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The prevalence and management of malnutrition in a regional health care setting
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The prevalence and management of malnutrition in a regional health care setting

Melissa McIlwain, L Morris and Fiona Pelly
International Congress of Dietetics, 16th (Sydney, Australia, 05-Sep-2012–08-Sep-2012)
International Confederation of Dietetic Associations
2012
url
http://www.icd2012.com/View
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Abstract

Nutrition and Dietetics dietetics malnutrition health care
Malnutrition is major health concern across all health care settings. The aim of this study was to determine the prevalence, associated risk factors and policies and procedures for the management of malnutrition within a regional health service district, encompassing all public acute and aged care facilities. A total of 338 participants (acute care n=209, aged care n=129) were included in the multicentre (8 acute care and 2 aged care) cross sectional study. The mixed-method methodologyemployed by the study included 1) the Subjective Global Assessment (SGA) tool to assess nutritional status, 2) a retrospective audit of the participants medical histories and co-morbidities and 3) a prospective audit to identify nutrition screening, assessment, diagnosis and intervention practises at each facility. The results of the study found that the prevalence of malnutrition within the acute and aged care settings was 43.0% and 31.0% respectively. Within the acute care setting, rural facilities recorded the highest prevalence of malnutrition (60%). However within the aged care setting, malnutrition was significantly higher (p=0.001) in the metropolitan facility (46.8%), compared to 21.7% in the rural facility. Factors significantly associated with an increased risk of malnutrition included liver disease, cancer, dysphagia and the RRMA classification of facilities. The prevalence, identification and management of malnutrition varies considerably across the region particularly, in rural and remote acute care facilities where dietetic services are often lacking. The higher prevalence of malnutrition in metropolitan aged care settings is also concerning and warrants the review of current dietetic services.

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