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.
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:
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|Item Type:||Journal Article|
|Keywords:||Community nutrition, Dietetic practice, Malnutrition, Nutrition education, Nutritional status, Subjective|
|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|
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