QUT ePrints

A quality improvement nutrition screening and intervention program available to Home and Community Care eligible clients

Leggo, Marion, Banks, Merrilyn D., Isenring, Elisabeth A., Stewart, Lynette, & Tweeddale, Margaret (2008) A quality improvement nutrition screening and intervention program available to Home and Community Care eligible clients. Nutrition & Dietetics, 65(2), 162- 167.

View at publisher

Abstract

Objective: To develop and implement a nutrition screening and dietetic referral system for Home and Community Care (HACC) eligible clients.-----

Design: Quality improvement project utilising a prospective, observational design.-----

Setting: Sixteen Australian organisations caring for HACC eligible clients.-----

Subjects: One thousand one hundred and forty-five HACC eligible clients (mean age 76.5 ± 7.2 years) were screened for nutritional risk during 2003–2005.-----

Interventions: Nutrition screening was conducted by trained project officers, allied health staff, community care coordinators and nursing staff using a modified version of the malnutrition screening tool (MST). Dietitians performed a nutrition assessment using the scored Patient Generated-Subjective Global Assessment (PG-SGA) and provided individualised nutrition counselling for those identified to be at risk of malnutrition and agreeing to treatment.-----

Results: According to the MST, 170 clients (15%) were identified as being at risk of malnutrition. Of these, 75 (44%) agreed to the dietetic referral and PG-SGA assessment, and 57 were subsequently assessed as malnourished (PG-SGA category B or C), suggesting a malnutrition prevalence between 5% and 11%. Of the 34 malnourished clients receiving multiple dietetic reviews (mean 4.1 ± 2.0 per client), 28 improved, with 17 achieving a well-nourished PG-SGA A rating.-----

Conclusion: The development and implementation of a nutrition screening and referral system can identify HACC eligible clients who would benefit from services provided by a dietitian. Further research should identify the reasons why some HACC eligible clients are reluctant to be referred to a dietitian.

Impact and interest:

18 citations in Scopus
Search Google Scholar™
13 citations in Web of Science®

Citation countsare sourced monthly from Scopus and Web of Science® citation databases.

These databases contain citations from different subsets of available publications and different time periods and thus the citation count from each is usually different. Some works are not in either database and no count is displayed. Scopus includes citations from articles published in 1996 onwards, and Web of Science® generally from 1980 onwards.

Citations counts from the Google Scholar™ indexing service can be viewed at the linked Google Scholar™ search.

ID Code: 18605
Item Type: Journal Article
Additional URLs:
Keywords: Community nutrition, Dietetic practice, Malnutrition, Nutrition education, Nutritional status, Subjective
DOI: 10.1111/j.1747-0080.2008.00239.x
ISSN: 1446-6368
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > NUTRITION AND DIETETICS (111100) > Clinical and Sports Nutrition (111101)
Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > PUBLIC HEALTH AND HEALTH SERVICES (111700) > Aged Health Care (111702)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Current > Schools > School of Public Health & Social Work
Deposited On: 06 May 2009 14:37
Last Modified: 29 Feb 2012 23:51

Export: EndNote | Dublin Core | BibTeX

Repository Staff Only: item control page