Penerapan algoritma proses asuhan gizi terstandar berbasis skrining gizi

Background: Malnutrition is one common problem for hospitalized patient, estimated between 20-60%. American Dietetic Association (ADA) recommends a standardized Nutrition Care Process (SNCP) that ensures services and outcomes in the quality management of nutrition care to all patients based on an individual basis and scientific facts. In Indonesia was developed nutrition screening tool, namely the Simple Nutrition Screening Tool (SNST) which was valid and reliable.Objective: The study was to determine the effect of SNCP based on screening to improve nutrient intake and nutritional status.Method: The method using a 2x2 factorial design, with 4 groups which are: screened with Nutritional Risk Screening (NRS) and get hospital-based SNCP (A1B1); screened with NRS and algorithm SNCP (A1B2); screened with SNST and get hospital-based SNCP (A2B1); screened with the SNST and get algorithm SNCP (A2B2).Results: Nutritional screening interventions using NRS and SNST method can increase the energy and protein intake also Mid-Upper Arm Circumference (MUAC). There is no relationship between algorithm SNCP with nutrient intake and nutritional status, although the average intake of energy, protein, MUAC and albumin was better in the algorithm SNCP than in hospital-based SNCP. The interaction between the SNST and algorithm SNCP have better mean intake of energy, protein and MUAC changes than other groups. The size of the effect of energy intake, protein intake, and MUAC was 129 kcal; 4.6 g; and 0.35 cm, respectively.Conclusion: Interaction between an SNST and algorithm SNCP have a better average intake of energy, protein, and MUAC compared with other groups.

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SP384GERIATRIC NUTRITIONAL RISK INDEX : A SIMPLE NUTRITION SCREENING TOOL CORRELATES WITH UNIQUE HEALTH CONDITIONS IN NONDIALYSIS CKD PATIENTS

Nephrology Dialysis Transplantation ◽

10.1093/ndt/gfy104.sp384 ◽

2018 ◽

Vol 33 (suppl_1) ◽

pp. i476-i476

Author(s):

Ting-Yun Lin ◽

Szu-Chun Hung

Keyword(s):

Screening Tool ◽

Risk Index ◽

Nutritional Risk ◽

Health Conditions ◽

Nutrition Screening ◽

Nutritional Risk Index ◽

Nutrition Screening Tool

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Comparison of Nursing Records and the Catholic Medical Center Nutritional Risk Screening as a Nutrition Screening Tool for Intensive Care Unit Patients

Clinical Nutrition Research ◽

10.7762/cnr.2015.4.1.56 ◽

2015 ◽

Vol 4 (1) ◽

pp. 56

Author(s):

Gyu Jin Heo ◽

Hye Jin Kim ◽

Jeong Im Hong

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Screening Tool ◽

Medical Center ◽

Nutritional Risk ◽

Risk Screening ◽

Nutrition Screening ◽

Nutrition Screening Tool ◽

Nutritional Risk Screening

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Nutritional Risk in Emergency-2017: A New Simplified Proposal for a Nutrition Screening Tool

Journal of Parenteral and Enteral Nutrition ◽

10.1002/jpen.1147 ◽

2018 ◽

Vol 42 (7) ◽

pp. 1168-1176 ◽

Cited By ~ 2

Author(s):

Aline Marcadenti ◽

Larissa Loures Mendes ◽

Estela Iraci Rabito ◽

Jaqueline da Silva Fink ◽

Flávia Moraes Silva

Keyword(s):

Screening Tool ◽

Nutritional Risk ◽

Nutrition Screening ◽

Nutrition Screening Tool

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Development of a novel nutrition screening tool for use in elderly South Africans

Public Health Nutrition ◽

10.1079/phn2005783 ◽

2005 ◽

Vol 8 (5) ◽

pp. 468-479 ◽

Cited By ~ 29

Author(s):

KE Charlton ◽

TL Kolbe-Alexander ◽

JH Nel

Keyword(s):

Cognitive Function ◽

Activities Of Daily Living ◽

Scoring System ◽

Daily Living ◽

Screening Tool ◽

Nutritional Risk ◽

Nutrition Screening ◽

South Africans ◽

Nutrition Screening Tool

AbstractObjectiveTo develop a nutrition screening tool for use in older South Africans.DesignA cross-sectional validation study in 283 free-living and institutionalised black South Africans (60+ years).MethodsTrained fieldworkers administered a 24-hour recall and the Mini Nutritional Assessment (MNA) screening tool, and performed anthropometric measurements and physical function tests. Cognitive function was assessed using a validated version of the Six-Item Cognitive Impairment Test. Biochemical indicators assessed included serum albumin, haemoglobin, ferritin, vitamin B12, red-blood-cell folate, cholesterol and vitamin C. The MNA was used as the gold standard against which a novel screening tool was developed using a six-step systematic approach, namely: correspondence analysis; identification of key questions; determination of internal consistency; correlational analyses with objective measures; determination of reference cut-off values for categories of nutritional risk; and determination of sensitivity and specificity.ResultsThe new screening tool includes nine separate concepts, comprising a total of 14 questions, as well as measurement of mid-upper arm circumference. The new tool score was positively associated with level of independence in either basic activities of daily living (r= 0.472) or the more complex instrumental activities of daily living (r= 0.233). A three-category scoring system of nutritional risk was developed and shown to significantly characterise subjects according to physical function tests, level of independence and cognitive function. The new tool has good sensitivity (87.5%) and specificity (95.0%) compared with the MNA scoring system. It has a very high negative predictive value (99.5%), which means that the tool is unlikely to falsely classify subjects as well nourished/at risk when they are in fact malnourished.ConclusionA novel screening tool has been shown to have content-, construct- and criterion-related validity, and the individual items have been shown to have good internal consistency. Further validation of the tool in a new population of elderly Africans is warranted.

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Naming Nutrition Injustice: How Might Dietitians Articulate a Socially Just Dietetic Practice?

Critical Dietetics ◽

10.32920/cd.v4i2.1321 ◽

2019 ◽

Vol 4 (2) ◽

pp. 6-17

Author(s):

Jennifer Brady

Keyword(s):

Conceptual Framework ◽

Food Justice ◽

Care Process ◽

Nutrition And Health ◽

Nutrition Care ◽

The Everyday ◽

Willingness To Change ◽

Paper Work ◽

Nutrition Care Process ◽

Primary Care Institutions

This paper invites readers to consider how the ideals, concepts, and language of nutrition justice may be incorporated into the everyday practice of clinical dietitians whose work is often carried out within large, conservative, primary care institutions. How might clinical dietitians address the nutritional injustices that bring people to their practice, when practitioners are constrained by the limits of current diagnostic language, as well as the exigencies of their workplaces. In the first part of this paper, I draw on Cadieux and Slocum’s work on food justice to develop a conceptual framework for nutrition justice. I assert that a justice-oriented understanding of nutrition redresses inequities built in to the biomedicalization of nutrition and health, and seeks to trouble by whom and how these are defined. In the second part of this paper, I draw on the conceptual framework of nutrition justice to develop a politicized language framework that articulates nutrition problems as the outcome of nutritional injustices rather than individuals’ deficits of knowledge, willingness to change, or available resources. This language framework serves as a counterpoint to the current and widely accepted clinical language tool, the Nutrition Care Process Terminology, that exemplifies biomedicalized understandings of nutrition and health. Together, I propose that the conceptual and language frameworks I develop in this paper work together to foster what Croom and Kortegast (2018) call “critical professional praxis” within dietetics.

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