Assessment and treatment of malnutrition in Dutch geriatric practice: consensus through a modified Delphi study
| Autor: | Carla J M Schölzel-Dorenbos, Marian A.E. van Bokhorst-de van der Schueren, Carel M. M. Veldhoven, H Wijnen, Marcel G. M. Olde Rikkert, Tischa J. M. van der Cammen, Andre Janse, Luc G. M. Disselhorst, Miruna E. Popescu, Walter M. W. H. Sipers, Huub A. A. M. Maas, Dieneke van Asselt, Sabine Lonterman-Monasch |
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| Přispěvatelé: | Internal medicine, EMGO - Lifestyle, overweight and diabetes, Internal Medicine |
| Rok vydání: | 2012 |
| Předmět: |
Aging
medicine.medical_specialty Consensus Delphi Technique Psychological intervention Delphi method MEDLINE Nutritional Status Likert scale Nursing Predictive Value of Tests Alzheimer Centre [DCN PAC - Perception action and control NCEBP 11] Terminology as Topic Health care medicine Humans Alzheimer Centre [NCEBP 11] Cooperative Behavior SDG 2 - Zero Hunger Geriatric Assessment Aged Netherlands Quality Indicators Health Care Aged 80 and over Patient Care Team Geriatrics Evidence-Based Medicine business.industry Malnutrition Age Factors General Medicine Guideline medicine.disease Combined Modality Therapy Hospitals Nutrition Assessment Treatment Outcome Family medicine Interdisciplinary Communication Geriatrics and Gerontology business |
| Zdroj: | van Asselt, D Z, van Bokhorst-de van der Schueren, M A E, van der Cammen, T J, Disselhorst, L G, Janse, A, Lonterman-Monasch, S, Maas, H A, Popescu, M E, Scholzel-Dorenbos, C J, Sipers, W M, Veldhoven, C M, Wijnen, H H & Rikkert, M G 2012, ' Assessment and treatment of malnutrition in Dutch geriatric practice: consensus through a modified Delphi study ', Age and Ageing, vol. 41, no. 3, pp. 399-404 . https://doi.org/10.1093/ageing/afs005 Age and Ageing, 41, 399-404 Age and Ageing, 41(3), 399-404. Oxford University Press Age and Ageing, 41, 3, pp. 399-404 |
| ISSN: | 1468-2834 0002-0729 |
| Popis: | Item does not contain fulltext OBJECTIVE: scientific evidence regarding the optimal management of malnutrition in geriatric patients is scarce. Our aim was to develop a consensus statement for geriatric hospital practice concerning six elements: (i) definition of malnutrition, (ii) screening and assessment, (iii) treatment and monitoring, (iv) roles and responsibilities of involved health care professionals, (v) communication and coordination of care between hospital and community health care professionals, (vi) quality indicators for malnutrition management. DESIGN: a modified Delphi study. METHODS: eleven geriatricians with special interest in malnutrition participated. In four rounds the experts rated the relevance of 204 statements, which were based on a literature review, on a five-point Likert scale. From the responses, means and 95% CIs were calculated. Consensus was defined as a lower 95% confidence limit >/=4.0. RESULTS: the panel reached consensus that malnutrition should be considered a geriatric syndrome. The nutritional status should be assessed using the Mini Nutritional Assessment combined with comprehensive geriatric assessment. Nutritional interventions should be combined with interventions targeting underlying factors. Specific goals for nutritional therapy and ways to achieve them were agreed upon. According to the experts, malnutrition is best managed by a multidisciplinary team for whom roles and responsibilities were specified. At discharge written information about the nutritional problem, treatment plan and goals should be provided to the patient, caregiver and community health care professionals. CONCLUSION: this study shows that a qualitative study based on a modified Delphi technique can result in national consensus on essential ingredients for a practical malnutrition guideline for geriatric patients. 01 mei 2012 |
| Databáze: | OpenAIRE |
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