Essential Steps in the Nutrition Care Process Nutrition Screening - - PowerPoint PPT Presentation

▶

Jan 26, 2024 301 likes •412 views

Essential Steps in the Nutrition Care Process Nutrition Screening Nutrition Assessment and Diagnosis of malnutrition Nutrition Care Process Nutrition Screening Tests must be sensitive to identify those at risk Tests must be

SLIDE 1

SLIDE 2

Ø Nutrition Screening Ø Nutrition Assessment and Diagnosis of malnutrition Ø Nutrition Care Process

Essential Steps in the Nutrition Care Process

SLIDE 3

Ø Tests must be sensitive to identify those at risk Ø Tests must be specific to rule out those not at risk Ø Training for effective implementation

Nutrition Screening

SLIDE 4

Ø Sensitisation of the multi-disciplinary team by clinical dietitians (physicians and nurses) Ø Feedback on progress of the project Ø Daily ward huddles Ø Weekly nurse update meetings

Improvements in identification of malnutrition and management

SLIDE 5

Ø Identification of nutritional problems Ø Existing Ø Potential (where a medical intervention is likely to cause a nutritional problem) Ø Preventative or anticipatory

Nutritional Diagnosis

SLIDE 6

Ø Anthropometry Ø Biochemistry Ø Clinical / physical Ø Dietary Ø Environmental / behavioural / social Ø Service user focussed

Nutrition assessment and diagnosis of malnutrition

SLIDE 7

Ø Assessment drives the personalised nutrition plan Ø Underlying causes of malnutrition Ø Individual preferences, resources and expectations, severity of nutritional deficit Ø Anticipation of future disease / treatment

Targeted nutrition interventions

SLIDE 8

Ø Medical patients at nutritional risk Ø Nutrition risk score > 3 Ø Expected hospital stay > 4 days Ø Multi-centre study in Swiss hospitals Ø 5015 patients screened with 2088 randomised to Ø Individualised nutrition support Ø Standard hospital food

Individualised nutrition support

SLIDE 9

Kaplan-Meier estimates of the cumulative incidence of the primary endpoints and all-cause mortality (A) Time to the first event of the composite primary endpoint (log-rank p value = 0.035). (B) Time to death (log-rank p value = 0.031) Proportion of patients reaching caloric (A) and protein (B) requirements during the first 10 days after randomisation

SLIDE 10

Ø Management of malnutrition Ø Identify those at risk Ø Assessment Ø Individualised nutrition careplan Ø Nutritional care from the multi-professional team

Summary

Clare Shaw Email: clare.shaw@rmh.nhs.uk