Barriers for nutritional care in the transition from hospital to the community among older patients

Clinical Nutrition ESPEN
Yulia GinzburgDanit R Shahar

Abstract

Data on the continuity of nutritional care in the transition from the hospital to the community is scarce although its impact on medical complications is highly significant. The aim of the current study is to determine level of adherence to dietary recommendations after hospitalization and identify barriers for adherence. A prospective study among patients age ≥65 who were treated with oral nutritional supplements (ONS) during their hospitalization and discharged with dietary recommendations. Data was obtained in the hospital and at a 3-month home-visit. Adherence was assessed monthly and barriers for non-adherence were determined. Adherence levels were summed for 3 months and then divided into: 1. Full adherence: complete consumption as prescribed; 2. Partial adherence: partial consumption of the prescription [at least half]; or 3. No adherence: not consumed or less than half. Health-status was obtained from medical records; nutritional-status using anthropometric measurements, depressive symptoms using GDS [Geriatric Depression Scale], and functional abilities using FIM [Functional Independence Measure] were determined. Dietary intake was assessed by 24-h recall. Eighty-six patients were recruited (56 women) and followed for ...Continue Reading

Citations

Dec 15, 2018·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Esmee M ReijnierseAndrea B Maier
Jan 16, 2019·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·Evelina LiljebergMargaretha Nydahl
Dec 27, 2019·Journal of Human Nutrition and Dietetics : the Official Journal of the British Dietetic Association·C H HestevikA Bye
Aug 27, 2019·Nutrición hospitalaria·Caryna Eurich MazurEliane Mara Cesário Pereira Maluf
Nov 26, 2020·JPEN. Journal of Parenteral and Enteral Nutrition·Heather H KellerManon Laporte
Feb 16, 2021·Journal of Human Nutrition and Dietetics : the Official Journal of the British Dietetic Association·Evelina LiljebergAgneta Andersson

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