The validity of Geriatric Nutrition Risk Index: Simple tool for prediction of nutritional-related complication of hospitalized elderly patients. Comparison with Mini Nutritional Assessment

Hospitalized older adults are at risk of malnutrition. Nurses should carefully assess and monitor the nutritional status of the older hospitalized patient so that appropriate nutrition-related interventions can be implemented in timely fashions.Elderly patients are at risk of malnutrition due to dietary, economic, psychological and physiological factors. Older people are at risk of developing malnutrition. This condition or the risk of its development is observed in 39–47% of hospitalized elderly patients. The use of the Mini-Nutritional Assessment (MNA) is recommended to identify malnutrition or the risks of its development. The MNA scale takes into account the diet, patient mobility, BMI, the dynamics of weight loss, psychological stress, acute diseases, dementia and other mental features of the patient.Management plan of a patient with malnutrition: monitoring the implementation of the recommendations of a dietitian, clinical pharmacologist, and other specialists who determine the patient’s nutrition, ensuring adequate supply of nutrients, clinical nutrition (artificial nutrition, special nutritional support, parenteral, enteral nutrition, or a combination thereof), oral administration dietary supplements.

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Health-related behavioural differences between the sexes determines nutrition status in hospitalized elderly patients/ Różnice behawioralne związane z zachowaniami zdrowotnymi między płciami, determinujące stan odżywienia u hospitalizowanych pacjentów w podeszłym wieku

HIGHER SCHOOL’S PULSE ◽

10.5604/01.3001.0010.5031 ◽

2017 ◽

Vol 11 (3) ◽

pp. 4-9

Author(s):

Grażyna Puto ◽

Iwona Repka ◽

Kornelia Biłko ◽

Mirosława Dzikowska

Keyword(s):

Elderly Patients ◽

Health Behaviour ◽

Positive Attitude ◽

Eating Habits ◽

Mini Nutritional Assessment ◽

The Elderly ◽

Nutrition Status ◽

Hospitalized Elderly ◽

Health Related ◽

Hospitalized Elderly Patients

Background: Health-related behaviours affect the preservation and maintenance of health. They form a important part of the everyday life of all individuals including the elderly. Some of the most significant factors affecting health are eating habits, physical activity, and the ability to handle stress and limiting the use of substances. Aim of the study: The aim of this paper was to assess the effect of health-related behaviours on nutrition in hospitalized elderly patients. Material and Methods: The study population consisted of 151 subjects over 60 years old. The study tools included a diagnostic survey, the Health Behaviour Inventory and the Mini Nutritional Assessment. Statistical significance for differences and strength of correlation between the variables was set at p<0.05. Results: The general indicator of health behaviour was higher among women (88.78±13.82 vs. 83.55±12.93; p=0.01). The analysis of health behaviour showed significant differences between men and women in relation to good eating habits (p=0.01) and prophylactic behaviour (p=0.01). Conclusions: Elderly people who followed a proper diet, which included fruit and vegetables, and avoided food with preservatives, were better nourished. A positive attitude was connected with the state of nutrition. Wellnourished status can be observed among the elderly who have positive attitude, avoid anger, anxiety and depression, and have friends and a stable family life.

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Triagem nutricional em adultos hospitalizados

Revista de Nutrição ◽

10.1590/s1415-52732008000500011 ◽

2008 ◽

Vol 21 (5) ◽

pp. 589-601 ◽

Cited By ~ 9

Author(s):

Mariur Gomes Beghetto ◽

Bibiana Manna ◽

Andréia Candal ◽

Elza Daniel de Mello ◽

Carisi Anne Polanczyk

Keyword(s):

Screening Tool ◽

Nutritional Assessment ◽

Risk Index ◽

Mini Nutritional Assessment ◽

Nutritional Risk ◽

Nutritional Screening ◽

Nutrition Risk ◽

Nutritional Risk Index ◽

Assessment Questionnaire ◽

Nutritional Risk Screening

Em hospitais, o objetivo de um procedimento de triagem nutricional é identificar indivíduos desnutridos ou em risco de desnutrição, possibilitando intervenção nutricional precoce e melhor alocação de recursos. Diferentes métodos são apresentados na literatura para esta finalidade: Malnutrition Screening Tool, Short Nutritional Assessment Questionnaire, Nutritional Risk Index, Nutrition Risk Score, Nutritional Risk Screening, Mini Nutritional Assessment, Malnutrition Universal Screening Tool, Nutritional Screening Tool, Nutritional Screening Equation. No entanto, o emprego de muitos destes instrumentos está limitado pela inadequada metodologia empregada na derivação e/ou validação, pela seleção de grupos específicos de pacientes, pela pouca praticidade ou por necessidade de um especialista para seu emprego. Na ausência de um padrão de referência para emitir o diagnóstico nutricional, desfechos clínicos relevantes devem balizar a derivação e a validação de novos instrumentos. Este trabalho descreve os instrumentos de triagem nutricional acima referidos e apresenta considerações quanto ao seu emprego para adultos hospitalizados não selecionados.

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