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Nutritional processes of care for older adults admitted to an oncology-acute care for elders unit
Kellie L Flood1, Cynthia J Brown, Maria B Carroll
1University of Alabama at Birmingham, Division of Gerontology, Geriatrics, and Palliative Care, United States.
Background:
Acute care for elders (ACE) units have been established in the United States to prevent functional decline in older hospitalized patients.
Purpose:
We sought to examine whether an ace unit that focused specifically on care of older oncology patients (OACE) compared with a usual care cancer ward (UCCW) demonstrated improved nutritional processes of care in patients who had documentation of nutritional deficits.
Methods:
We conducted a retrospective chart review to examine whether orders had been placed for a nutritional consult or use of nutritional supplements. Logistic regression analyses, controlling for confounding variables, were conducted to evaluate differences between the wards.
Results:
OACE unit patients were 2.1 times more likely than UCCW patients to have a nutrition consult placed and 2.5 times more likely to have nutritional supplements ordered.
Conclusions:
An OACE unit model of care resulted in increased nutritional interventions. Future work is warranted to evaluate outcomes of care.
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