Wadas-Enright Margaret, King Anita
a WellMed @Esplanade , Corpus Christi , Texas.
J Community Health Nurs. 2015;32(1):1-11. doi: 10.1080/07370016.2015.991658.
The purpose of this project was to identify the nutritional status of older adults in a primary care setting by using a standardized nutritional tool and to improve clinical outcomes by implementing appropriate interventions.
A retrospective chart review of 50 records was conducted prior to any intervention to document what was being done before the use of a standardized nutritional tool. Clinic staff was instructed on the Mini Nutritional Assessment tool. After implementing the tool, a chart review was conducted on 25 participants.
Prior to implementing the tool, data showed that 42% of the patients' charts recorded a body mass index and there was no documentation of any nutritional concerns. After the implementation of the standardized tool, data showed 40% of the older adult patients had normal nutritional status, 56% were at risk, and 4% were malnourished. Furthermore, 100% of records continued to show no documentation of any nutritional interventions.
Data suggest that many older adult patients are at risk or have malnourishment that is unrecognized. Documentation of nutritional interventions needs to be evaluated and recorded.
本项目的目的是通过使用标准化营养工具确定初级保健机构中老年人的营养状况，并通过实施适当干预措施改善临床结果。
在进行任何干预之前，对50份病历进行回顾性审查，以记录在使用标准化营养工具之前所采取的措施。对诊所工作人员进行了微型营养评定工具的培训。在实施该工具后，对25名参与者的病历进行了审查。
在实施该工具之前，数据显示42%的患者病历记录了体重指数，且没有任何营养问题的记录。在实施标准化工具之后，数据显示40%的老年患者营养状况正常，56%处于风险中，4%营养不良。此外，100%的记录仍然没有任何营养干预措施的记录。
数据表明，许多老年患者存在未被识别的营养风险或营养不良。营养干预措施的记录需要进行评估和记录。
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