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Related Experiment Videos

Nutritional risk screening: development of a standardized protocol using dietetic technicians.

A M Hedberg1, N Garcia, I J Trejus

  • 1Clinical Nutrition Section, St. Luke's Episcopal Hospital, Houston.

Journal of the American Dietetic Association
|December 1, 1988
PubMed
Summary

A standardized nutrition screening protocol effectively identifies patients at nutritional risk. This protocol helps initiate timely nutrition care, with over one-third of patients identified as needing intervention.

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Area of Science:

  • Clinical Nutrition
  • Healthcare Management
  • Patient Assessment

Background:

  • Prompt initiation of nutrition care is crucial for patients in compromised nutritional status.
  • Standardized screening mechanisms are needed to identify at-risk individuals efficiently.
  • Previous methods lacked a consistent approach to nutritional risk assessment.

Purpose of the Study:

  • To develop and implement a standardized screening protocol for identifying patients at nutritional risk.
  • To determine the prevalence of patients meeting defined nutritional risk criteria within a hospital setting.
  • To establish a reliable method for initiating timely nutrition care.

Main Methods:

  • A pilot screening study was conducted at St. Luke's Episcopal Hospital over three months.

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  • Dietetic technicians screened patients across nursing units using a random order approach.
  • The protocol evolved to include parameters such as height, weight, albumin, diagnosis, nutritional support, weight changes, appetite, surgical procedures, and length of stay.

    • Main Results:

    • The pilot study indicated that one-third of 225 screened patients were at nutritional risk.
    • A standardized screening protocol and charting form were developed based on pilot findings.
    • Current data confirm that over one-third of screened patients remain at nutritional risk, validating the protocol's utility.

    Conclusions:

    • The standardized nutrition screening protocol successfully identifies patients at nutritional risk.
    • Utilization of technical support personnel aids in the consistent application of the protocol.
    • The protocol facilitates prompt initiation of essential nutrition care for at-risk patients.