Publication details

Title
Nutritional care in a nursing home in Italy.
Authors
Donini,L. M.;Neri,B.;De Chiara,S.;Poggiogalle,E.;Muscaritoli,M.
Publication Year
2013
Abstract
Introduction: Malnutrition is a clinical condition due to the imbalance among needs, intake and use of nutrients, leading to the increase of morbidity and mortality, and to the impairment of quality of life. Even in industrialized countries undernutrition is becoming an alarming phenomenon, especially involving elderly institutionalized subjects. A multicentric study called PIMAI (Project Iatrogenic MAlnutrition in Italy), was carried out in Italy over 2005. The aims of this study were to determine the prevalence of malnutrition in hospitals and in nursing care homes (NH), to assess the level of nutritional attention and to measure the perceived quality in food and nutritional care. This paper represents a preliminary analysis of data collected in a NH included in the PIMAI project. Materials and methods: A total of 100 subjects (29 males and 71 females, aged 80.2(plus or minus)10 years), were recruited from January to June 2005 at the Clinical Rehabilitation Institute "Villa delle Querce" in Nemi (Rome), among patients in the NH facility. All the participants underwent a multidimensional geriatric evaluation (considering nutritional, clinical, functional and cognitive parameters), and a survey on "perceived quality" of nutritional care. Results and discussion: According to nutritional status defined by the Mini Nutritional Assessment(registered trademark), data analysis showed a high prevalence of malnutrition (36%) especially related to advanced age, chewing, cognitive and functional impairments. Patients seemed to consider nutrition to be important for their health; on the other hand, they were not thoroughly satisfied with the quality of food. Particularly, it was observed scarce attention to nutritional status from medical and nursing staff. Conclusions: Our study confirms the need to pay greater attention to nutritional status in elderly institutionalized subjects. Medical and nursing teams need to be aware of the importance to perform an evaluation of nutritional status in these subset of subjects. (copyright) 2013 Donini et al.
Journals
PLoS ONE.
Volume
8
Issue
2
Startpage
Endpage
Booktitle
Editors
City
Publisher
Issnisbn
1932-6203
Reflist
0
Doi
doi:10.1371/journal.pone.0055804
Pmid
PMID: 23405217
Keywords
albumin;C reactive protein;cholinesterase;hemoglobin;mucoprotein;aged;anorexia;article;cholinesterase blood level;cognitive defect;comorbidity;erythrocyte count;female;food quality;functional disease;geriatric assessment;geriatric care;geriatric nutrition????
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