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2021 Annual Conference

del 10 al 13 de March del 2021

Assessing Nutrition Status in an Outpatient Wound Center: A Feasibility Study

jueves, el 11 de marzo de 2021 a las 14:10–14:30 EST add to calendar
Podium
Topic of Interest
CNS as Researcher
Interprofessional Collaboration
Abstract

 

Assessing Nutrition Status in an Outpatient Wound Center: A Feasibility Study

Background and Significance

Adequate nutrition is necessary for wound healing, yet there is little consensus identifying a particular tool to measure the degree of malnutrition in patients with chronic wounds, however, the Patient Generated Subjective Global Assessment (PG-SGA) is well-respected by dietitians. Early identification of patients at risk for malnutrition and other barriers to healing could minimize morbidity and trigger the implementation of interventions to improve outcomes in this population.

Evaluation Methods

The PG-SGA, Food Security, and demographic survey was used. The PG-SGA has two parts: a self-report nutrition status survey instrument and a structured clinical assessment performed by a Registered Dietitian that generates a risk score. A convenience sample of patients seeking care for their chronic wounds in an outpatient wound clinic in Northeastern Ohio were recruited for participation. Since the aim of the study was feasibility, a sample of 15 patients was used.

Outcomes

Of the 6 benchmarks related to process and resources established in the research protocol, only time taken for the participant to complete the patient potion of the survey was not achieved. The five remaining benchmarks attained results well within the criteria.

Two participants reported 7 or more symptoms that prevented them from eating. Based upon interpretation of total PG-SGA scores, all participants would require patient education related to nutrition and symptom management. Twelve participants (80%) would require intervention by a dietician, and two (13%) show a critical need for symptom management and nutrition intervention.

Implications

In consideration of the feasibility endpoint criteria, it is feasible to conduct a larger study if resources in terms of staff time were approved. However, the degree of ambiguity and subjectivity in the patient-generated portion of the tool may skew the validity of the results in this population. Further study would require re-examination of the tool.

Primary Presenters

Collette LaValey PhD RN ACNS WOCN, Cleveland Cinic

Co-Authors

Taylor Horrigan RD, LD , Cleveland Clinic
Danielle Kendeigh RD, LD , Cleveland Clinic
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