Nutrition screening and assessment: Current practices and dietitians' leadership roles

Foltz, Mary Beth; Schiller, Martin; Ryan, Allan J.

doi:10.1016/0002-8223(93)92240-x

Cited by 23 publications

(16 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Despite these promising findings, the expense of the calorimeters, the time required for measurements and the need for trained personnel to run the tests hamper the wide use of indirect calorimetry outside of critical care units. 61 Thus, predictive equations are most commonly used to assess nutrition needs among pediatric inpatients and outpatients. For children, response to nutrition support and interventions is assessed by monitoring health status and identifying deviations from normality through the use of growth charts 62–64 and subsequent adjustment as needed.…”

Section: Clinical Applicationsmentioning

confidence: 99%

Measuring energy expenditure in clinical populations: rewards and challenges

Psota

Chen

2013

Eur J Clin Nutr

View full text Add to dashboard Cite

The measurement of energy expenditure (EE) is recommended as an important component of comprehensive clinical nutrition assessments in patients with altered metabolic states, who failed to respond to nutrition support and with critical illness that require individualized nutrition support. There is evidence that EE is variable in patients with metabolic diseases, such as chronic renal disease, cirrhosis, HIV, cancer cachexia, cystic fibrosis and patients under intensive care. By using appropriate techniques and interpretations of basal or resting EE, clinicians can facilitate the adequate nutrition support with minimum negative impacts from under- or overfeeding in these patients. This review is based on our current understanding of the different components of EE and the techniques to measure them, and to re-examine advances and challenges to determine energy needs in clinical populations with more focuses on the obese, pediatric and elderly patients. In addition, technological advances have expanded the choices of market-available equipments for assessing EE, which also bring specific challenges and rewards in selecting the right equipment with specific performance criteria. Lastly, analytical considerations of interpreting the results of EE in the context of changing body composition are presented and discussed.

show abstract

Section: Clinical Applicationsmentioning

confidence: 99%

Measuring energy expenditure in clinical populations: rewards and challenges

Psota

Chen

2013

Eur J Clin Nutr

View full text Add to dashboard Cite

show abstract

“…Asimismo, también hay referencias de entidades y sociedades internacionales sobre que debería disponerse de estos equipos con recursos humanos suficientes para dotar a estas unidades de manera funcional 24,25 . Los ratios para la correcta dotación en cuanto a DN han sido propuestos en varias ocasiones, y citados por la AEDN en informes para la implementación de la figura: la Comunidad Económica Europea Existen varios trabajos nacionales e internacionales que muestran la utilidad de los equipos de dietética y nutrición interdisciplinares en el marco de la actividad asistencial hospitalaria, para la mejoría de la atención percibida por el paciente y la calidad de vida 4,[17][18][19][20][21][22] , así como un ahorro de entre 400 y 1900 millones de euros en un período de 5 años, sólo en el tratamiento de pacientes con obesidad y sus comorbilidades, de tal modo que por cada euro invertido en consejo Tabla 1. Relación de dietistas-nutricionistas por provincias y servicios en hospitales públicos y hospitales privados.…”

Section: Discussionunclassified

Análisis de la presencia de dietistas-nutricionistas en hospitales de Andalucía

García-Puche

Cabañas-Alite

2017

Rev Esp Nutr Hum Diet

View full text Add to dashboard Cite

Introducción: La figura profesional de referencia en el tratamiento dietético en el ámbito hospitalario es el Dietista-Nutricionista (DN). Su interés público coincide con los datos sobre su actuación y eficiencia clínica. El objetivo es describir su presencia en hospitales públicos y privados de Andalucía y analizar en qué medida se cumplen los criterios de la Declaración de postura de la Asociación Española de Dietistas-Nutricionistas (AEDN) sobre la incorporación del DN en el Sistema Nacional de Salud de 2009. Material y Métodos:Se seleccionó como muestra hospitales públicos y privados del Registro de Centros, Establecimientos y Servicios Sanitarios de la Consejería de Salud y Bienestar Social. Se les contactó por vía telefónica y telemática, preguntando: servicios con los que cuenta, número de DN totales, unidades con DN y cantidad y número de camas. Los datos se compararon con la propuesta al Senado de la AEDN de 2009. Resultados:Se incluyeron 105 centros, de los que 57 eran públicos y 48 privados; contestaron 51 (48,6%), 31 públicos (54,4%) y 20 privados (41,7%). Se registraron 35 DN contratados, 31 en hospitales públicos (88,6%) y 4 en privados (11,4%). Exceptuando hospitales privados en Granada (20%) y Málaga (12,5%), el grado de cumplimiento del criterio estudiado es de 0% en el resto de Andalucía.Conclusiones: La presencia de DN en hospitales públicos y privados de Andalucía no cumple la propuesta presentada al Senado en 2009 por la AEDN. Hacen falta más estudios para observar la situación en distintas comunidades autónomas y describir la situación profesional de DN en hospitales.

show abstract

“…The use of systematic assessment with a validated risk assessment tool is recommended for individuals at risk for pressure ulcer. They enable health professionals to systematically evaluate individual risk factors using quantitative measures (Foltz, Schiller and Ryan, 1993).…”

Section: Introductionmentioning

confidence: 99%

“…For this reason, a combination of several biochemical and anthropometric parameters are employed to obtain a far more reliable index. To determine the frequency of nutritional screening and assessment practices in hospitals Foltz, Schiller and Ryan (1993) surveyed 388 patients.…”

Section: Introductionmentioning

confidence: 99%

Pressure ulcers and nutritional deficits in elderly long-term care patients : effects of a comprehensive nutritional program on pressure ulcer healing, length of hospital stay and charges to patients

Allen¹

View full text Add to dashboard Cite

Allen, Beverlin, "Pressure ulcers and nutritional deficits in elderly long-term care patients : effects of a comprehensive nutritional program on pressure ulcer healing, length of hospital stay and charges to patients" (2010 The dissertation of Beverlin Allen is approved. The elderly are at the highest risk of developing pressure ulcers that result in prolonged hospitalization, high health care costs, increased mortality, and decreased quality of life. The burden of pressure ulcers will intensify because of a rapidly increasing elderly population in the United States (US). Poor nutrition is a major predictor of pressure ulcer formation. The purpose of this study was to examine the effects of a comprehensive, interdisciplinary nutritional protocol on: 1) pressure ulcer wound healing 2) length of hospital stays, and 3) charges for pressure ulcer management. Interim Dean Sharon PontiusUsing a pre-intervention/post intervention quasi-experimental design the study sample was composed of 100 patients 60 years or older, admitted with or acquiring a pressure ulcer. A pre-intervention group (n= 50) received routine pressure ulcer care (standard diet, dressing changes, and equipment). A post-intervention group received routine care plus an interdisciplinary nutrition intervention (physical therapy, speech therapy, occupational therapy, added protein and calories to the diet). Research questions were vi analyzed using descriptive statistics, frequencies, Chi-Square Tests, and T-tests.

show abstract

Nutrition screening and assessment: Current practices and dietitians' leadership roles

Cited by 23 publications

References 30 publications

Measuring energy expenditure in clinical populations: rewards and challenges

Measuring energy expenditure in clinical populations: rewards and challenges

Análisis de la presencia de dietistas-nutricionistas en hospitales de Andalucía

Pressure ulcers and nutritional deficits in elderly long-term care patients : effects of a comprehensive nutritional program on pressure ulcer healing, length of hospital stay and charges to patients

Contact Info

Product

Resources

About