Is altered nutritional status the root cause of your clients' negative outcomes?

被引:3
作者
Cole, C [1 ]
Bigando, K
DeSutter, S
机构
[1] Missouri So State Coll, Dept Nursing, Joplin, MO 64801 USA
[2] St Johns Reg Med Ctr, Joplin, MO USA
关键词
aspiration pneumonia; CVA; dysphagia; malnutrition; nutritional assessment; quality improvement; stroke;
D O I
10.1097/00001786-200001000-00007
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
The impact of altered nutritional status is costly. Surgical patients have 2-3 times the risk of complications, length of stay is extended by 90%, and charges are 35-75% higher.(3) Risk factors are numerous; therefore, collaboration among all members of the health care team is required to impact patient outcomes positively. The purpose of this article is to review the significance of alteration in nutrition and its impact on patient outcomes. The article demonstrates two approaches to improve the quality of care given to clients with an identified alteration in nutritional status: a clinical research project and a quality improvement project.
引用
收藏
页码:41 / 56
页数:16
相关论文
共 16 条
[1]  
APTAKER RL, 1994, ARCH PHYS MED REHAB, V75, P80
[2]  
BUTTERWORTH CE, 1974, NUTR TODAY MAR, P4
[3]   Effect of malnutrition after acute stroke on clinical outcome [J].
Davalos, A ;
Ricart, W ;
GonzalezHuix, F ;
Soler, S ;
Marrugat, J ;
Molins, A ;
Suner, R ;
Genis, D .
STROKE, 1996, 27 (06) :1028-1032
[4]   PERFORMANCE-MEASURES AND MEASUREMENT - OUTCOMES ASSESSMENT IN CLINICAL SETTINGS - A CONSENSUS STATEMENT ON PRINCIPLES AND BEST PRACTICES IN PROJECT-MANAGEMENT [J].
DAVIES, AR ;
DOYLE, MAT ;
LANSKY, D ;
RUTT, W ;
STEVIC, MO ;
DOYLE, JB .
JOINT COMMISSION JOURNAL ON QUALITY IMPROVEMENT, 1994, 20 (01) :6-16
[5]   MALNUTRITION IN STROKE PATIENTS ON THE REHABILITATION SERVICE AND AT FOLLOW-UP - PREVALENCE AND PREDICTORS [J].
FINESTONE, HM ;
GREENEFINESTONE, LS ;
WILSON, ES ;
TEASELL, RW .
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION, 1995, 76 (04) :310-316
[6]   Malnutrition and clinical outcomes: The case for medical nutrition therapy [J].
GallagherAllred, CR ;
Voss, AC ;
Finn, SC ;
McCamish, MA .
JOURNAL OF THE AMERICAN DIETETIC ASSOCIATION, 1996, 96 (04) :361-+
[7]   Validation of the 50ml(3) drinking test for evaluation of post-stroke dysphagia [J].
Gottlieb, D ;
Kipnis, M ;
Sister, E ;
Vardi, Y ;
Brill, S .
DISABILITY AND REHABILITATION, 1996, 18 (10) :529-532
[8]   MEDICAL COMPLICATIONS DURING STROKE REHABILITATION [J].
KALRA, L ;
YU, G ;
WILSON, K ;
ROOTS, P .
STROKE, 1995, 26 (06) :990-994
[9]  
LACROIX AZ, 1989, PUBLIC HEALTH REP, V104, P350
[10]  
Logemann J.A., 1983, EVALUATION TREATMENT