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Identifying and treating malnutrition in outpatient elderly adults: a quality improvement project to treat malnutrition, improve quality of life, and decrease the gap in adult wellness care
Descriptive
TitleInfo
Title
Identifying and treating malnutrition in outpatient elderly adults: a quality improvement project to treat malnutrition, improve quality of life, and decrease the gap in adult wellness care
Name
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Torres
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Acenet
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1984-
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Acenet Torres
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author
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Gerti Heider
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Advisory Committee
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chair
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Rutgers University
Role
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degree grantor
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School of Nursing - RBHS
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school
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theses
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2019
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2019-10
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English
Abstract
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Background/ Purpose: Malnutrition is a common condition that plagues the elderly patient population aged 65 years and older. Malnutrition places seniors at risk for morbidity and mortality, uncontrolled chronic disease management, decreased quality of life, and increased healthcare spending. This study aims to develop a protocol to screen and treat malnutrition in elderly patients in a primary care setting and evaluate the effectiveness of nutritional education on malnutrition and quality of life.
Methods: This study used an experimental pre-post study design to evaluate the impact of nutritional education on a sample of outpatient elders after designing a screening protocol. The study duration was three months and baseline and post-intervention nutritional, and quality of life characteristics was assessed with the Mini-Nutritional Assessment-Short Form (MNA-SF) and the Short Form – 36 (SF-36) respectively. Differences in the pre- and post-intervention scores were measure with paired T-test and Wilcoxon Signed Rank Sum. Statistical significance was set at less than 0.05.
Results: Most of the study participants were female Hispanics, and the average age was 79 years. The average MNA-SF pre-intervention scores were in the malnourished range while the post-intervention MNA-SF score was in the at-risk range. The educational intervention produced a statistically significant change in the nutritional status of the study participants. Also, this study showed a statistically significant positive difference in the SF-36 score when measured along with the eight SF-36 domains: physical functioning, role limitation due to physical health, role limitation due to emotional health, energy/fatigue, emotional well-being, social functioning, pain, and general health.
Conclusion: The current study objectively provides an insight into the burden of malnutrition among elderly patients in New Jersey and the role of nutritional education in improving nutritional status and the quality of life. Uptake of this no-cost intervention is a step in improving the health indices of older patients in the community.
Methods: This study used an experimental pre-post study design to evaluate the impact of nutritional education on a sample of outpatient elders after designing a screening protocol. The study duration was three months and baseline and post-intervention nutritional, and quality of life characteristics was assessed with the Mini-Nutritional Assessment-Short Form (MNA-SF) and the Short Form – 36 (SF-36) respectively. Differences in the pre- and post-intervention scores were measure with paired T-test and Wilcoxon Signed Rank Sum. Statistical significance was set at less than 0.05.
Results: Most of the study participants were female Hispanics, and the average age was 79 years. The average MNA-SF pre-intervention scores were in the malnourished range while the post-intervention MNA-SF score was in the at-risk range. The educational intervention produced a statistically significant change in the nutritional status of the study participants. Also, this study showed a statistically significant positive difference in the SF-36 score when measured along with the eight SF-36 domains: physical functioning, role limitation due to physical health, role limitation due to emotional health, energy/fatigue, emotional well-being, social functioning, pain, and general health.
Conclusion: The current study objectively provides an insight into the burden of malnutrition among elderly patients in New Jersey and the role of nutritional education in improving nutritional status and the quality of life. Uptake of this no-cost intervention is a step in improving the health indices of older patients in the community.
Subject
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Topic
Post-Master's DNP Practice
Subject
(authority = LCSH)
Topic
Malnutrition -- Diagnosis
Subject
(authority = LCSH)
Topic
Older people -- Nutrition
Subject
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Topic
Nutrition screening
Subject
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Topic
Undernutrition
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Rutgers University Electronic Theses and Dissertations
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ETD_10160
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1 online resource (67 pages) : illustrations
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DNP
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Includes bibliographical references
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School of Nursing (RBHS) DNP Projects
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rucore10004500001
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doi:10.7282/t3-0w0x-wg17
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(authority = ExL-Esploro)
ETD doctoral
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Rights
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The author owns the copyright to this work.
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Name
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Torres
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Acenet
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Copyright Holder
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Permission or license
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2019-08-11 10:53:36
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Acenet Torres
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Rutgers University. School of Nursing - RBHS
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Author Agreement License
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I hereby grant to the Rutgers University Libraries and to my school the non-exclusive right to archive, reproduce and distribute my thesis or dissertation, in whole or in part, and/or my abstract, in whole or in part, in and from an electronic format, subject to the release date subsequently stipulated in this submittal form and approved by my school. I represent and stipulate that the thesis or dissertation and its abstract are my original work, that they do not infringe or violate any rights of others, and that I make these grants as the sole owner of the rights to my thesis or dissertation and its abstract. I represent that I have obtained written permissions, when necessary, from the owner(s) of each third party copyrighted matter to be included in my thesis or dissertation and will supply copies of such upon request by my school. I acknowledge that RU ETD and my school will not distribute my thesis or dissertation or its abstract if, in their reasonable judgment, they believe all such rights have not been secured. I acknowledge that I retain ownership rights to the copyright of my work. I also retain the right to use all or part of this thesis or dissertation in future works, such as articles or books.
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Embargo
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2019-10-31
DateTime
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2099-12-31
Detail
Access to this PDF has been restricted at the author's request.
Copyright
Status
Copyright protected
Availability
Status
Open
Reason
Permission or license
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2019-08-11T14:52:22
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2019-08-11T14:52:22
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