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Optimising Nutrition In Residential Aged Care: A Narrative Review, Ekta Agarwal, Skye Marshall, Michelle Miller, Elizabeth Isenring

Liz Isenring

In developed countries the prevalence of protein-energy malnutrition increases with age and multimorbidities increase nutritional risk in aged care residents in particular. This paper presents a narrative review of the current literature on the identification, prevalence, associated risk factors, consequences, and management of malnutrition in the residential aged care (RAC) setting. We performed searches of English-language publications on Medline, PubMed, Ovid and the Cochrane Library from January 1 1990 to November 25 2015. We found that, on average, half of all residents in aged care are malnourished as a result of factors affecting appetite, dietary intake and nutrient absorption. Malnutrition …

The Nutrition And Food-Related Roles, Experiences And Support Needs Of Female Family Carers Of Malnourished Older Rehabilitation Patients, Skye Marshall, Dianne P. Reidlinger, Adrienne Young, Elizabeth Isenring

Liz Isenring

BACKGROUND: To improve perceived value of nutrition support and patient outcomes, the present study aimed to determine the nutrition and food-related roles, experiences and support needs of female family carers of community-dwelling malnourished older adults admitted to rehabilitation units in rural New South Wales, Australia, both during admission and following discharge. METHODS: Four female family carers of malnourished rehabilitation patients aged ≥65 years were interviewed during their care-recipients' rehabilitation admission and again at 2 weeks post-discharge. The semi-structured interviews were audiotaped, transcribed and analysed reflecting an interpretative phenomenological approach by three researchers. A series of 'drivers' relevant to the research …

The Nutrition And Food-Related Roles, Experiences And Support Needs Of Female Family Carers Of Malnourished Older Rehabilitation Patients, Skye Marshall, Dianne P. Reidlinger, Adrienne Young, Elizabeth Isenring

Skye Marshall

BACKGROUND: To improve perceived value of nutrition support and patient outcomes, the present study aimed to determine the nutrition and food-related roles, experiences and support needs of female family carers of community-dwelling malnourished older adults admitted to rehabilitation units in rural New South Wales, Australia, both during admission and following discharge. METHODS: Four female family carers of malnourished rehabilitation patients aged ≥65 years were interviewed during their care-recipients' rehabilitation admission and again at 2 weeks post-discharge. The semi-structured interviews were audiotaped, transcribed and analysed reflecting an interpretative phenomenological approach by three researchers. A series of 'drivers' relevant to the research …

Optimising Nutrition In Residential Aged Care: A Narrative Review, Ekta Agarwal, Skye Marshall, Michelle Miller, Elizabeth Isenring

Skye Marshall

In developed countries the prevalence of protein-energy malnutrition increases with age and multimorbidities increase nutritional risk in aged care residents in particular. This paper presents a narrative review of the current literature on the identification, prevalence, associated risk factors, consequences, and management of malnutrition in the residential aged care (RAC) setting. We performed searches of English-language publications on Medline, PubMed, Ovid and the Cochrane Library from January 1 1990 to November 25 2015. We found that, on average, half of all residents in aged care are malnourished as a result of factors affecting appetite, dietary intake and nutrient absorption. Malnutrition …

Comparison Of Two School Feeding Programmes In Ghana, West Africa, Justina S. Owusu, Esi K. Colecraft, Richmond N.O. Aryeetey, Joan A. Vaccaro, Fatma G. Huffman

Joan A. Vaccaro

Background: Malnutrition of children in Ghana continues during school years. There is limited information on how school meals meet nutrient recommendations in Ghana.

Objectives: The aim of this study was to compare energy and nutrient content of meals served by Ghana School Feeding Programme (GSFP) and Non-Governmental School Feeding Programme (NGSFP) and adherence to nutrient recommendations.

Methods: This was a cross sectional study design involving observation of school meals at two sites: GSFP and NGSFP. Average weights of a week’s meal were converted to energy and nutrient equivalence and compared with international recommendations. Differences assessed with t …

Comparison Of Two School Feeding Programmes In Ghana, West Africa, Justina S. Owusu, Esi K. Colecraft, Richmond N.O. Aryeetey, Joan A. Vaccaro, Fatma G. Huffman

Joan A. Vaccaro

Background: Malnutrition of children in Ghana continues during school years. There is limited information on how school meals meet nutrient recommendations in Ghana. Objectives: The aim of this study was to compare energy and nutrient content of meals served by Ghana School Feeding Programme (GSFP) and Non-Governmental School Feeding Programme (NGSFP) and adherence to nutrient recommendations. Methods: This was a cross sectional study design involving observation of school meals at two sites: GSFP and NGSFP. Average weights of a week’s meal were converted to energy and nutrient equivalence and compared with international recommendations. Differences assessed with t-tests. Results: NGSFP provided …

Malnourished Older Adults With Informal Caregivers Admitted To Rural Rehabilitation Units Remain Malnourished During And After Rehabilitation: A Prospective Cohort Study Of Current Practice, Skye Marshall, Adrienne Young, Judith Bauer, Elizabeth Isenring

Skye Marshall

Understanding the nutritional journey older adults make from rehabilitation to home may help to engage and support the patient and their informal caregiver during this process. This study aimed to determine the change in nutritional status, physical function and health-related quality of life (HRQoL) amongst malnourished older adults (≥65years) with informal caregivers admitted to rural rehabilitation and 12 weeks post-discharge to the community.

