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Title: Malnutrition in Hospital (Eng)
Description: Malnutrition including malnutrition in hospitals, in Indonesia, nutrition screening tools, differences between screening and assessment (characteristics and definitions), screening methods for children, adults, and seniors
Description: Malnutrition including malnutrition in hospitals, in Indonesia, nutrition screening tools, differences between screening and assessment (characteristics and definitions), screening methods for children, adults, and seniors
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Malnutrition in Hospital
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In 1859, Florence Nightingale: starving amongst plenty of food in hospitalized soldiers
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In 1970 malnutrition in hospital patients 35%, with 30-55% of patients entering acute
hospitals being at risk of malnutrition
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Malnutrition is a highly prevalent (+40%) condition in the acute hospital setting
(Australian and international studies)
Malnutrisi di Indonesia
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In Jakarta: 20-60% of RI patients in RSU are malnourished at admission and 69% tend to
decrease their nutritional status during ri in the hospital
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RSCM, 2009: 45
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8% of IPD patients malnutrition and 28
...
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American Society for Parenteral and Enteral Nutrition (A
...
P
...
N
...
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Nutrition screening aims to identify patients:
1) at risk of malnutrition
2) no risk of malnutrition
3) special conditions
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Predicting nutritional screening outcomes:
1) Improvement/prevention of decreased mental and physical function
2) Reduces complications
3) Accelerates healing
4) Shortening treatment time
Nutritional Screening Tools
1) Simple
2) Efficient
3) Cheap
4) Rapid
5) No risk to screened individuals
6) Valid = valid > measure what should be measured
7) Reliable = consistent> Measuring instruments give the same results when used measure
the same subject at a time
8) Have acceptable levels of sensitivity, specificity, and positive/negative predictive values
9) Sensitivity = The ability of a test kit to correctly identify people who are diseased
(malnutrition/at risk)
10) Specificity = The ability of a test tool to correctly identify people who are not diseased
(normal / not at risk)
Difference between Screening and Assessment
a
...
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Assessment: A comprehensive approach to diagnosing nutritional problems
nutritional problems which uses a combination of the following: medical, nutritional,
and treatment history health; physical, physical examination; anthropometric
measurement; and laboratory data
...
Characteristic
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Screening:
1) Simple
2) Straightforward
3) Done quickly
4) Least expensive
5) Information: concise
6) Covers the entire patient nutritional population, management priority
7) Output: no risk or risk of malnutrition
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Assessment:
1) Longer time
2) More measurements taken
3) Slightly more expensive
4) Information: more in-depth
5) Output: wellnourished or undernourished, determines the severity of malnutrition
Child Screening Methods (Jossten & Hulst, 2014)
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Nutrition Risk Score (NRS)
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Pediatric Nutrition Risk Score (PNRS)
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The Screening Tool for the Assessment of Malnutrition in Paediatrics (STAMP)
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Subjective Global Nutrition Assessment (SGNA)
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Pediatric Yorkhill Malnutrition Score (PYMS)
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The Screening Tool for Risk Of ipaired Nutritional Status and Growth (STRONGkids)
Screening Tools and Their Goals
Screening Tools
Goal
Nutritional Risk Score (NRS)
Adult and pediatric patients
Simple Pediatric Nutritional Risk Score
(SPNRS)
Subjective Global Assessment for Children
(SGNA)
Screening Tool for Assessment of
Malnutrition in Paediatrics (STAMP)
Screening Tool for Risk On Nutritional
status and Growth (STRONGkids)
Paediatric Yorkhill Malnutrition Score
(PYMS)
Pediatric patients aged > 1 month
Pediatric patients aged 30 days – 17
...
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Nutrition Screening Initiative (NSI)
Title: Malnutrition in Hospital (Eng)
Description: Malnutrition including malnutrition in hospitals, in Indonesia, nutrition screening tools, differences between screening and assessment (characteristics and definitions), screening methods for children, adults, and seniors
Description: Malnutrition including malnutrition in hospitals, in Indonesia, nutrition screening tools, differences between screening and assessment (characteristics and definitions), screening methods for children, adults, and seniors