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Assessing Nutrition Status in an Outpatient Wound Center: A Feasibility Study
Collette LaValey1, Lorraine M Novosel
1Collette LaValey, PhD, RN, ACNS-BC, CWOCN, is Advanced Practice Nurse, Long-term Care Wound Program/Lutheran Hospital Wound Healing Clinic, Cleveland, Ohio, USA. Lorraine M. Novosel, PhD, RN, APRN-CNP, AGPCNP-BC, is Nurse Scientist I, Office of Nursing Research and Innovation, Cleveland Clinic, Cleveland, Ohio. Acknowledgments : Funding for this study was provided by the Office of Nursing Research and Innovation, Cleveland Clinic. The authors thank Christian N. Burchill, PhD, MSN, RN, CEN, for mentorship in proposal development and the staff at Lutheran Hospital and Wound Healing Center for their support during data collection. The authors have disclosed no other financial relationships related to this article. Submitted September 10, 2022; accepted in revised form December 9, 2022.
Objective:
To explore the feasibility of using the Patient-Generated Subjective Global Assessment (PG-SGA) to assess the nutrition status of patients with chronic wounds receiving care in an outpatient wound clinic.
Methods:
The PG-SGA was administered to a single cohort convenience sample of adults with chronic wounds who presented to an outpatient wound clinic. The authors performed univariate descriptive analyses and calculated interrater reliability.
Results:
Nutrition assessments were completed with 15 clinic patients. Patients required an average of 6.5 minutes (range, 3.5-10 minutes) to complete their component of the PG-SGA, exceeding the target goal of 5 minutes or fewer. Dietitians required an average of 2 minutes per patient to complete the professional component of the PG-SGA (physical examination). The nutrition assessment process was rated highly favorable. Resources to conduct the study at the site were available 100% of the time.
Conclusions:
The PG-SGA demonstrates promise for use in the chronic wound population and could be incorporated into clinical care in settings equipped with appropriate and adequate resources. The complexities of workforce stability and resource availability, in addition to the ongoing need to be responsive to patient challenges, must be acknowledged in the planning of future studies.
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