2.50
Hdl Handle:
http://hdl.handle.net/10755/155545
Type:
Presentation
Title:
Nutritional Assessment and Intervention in Geriatric Patients
Abstract:
Nutritional Assessment and Intervention in Geriatric Patients
Conference Sponsor:Sigma Theta Tau International
Conference Year:2006
Author:Even Zahav, Aviva
P.I. Institution Name:Sheba medical centre
Title:Geriatric clinical specialist
Introduction: 40% of elderly inpatients are malnourished on admission and continue loosing weight while in hospital due to inappropriate or delayed nutritional assessment and intervention.  In an audit that was conducted in  33 departments in the hospital underwent review.  755, out of 1200, hospitalized patients were included in the survey. 11% had pressure ulcers. 69% had Albumin level below 3.5 grams. 11% undocumented. Aim: Early detection and intervention of high risk individuals independently of their cognitive status by developing and pre testing a Nutritional Status Assessment Tool Pretest: In a pilot study 30 geriatric patients were tested for there nutritional status by  albumin levels and by  the Mini Nutritional Assessment 53% of all patients with a plasma albumin above 3gr (non-intervened) were graded as at risk of malnutrition by the Mini Nutritional Assessment tool - MNA, The MNA  is limited to communicative patients only, the researcher developed a new assessment for all patient. Validity and reliability of Nutritional Status Assessment (NSA) The NSA was found valid (p<0.00) and reliable (in all anthropometric and biochemical data p<0.00) for use in geriatric communicative and impaired communication patients. Finally, the newly validated NSA and the nutritional protocol that follows were introduced and implemented in the population of the two wards of the geriatric hospital  Results of the intervention; Cycle 2 sought to evaluate the early assessment and intervention on the nutritional, functional, cognitive states, and track the reduction in the rate of complications, represented by pressure ulcers and falls. The results proved that early detection and nutritional intervention improved the nutritional (p<0.00), functional (p<0.00), cognitive status (p<0.00).
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleNutritional Assessment and Intervention in Geriatric Patientsen_GB
dc.identifier.urihttp://hdl.handle.net/10755/155545-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Nutritional Assessment and Intervention in Geriatric Patients</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2006</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Even Zahav, Aviva</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Sheba medical centre</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Geriatric clinical specialist</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">ez_avner@bezeqint.net</td></tr><tr><td colspan="2" class="item-abstract">Introduction:&nbsp;40% of elderly inpatients are malnourished on admission and continue loosing weight while in hospital due to inappropriate or delayed nutritional assessment and intervention.&nbsp; In an audit that was conducted in&nbsp; 33 departments in the hospital underwent review.&nbsp; 755, out of 1200, hospitalized patients were included in the survey.&nbsp;11% had pressure ulcers. 69% had Albumin level below 3.5 grams. 11% undocumented. Aim: Early detection and intervention of high risk individuals independently of their cognitive status by developing and pre testing a Nutritional Status Assessment Tool Pretest: In a pilot study 30 geriatric patients were tested for there nutritional status by&nbsp; albumin levels and by&nbsp; the Mini Nutritional Assessment 53% of all patients with a plasma albumin above 3gr (non-intervened) were graded as at risk of malnutrition by the Mini Nutritional Assessment tool - MNA, The&nbsp;MNA &nbsp;is limited to communicative patients only, the researcher developed a new assessment for all patient.&nbsp;Validity and reliability of Nutritional Status Assessment (NSA)&nbsp;The NSA was found valid (p&lt;0.00) and reliable (in all anthropometric and biochemical data p&lt;0.00) for use in geriatric communicative and impaired communication patients. Finally, the newly validated NSA and the nutritional protocol that follows were introduced and implemented in the population of the two wards of the geriatric hospital&nbsp;&nbsp;Results of the intervention;&nbsp;Cycle 2 sought to evaluate the early assessment and intervention on the nutritional, functional, cognitive states, and track the reduction in the rate of complications, represented by pressure ulcers and falls. The results proved that early detection and nutritional intervention improved the nutritional (p&lt;0.00), functional (p&lt;0.00), cognitive status (p&lt;0.00).</td></tr></table>en_GB
dc.date.available2011-10-26T13:56:34Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T13:56:34Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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