Mini Nutrition Assessment Score as a Potential Predictor of Pressure Ulcers in Elderly Nursing Home Patients with Dementia

O’Brien, Alison; Pope, J.; Anguah, K.; Erickson, D.

doi:10.1016/j.jand.2016.06.309

Cited by 2 publications

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“…Malnutrition is associated with higher levels of co‐morbidity, impaired physical function and reduced cognitive status (Donini et al, 2016 ). Malnutrition is also clearly linked with the development of pressure ulcers in nursing home residents (Iizaka et al, 2010 ; O'Brien et al, 2016 ). Most of the older population are affected by chronic illnesses and co‐morbidities, and if they become malnourished, there is significant impact on health outcomes, co‐morbidities and mortality rates (Wirth et al, 2015 ).…”

Section: Introductionmentioning

confidence: 99%

The WeanCare nutritional intervention in institutionalized dysphagic older people and its impact on nursing workload and costs: A quasi‐experimental study

Zanini

Catania

Ripamonti³

et al. 2021

J Nursing Management

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Aim The aim of this study is to explore how a nutritional intervention that improves the biochemical and functional profile of dysphagic older people impacts on nursing workload and costs for nursing homes. Background Dysphagic institutionalized older people particularly at risk of malnutrition require more intensive support from nursing staff and higher costs for nursing homes. Method This is an open pre–post longitudinal multicentre quasi‐experimental study without a control group. Results There is a significant reduction in the number of enemas (from 3.51 to 1.11 enemas), with an average nursing workload reduction from 52 to 16 min per patient every month. Each nurse also spent 20 h less per patient every month spoon‐feeding. This resulted in nursing staff cost savings. Conclusions The nutritional intervention led to a significantly better quality of life for the patients manifested through increased independence and social engagement. This reduced workload for nursing staff and costs for nursing home administrators. Implications for Nursing Management Sensitive, targeted nutritional interventions have the potential to improve nursing home residents' quality of life and enable a more efficient use of resources. This study revealed reduced workload and cost savings due to less time spent administering enemas and spoon‐feeding, in addition to reduced malnutritional consequences.

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Section: Introductionmentioning

confidence: 99%

The WeanCare nutritional intervention in institutionalized dysphagic older people and its impact on nursing workload and costs: A quasi‐experimental study

Zanini

Catania

Ripamonti³

et al. 2021

J Nursing Management

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“…Pressure ulcers (PUs) are wounds that develop in the upper layers of the skin as the result of sustained, externally applied pressure, and these wounds grow in size both radially and into the deeper tissue layers. [ 1 , 2 ] Clinically, PUs can cause severe pain, physical, and psychological discomfort and restrictions in activities, often leading to prolonged hospitalization, utilization of the health care system and mortality. [ 3 , 4 ] PU severity is assessed using various staging or grading systems, the most common of which is the National Pressure Ulcer Advisory Panel staging system (Fig.…”

Section: Introductionmentioning

confidence: 99%

Application of gluteus maximus fasciocutaneous V-Y advancement flap combined with resection in sacrococcygeal pressure ulcers

Liu

Lu²,

Zhang

et al. 2017

Medicine

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Background:Traditional gluteus maximus myocutaneous flaps have generally been used to fill tissue defects after resection of sacrococcygeal pressure ulcers. However, postoperative complications were gradually revealed as increasing operations were performed. This study aimed to introduce the innovative application of gluteus maximus fasciocutaneous V-Y advancement flaps for repairing tissue defects and to comparatively analyze the differences between the innovative and traditional flaps.Methods:A total of 32 cases were included in this study. All the PU lesions were removed by resection. Sixteen cases used the gluteus maximus myocutaneous flaps, and the remaining 16 cases used gluteus maximus fasciocutaneous V-Y advancement flaps to fill the tissue defects after surgery. Comparative analysis between the gluteus maximus myocutaneous flaps and gluteus maximus fasciocutaneous V-Y advancement flaps was used to evaluate the 2 flaps based on the mean operating time, postoperative infection, paresthesia, appearance of flaps, and recurrence.Results:The gluteus maximus fasciocutaneous V-Y advancement flaps required a reduced operating time and a more simple operation compared with the gluteus maximus myocutaneous flaps. Although the infectious risk of the gluteus maximus fasciocutaneous V-Y advancement flaps was reduced compared with the gluteus maximus myocutaneous flaps, the gluteus maximus myocutaneous flaps have a better appearance compared with the gluteus maximus fasciocutaneous V-Y advancement flaps. Most importantly, no flap necrosis was noted, and the recurrence rate during follow-up was reduced in cases using the gluteus maximus fasciocutaneous V-Y advancement flaps.Conclusion:The combined application of gluteus maximus fasciocutaneous V-Y advancement flaps with surgical resection can reduce the postoperative complications and aid in the treatment of sacrococcygeal pressure ulcers.

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Mini Nutrition Assessment Score as a Potential Predictor of Pressure Ulcers in Elderly Nursing Home Patients with Dementia

Cited by 2 publications

References 0 publications

The WeanCare nutritional intervention in institutionalized dysphagic older people and its impact on nursing workload and costs: A quasi‐experimental study

The WeanCare nutritional intervention in institutionalized dysphagic older people and its impact on nursing workload and costs: A quasi‐experimental study

Application of gluteus maximus fasciocutaneous V-Y advancement flap combined with resection in sacrococcygeal pressure ulcers

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