzy odpowiednim stanem odżywienia i regeneracją po chorobie krytycznej. Dobry stan odżywienia jest związany z pozytywnymi wynikami klinicznymi. Zespół opieki zdrowotnej, w szczególności pielęgniarki, odgrywają ważną rolę w utrzymaniu optymalnego stanu odżywienia u pacjentów neurochirurgicznych. Przegląd ten ma na celu podkreślenie, że przeciętny stan odżywienia jest poważnym problemem w kontekście zwiększonej zachorowalności i śmiertelności, zwłaszcza u pacjentów neurochirurgicznych. Artykuł zwraca również uwagę na duże znaczenie oceny pielęgniarskiej. (PNN 2017;6(1):33-38) Słowa kluczowe: pacjenci neurologiczni, neurochirurgia, odżywianie

show abstract

“…Quality indicators are commonly used to improve nutritional care practice in elderly care (1)(2)(3), and a range of different strategies has been described (4)(5)(6). These strategies comprise a complex range from organisational to individual aspects, requiring a package of multilevel and multicomponent approaches (7).…”

Section: Introductionmentioning

confidence: 99%

Quality Indicators of Nutritional Care Practice in Elderly Care

Josefsson¹,

Nydahl²,

Persson³

et al. 2017

Care Weekly

View full text Add to dashboard Cite

Objectives: The aim is to explore the effects of antecedent, structural and process quality indicators of nutritional care practice on meal satisfaction and screened nutritional status among older adults in residential care homes. Design: Data for this Swedish cross-sectional study regarding older adults living in residential care homes were collected by i) a national questionnaire, ii) records from the quality registry Senior Alert, iii) data from an Open Comparison survey of elderly care in 2013/2014. The data represented 1154 individuals in 117 of 290 Swedish municipalities. Measurements: Meal satisfaction (%) and adequate nutritional status, screened by the Mini Nutritional Assessment Short Form (MNA-SF), were the two outcome variables assessed through their association with population density of municipalities and residents' age, together with 12 quality indicators pertaining to structure and process domains in the Donabedian model of care. Results: Meal satisfaction was associated with rural and urban municipalities, with the structure quality indicators: local food policies, private meal providers, on-site cooking, availability of clinical/community dietitians, food service dietitians, and with the process quality indicators: meal choice, satisfaction surveys, and 'meal councils'. Adequate nutritional status was positively associated with availability of clinical/community dietitians, and energy and nutrient calculated menus, and negatively associated with chilled food production systems. Conclusion: Municipality characteristics and structure quality indicators had the strongest associations with meal satisfaction, and quality indicators with local characteristics emerge as important for meal satisfaction. Nutritional competence appears vital for residents to be wellnourished.

show abstract

Indicators of oral nutritional supplements prescription in nursing home residents: A cross-sectional study

Cited by 9 publications

References 35 publications

Reasons for and against Nutritional Interventions. An Exploration in the Nursing Home Setting

Reasons for and against Nutritional Interventions. An Exploration in the Nursing Home Setting

Stan odżywienia pacjentów Neurochirurgicznego Oddziału Intensywnej Opieki Medycznej

Quality Indicators of Nutritional Care Practice in Elderly Care

Contact Info

Product

Resources

About