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Addressing malnutrition in hospitalized adults
Cynthia Hamilton1, Victoria J Boyce
1Cleveland Clinic, Cleveland, Ohio, USA.
JPEN. Journal of Parenteral and Enteral Nutrition
|August 24, 2013
Summary
Effective malnutrition management in hospitalized adults requires timely application of guidelines and multidisciplinary team coordination. Oral nutrition supplementation (ONS) is a key first-line intervention offering significant patient benefits.
Area of Science:
- Clinical Nutrition
- Hospital Medicine
- Nutritional Support
Background:
- Disease-related malnutrition is prevalent in hospitalized adults.
- Established guidelines and protocols exist for managing malnutrition.
- Treatment goals for malnutrition vary by disease state and severity.
Purpose of the Study:
- To outline the goals of nutrition therapy for different types of malnutrition.
- To emphasize the importance of timely guideline application and multidisciplinary care.
- To highlight oral nutrition supplementation (ONS) as a primary intervention.
Main Methods:
- Review of established guidelines and protocols for malnutrition management.
- Discussion of nutrition therapy goals for starvation-related, chronic disease-related, and acute-disease-related malnutrition.
- Emphasis on the role of a multidisciplinary team and coordinated care.
Main Results:
- Nutrition therapy goals include restoring lean body mass/fat, maintaining/improving these, or supporting organ function.
- Successful malnutrition management relies on timely guideline adherence and coordinated care.
- Oral nutrition supplementation (ONS) provides significant nutrition, clinical, functional, and economic benefits.
Conclusions:
- Addressing malnutrition in hospitalized patients is a priority, especially with an aging population and rising healthcare costs.
- Multidisciplinary team coordination, from admission through discharge, is crucial for successful outcomes.
- Oral nutrition supplementation (ONS) is a proven, effective first-line strategy for hospitalized malnourished patients.
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