HTHSCI 3BB3 Lecture Notes - Lecture 13: Pressure Ulcer, Malnutrition, Overnutrition
Document Summary
Nutrition support in the adult hospitalized patient: canadian malnutrition task force has adopted the following definition (2013): 4 basic nursing admission questions that are integral to the early identification of nutritional risk patients: Highest predictor of malnutrition weight loss of 10% in the preceding 6 months of hospital admission. In developed countries the main cause of malnutrition is disease not starvation. Illness effects: poor appetite, too sick, tired, pain. Eating difficulties: difficulty opening packages/unwrapping food, uncomfortable position to eat, difficulty reaching food, difficulty chewing and swallowing food. Indications: consistent with medical and patients goals, inadequate oral intake to meet nutrient needs, functional gastrointestinal tract (digestion and absorption)- required, safe functional swallow. Can nurses make a difference: consumption of 50-65% of meals and supplements can halt or minimize the catastrophic effects of hospital malnutrition, encourage, emphasize and reinforce the importance of nutrition.