The future of nutrition care in hospitals

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Author(s)
Roberts, Shelley
Chaboyer, Wendy
Year published
2018
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Malnutrition affects up to 50% of hospitalised patients (Ray et al., 2014; Barker et al., 2011) and has severe consequences for patients and the health care system. Malnutrition increases the risks of mortality (Lim et al., 2012) and complications like pressure injuries (Banks et al., 2010), infections (Schaible and Stefan, 2007) and falls (Vivanti et al., 2011) and is associated with increased length of stay, readmissions and higher hospital costs (Lim et al., 2012). Inadequate dietary intake is the major modifiable risk factor for malnutrition and the majority of patients fail to meet their nutritional needs in hospital ...
View more >Malnutrition affects up to 50% of hospitalised patients (Ray et al., 2014; Barker et al., 2011) and has severe consequences for patients and the health care system. Malnutrition increases the risks of mortality (Lim et al., 2012) and complications like pressure injuries (Banks et al., 2010), infections (Schaible and Stefan, 2007) and falls (Vivanti et al., 2011) and is associated with increased length of stay, readmissions and higher hospital costs (Lim et al., 2012). Inadequate dietary intake is the major modifiable risk factor for malnutrition and the majority of patients fail to meet their nutritional needs in hospital (Thibault et al., 2011). Improving dietary intakes among hospitalised patients is difficult as the problem is complex and multifactorial. Patient related factors include poor appetite; nutrition impacting symptoms such as nausea or constipation; problems with self-feeding; chewing or swallowing problems; increased nutrition requirements; older age and individual preferences (Sanson et al., 2018; Vanderwee et al., 2010; Kubrak and Jensen, 2007). Hospital related factors encompass nutrition care practices, hospital foodservice and the mealtime environment (Kubrak and Jensen, 2007).
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View more >Malnutrition affects up to 50% of hospitalised patients (Ray et al., 2014; Barker et al., 2011) and has severe consequences for patients and the health care system. Malnutrition increases the risks of mortality (Lim et al., 2012) and complications like pressure injuries (Banks et al., 2010), infections (Schaible and Stefan, 2007) and falls (Vivanti et al., 2011) and is associated with increased length of stay, readmissions and higher hospital costs (Lim et al., 2012). Inadequate dietary intake is the major modifiable risk factor for malnutrition and the majority of patients fail to meet their nutritional needs in hospital (Thibault et al., 2011). Improving dietary intakes among hospitalised patients is difficult as the problem is complex and multifactorial. Patient related factors include poor appetite; nutrition impacting symptoms such as nausea or constipation; problems with self-feeding; chewing or swallowing problems; increased nutrition requirements; older age and individual preferences (Sanson et al., 2018; Vanderwee et al., 2010; Kubrak and Jensen, 2007). Hospital related factors encompass nutrition care practices, hospital foodservice and the mealtime environment (Kubrak and Jensen, 2007).
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Journal Title
International Journal of Nursing Studies
Volume
85
Copyright Statement
© 2018 Elsevier. Licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International Licence (http://creativecommons.org/licenses/by-nc-nd/4.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, providing that the work is properly cited.
Subject
Nursing
Science & Technology
Life Sciences & Biomedicine
Nursing
RANDOMIZED CONTROLLED-TRIAL
MALNUTRITION