A Retrospective Chart Review to Determine the Prevalence of Malnutrition in the Elderly and the Effects of Nutrition Interventions

Abstract

Background: The prevalence of malnutrition in elderly patients continues to increase with an aging population. Patients with malnutrition are at risk for longer hospital stays, increased risk of frailty, at higher risk for having a poor quality of health, poor health outcomes and increased mortality. Objectives: Evaluate the effectiveness of new nutritional interventions to help correct malnutrition diagnosis criteria. Setting: Presbyterian Home and Services an Acute Rehab and Long Term Care Nursing Facility Participants: 27 elderly patients initially met the malnutrition criteria, at the time of the interventions there were only 20 patients Study Design: Retrospective Study to evaluate the effectiveness of nutritional interventions. That data was utilized to help develop new nutritional interventions. Methods: The newly developed interventions were implemented and the data was collected over a 3 week span. data was collected on weight change, Pre and Post-BMI. The data was analyzed utilizing SPSS Software. Intervention: A high calorie diet was implemented for patients that met the criteria for malnutrition, patients with BMI of 23 were screened to prevent BMI <22, whole milk was programmed in house diet in place of 2% milk Results:100% of the patients had a beneficial wt gain of .10 to 1.25#. This was clinically relevant as evidenced by the score of the paired T-test. During the time frame of the interventions none of the patients had their malnutrition criteria diagnosis corrected. Conclusions: Early screening and implementing nutritional interventions can help prevent malnutrition. Once a patient is diagnosed with malnutrition it is difficult to correct.