Malnutrition In Geriatric Rehabilitation: Prevalence, Patient Outcomes And Criterion Validity Of The Scored Patient-Generated Subjective Global Assessment (Pg-Sga) And The Mini Nutritional Assessment (Mna), Skye Marshall, Adrienne Young, Judith Bauer, Elizabeth Isenring

Skye Marshall

No abstract provided.

Malnourished Older Adults Admitted To Rehabilitation In Rural New South Wales Remain Malnourished Throughout Rehabilitation And Once Discharged Back To The Community: A Prospective Cohort Study, Skye Marshall, Adrienne Young, Judith Bauer, Elizabeth Isenring

Skye Marshall

No abstract provided.

Malnutrition In Geriatric Rehabilitation: Prevalence, Patient Outcomes And Criterion Validity Of The Scored Patient-Generated Subjective Global Assessment (Pg-Sga) And The Mini Nutritional Assessment (Mna), Skye Marshall, Adrienne Young, Judith Bauer, Liz Isenring

Skye Marshall

There is strong evidence showing malnutrition is under-recognized and underdiagnosed in the rehabilitation setting. Accurate identification and management of malnutrition is essential so that patient outcomes may be improved and resources used efficaciously.The Scored PG-SGA and MNA require evaluation of their validity in diagnosing malnutrition in rehabilitation. In addition, the prevalence of malnutrition and associated patient outcomes in rural Australian populations has not been reported.

A High Prevalence Of Malnutrition In Acute Geriatric Patients Predicts Adverse Clinical Outcomes And Mortality Within 12 Months, Karen E. Charlton, Marijka J. Batterham, Steven Bowden, Abhijeet Ghosh, Katherine Caldwell, Lilliana Barone, Michelle Mason, J. Potter, Barbara Meyer, Marianna Milosavljevic

Dr Marijka Batterham

Background & aims Older malnourished patients experience increased length of hospital stay and greater morbidity compared to their well nourished counterparts. This study aimed to assess whether nutritional status at hospital admission predicted clinical outcomes at 12 months follow-up. Methods Secondary data analysis of 2602 consecutive patient admissions to an acute tertiary hospital in New South Wales, Australia on or before 1st June 2009. Twelve-month data was analysed in a sub-sample of 774 patients. Nutritional status was determined within 72 h of admission using the Mini Nutritional Assessment (MNA). Outcomes, obtained from electronic patient records included hospital readmission rate, total …

Malnutrition And Poor Food Intake Are Associated With Prolonged Hospital Stay, Frequent Readmissions, And Greater In-Hospital Mortality: Results From The Nutrition Care Day Survey 2010, Ekta Agarwal, Maree Ferguson, Merrilyn Banks, Marijka Batterham, Judith Bauer, Sandra Capra, Elizabeth Isenring

Dr Marijka Batterham

Background & aims: The Australasian Nutrition Care Day Survey (ANCDS) ascertained if malnutrition and poor food intake are independent risk factors for health-related outcomes in Australian and New Zealand hospital patients. Methods: Phase 1 recorded nutritional status (Subjective Global Assessment) and 24-h food intake (0, 25, 50, 75, 100% intake). Outcomes data (Phase 2) were collected 90-days post-Phase 1 and included length of hospital stay (LOS), readmissions and in-hospital mortality. Results: Of 3122 participants (47% females, 65±18 years) from 56 hospitals, 32% were malnourished and 23% consumed≤25% of the offered food. Malnourished patients had greater median LOS (15 days vs. …

Are Informal Carers And Community Care Workers Effective In Managing Malnutrition In The Older Adult Community? A Systematic Review Of Current Evidence, Skye Marshall, Judith Bauer, Sandra Capra, Elisabeth Isenring

Skye Marshall

Nutrition Care Practices In Hospital Wards: Results From The Nutrition Care Day Survey 2010, Ekta Agarwal, Maree Ferguson, Merrilyn Banks, Marijka J. Batterham, Judith Bauer, Sandra Capra, Elizabeth Isenring

Liz Isenring

Rehabilitation Inpatients Are Not Meeting Their Energy And Protein Needs, K. Walton, P. G. Williams, Linda C. Tapsell, M. Batterham

Dr Marijka Batterham

Background & aims: This study aimed to determine the amounts of energy and protein required, ordered and consumed daily by long stay rehabilitation inpatients. Methods: A quantitative, weighed plate waste study. Thirty inpatients (16 females, 14 males; mean age 79.2 years; mean length of stay 52 days) from three rehabilitation hospitals in the Illawarra region of Australia. Data were collected over two days, including nutrition assessment details and weighed plate waste. Daily energy and protein requirements, amounts ordered and consumed were the outcome measures. Statistical analyses included paired t-tests, Wilcoxon Signed Rank tests and Spearman correlations. Results: Although adequate amounts …

Rehabilitation Inpatients Are Not Meeting Their Energy And Protein Needs, K. Walton, P. G. Williams, Linda C. Tapsell, M. Batterham

L. C. Tapsell

Background & aims: This study aimed to determine the amounts of energy and protein required, ordered and consumed daily by long stay rehabilitation inpatients. Methods: A quantitative, weighed plate waste study. Thirty inpatients (16 females, 14 males; mean age 79.2 years; mean length of stay 52 days) from three rehabilitation hospitals in the Illawarra region of Australia. Data were collected over two days, including nutrition assessment details and weighed plate waste. Daily energy and protein requirements, amounts ordered and consumed were the outcome measures. Statistical analyses included paired t-tests, Wilcoxon Signed Rank tests and Spearman correlations. Results: Although adequate amounts …