2.50
Hdl Handle:
http://hdl.handle.net/10755/157403
Type:
Presentation
Title:
NUTRITIONAL STATUS IN A SENIOR POPULATION: A CLASS PROJECT
Abstract:
NUTRITIONAL STATUS IN A SENIOR POPULATION: A CLASS PROJECT
Conference Sponsor:Western Institute of Nursing
Conference Year:2010
Author:Zulkowski, Karen, DNS, RN, CWS
P.I. Institution Name:Montana State University
Title:Associate Professor
Contact Address:31 Snowy Lane, Red Lodge, MT, 59068, USA
Co-Authors:Julie Pullen
PURPOSES/AIMS: Conducting a meaningful "hands on" project as part of an undergraduate research course is challenging. Fall semester 2008 and Spring semester 2009 we conducted a project that would add needed geriatric contact and provide data on senior citizens in Billings MT. The purpose of both studies was to examine the nutritional status of senior citizens in our area and look at consistency of results.
RATIONALE/CONCEPTUAL BASIS/BACKGROUND: Physical, social, and environmental factors all contribute to nutritional problems which become pronounced among those elders 65 years of age and older. While inadequate nutrition is not always apparent, it is estimated that between 37 % to 40 % of community dwelling elders are affected. Among the hospitalized elderly, both morbidity and mortality increase due to malnourished states and this occurs even when there are no obvious signs of malnutrition. In older adults, it is estimated that more than 55 % of hospitalized and 52 % and 85 % of those living in long term care may be malnourished.
Some psychosocial issues have been identified that adversely affect nutritional status among elders. The issues identified include residing alone, limited income, and impaired mobility. Other studies have further identified key factors, such as a feeling of food insecurity that is experienced by elders and reliance on peanut butter and crackers for at least one meal per week. As a result, nutritional instruments that accurately evaluate the nutritional status of elders are vital and RESULTS: will help nurses determine which tool is appropriate for patient assessment.
METHODS: Junior nursing students at MSU College of Nursing collected data as part of their undergraduate research requirement during Fall 2008 and Spring 2009 semesters. Seniors citizens residing in community and assisted living facilities were randomly selected for study inclusion.
Fall 08 two nutritional assessment instruments (MNA screening, total assessment and Determine Your Nutritional Health) were compared to examine correlation in identifying at risk individuals. Spring 09, testing used the screening portion of the MNA only. This was then compared to previous results.
The MNA has six screening and 12 assessment questions and the Determine instrument has 10 screening questions and includes item explanations. Both are valid and reliable instruments
RESULTS: A total of 352 surveys were completed Fall 08 and 230 Spring 09. Nutritional questionnaires with missing information were eliminated which resulted in 310 (MNA) and 347(Determine) responses, and 217 (MNA) valid surveys for Fall 08 and Spring 09 respectively.
There was no significant difference in age, gender, or living arrangements by time of collection. MNA results showed 46.5% and 45.2% of seniors to be at risk for malnutrition at times 1 and 2 which was not significant different (p equal to or less than 0.05) In addition, at time 1 the MNA screen, total assessment and determine score were significantly correlated (p equal to or less than 0-00).

IMPLICATIONS: Senior citizens in Billings, MT are at nutritional risk. Both the Mini Nutritional Assessment and Determine Your Nutritional Health are effective screening instruments and should be included as a component of any wellness examination and should be included in undergraduate education.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Western Institute of Nursing

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleNUTRITIONAL STATUS IN A SENIOR POPULATION: A CLASS PROJECTen_GB
dc.identifier.urihttp://hdl.handle.net/10755/157403-
dc.description.abstract<table><tr><td colspan="2" class="item-title">NUTRITIONAL STATUS IN A SENIOR POPULATION: A CLASS PROJECT</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Western Institute of Nursing</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2010</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Zulkowski, Karen, DNS, RN, CWS</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Montana State University</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Associate Professor</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">31 Snowy Lane, Red Lodge, MT, 59068, USA</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">karenz@montana.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Julie Pullen</td></tr><tr><td colspan="2" class="item-abstract">PURPOSES/AIMS: Conducting a meaningful &quot;hands on&quot; project as part of an undergraduate research course is challenging. Fall semester 2008 and Spring semester 2009 we conducted a project that would add needed geriatric contact and provide data on senior citizens in Billings MT. The purpose of both studies was to examine the nutritional status of senior citizens in our area and look at consistency of results. <br/>RATIONALE/CONCEPTUAL BASIS/BACKGROUND: Physical, social, and environmental factors all contribute to nutritional problems which become pronounced among those elders 65 years of age and older. While inadequate nutrition is not always apparent, it is estimated that between 37 % to 40 % of community dwelling elders are affected. Among the hospitalized elderly, both morbidity and mortality increase due to malnourished states and this occurs even when there are no obvious signs of malnutrition. In older adults, it is estimated that more than 55 % of hospitalized and 52 % and 85 % of those living in long term care may be malnourished. <br/>Some psychosocial issues have been identified that adversely affect nutritional status among elders. The issues identified include residing alone, limited income, and impaired mobility. Other studies have further identified key factors, such as a feeling of food insecurity that is experienced by elders and reliance on peanut butter and crackers for at least one meal per week. As a result, nutritional instruments that accurately evaluate the nutritional status of elders are vital and RESULTS: will help nurses determine which tool is appropriate for patient assessment. <br/>METHODS: Junior nursing students at MSU College of Nursing collected data as part of their undergraduate research requirement during Fall 2008 and Spring 2009 semesters. Seniors citizens residing in community and assisted living facilities were randomly selected for study inclusion. <br/>Fall 08 two nutritional assessment instruments (MNA screening, total assessment and Determine Your Nutritional Health) were compared to examine correlation in identifying at risk individuals. Spring 09, testing used the screening portion of the MNA only. This was then compared to previous results. <br/>The MNA has six screening and 12 assessment questions and the Determine instrument has 10 screening questions and includes item explanations. Both are valid and reliable instruments<br/>RESULTS: A total of 352 surveys were completed Fall 08 and 230 Spring 09. Nutritional questionnaires with missing information were eliminated which resulted in 310 (MNA) and 347(Determine) responses, and 217 (MNA) valid surveys for Fall 08 and Spring 09 respectively. <br/>There was no significant difference in age, gender, or living arrangements by time of collection. MNA results showed 46.5% and 45.2% of seniors to be at risk for malnutrition at times 1 and 2 which was not significant different (p equal to or less than 0.05) In addition, at time 1 the MNA screen, total assessment and determine score were significantly correlated (p equal to or less than 0-00). <br/><br/>IMPLICATIONS: Senior citizens in Billings, MT are at nutritional risk. Both the Mini Nutritional Assessment and Determine Your Nutritional Health are effective screening instruments and should be included as a component of any wellness examination and should be included in undergraduate education.<br/></td></tr></table>en_GB
dc.date.available2011-10-26T19:50:30Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T19:50:30Z-
dc.description.sponsorshipWestern Institute of Nursingen_GB
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