Gutiérrez MNA, Cuevas SSA, Arencibia PH

Language: Spanish
References: 13
Page:
PDF size: 66.08 Kb.

ABSTRACT

Introduction: Malnutrition in care facilities for older adults is a concern. Institutionalization is a high-risk factor for nutritional alterations. The implementation of adaptive measures is necessary to provide adequate nutritional support.
Objectives: Describe how the nutritional status of residents in long-term care facilities can be used as an indicator of quality of care.
Methods: A literature search was conducted using information managers and databases PubMed, LILACS, and Google Academics. The Search used Key words, and 14 articles related to the topic were reviewed.
Development: It is essential to recognize that malnutrition is underreported and undertreated in long-term care institutions. Nutritional screening should be part of the routine care and should be systematically performed not only at admission, but also periodically throughout the stay within the institution.
Conclusion: There is no gold standard for evaluating nutrition in nursing homes. Experts recommend the Mini Nutritional Assessment (MNA) tool or a comprehensive nutritional assessment. Risk factors for malnutrition include limited feeding, low body mass index, severe cognitive impairment, immobility, and age between 85-94 years. It is necessary to implement public and educational policies to improve nutrition in long-term care facilities, focusing on high-risk groups and considering the factors that hinder healthy eating habits.

REFERENCES

1. Bogacka A, Heberlej A, Usarek A, Okoniewska J. Diet and nutritional status ofelderly people depending on their place of residence. Rocz Panstw Zakl Hig 2019:185–93.Disponible en: https://doi.org/10.32394/rpzh.2019.0069.

2. Lima APM, Gomes KVL, Pereira FGF, Barros LM, Silva MG da, Frota NM.AVALIAÇÃO NUTRICIONAL DE IDOSOS RESIDENTES EM INSTITUIÇÕES DE LONGAPERMANÊNCIA. Rev Baiana Enferm 2017; 31. Disponible en:https://doi.org/10.18471/rbe.v31i4.20270.

3. Clegg ME, Williams EA. Optimizing nutrition in older people. Maturitas 2018;112:34–8. Disponible en: https://doi.org/10.1016/j.maturitas.2018.04.001.

4. Bell CL, Lee ASW, Tamura BK. Malnutrition in the nursing home: Current Opinion inClinical Nutrition and Metabolic Care 2015; 18:17–23. Disponible en:https://doi.org/10.1097/MCO.0000000000000130.

5. Pezzana A, Cereda E, Avagnina P, Malfi G, Paiola E, Frighi Z, et al. Nutritional careneeds in elderly residents of long-term care institutions: Potential implications for policies.J Nutr Health Aging 2015; 19:947–54. Disponible en: https://doi.org/10.1007/s12603-015-0537-5.

6. Bunn D, Hooper L, Welch A. Dehydration and Malnutrition in Residential Care:Recommendations for Strategies for Improving Practice Derived from a Scoping Review ofExisting Policies and Guidelines. Geriatrics 2018; 3:77. Disponible en:https://doi.org/10.3390/geriatrics3040077.

7. Pfrimer K, Marques Messias M, Ferriolli E, Vieira Salles MS, Roma Junior LC,Saran Netto A, et al. Avaliação e acompanhamento nutricional em idosos de umainstituição de longa permanência. Archivos Latinoamericanos de Nutrición 2015; 65:104–9.

8. Tamura BK, Bell CL, Masaki KH, Amella EJ. Factors Associated With Weight Loss,Low BMI, and Malnutrition Among Nursing Home Patients: A Systematic Review of theLiterature. Journal of the American Medical Directors Association 2013; 14:649–55.Disponible en: https://doi.org/10.1016/j.jamda.2013.02.022.

9. Cereda E, Pedrolli C, Klersy C, Bonardi C, Quarleri L, Cappello S, et al. Nutritionalstatus in older persons according to healthcare setting: A systematic review and metaanalysisof prevalence data using MNA ®. Clinical Nutrition 2016; 35:1282–90. Disponibleen: https://doi.org/10.1016/j.clnu.2016.03.008.

10. Bell CL, Tamura BK, Masaki KH, Amella EJ. Prevalence and Measures ofNutritional Compromise Among Nursing Home Patients: Weight Loss, Low Body MassIndex, Malnutrition, and Feeding Dependency, A Systematic Review of the Literature.Journal of the American Medical Directors Association 2013; 14:94–100. Disponible en:https://doi.org/10.1016/j.jamda.2012.10.012.

11. van Bokhorst–de van der Schueren MAE, Guaitoli PR, Jansma EP, de Vet HCW. ASystematic Review of Malnutrition Screening Tools for the Nursing Home Setting. Journal of the American Medical Directors Association 2014; 15:171–84. Disponible en:https://doi.org/10.1016/j.jamda.2013.10.006.

12. Torbahn G, Sulz I, Großhauser F, Hiesmayr MJ, Kiesswetter E, Schindler K, et al.Predictors of incident malnutrition—a nutritionDay analysis in 11,923 nursing homeresidents. Eur J Clin Nutr 2021. Disponible en: https://doi.org/10.1038/s41430-021-00964-9.

13. Skinnars Josefsson M, Nydahl M, Persson I, Mattsson Sydner Y. Quality indicatorsof nutritional care practice in elderly care. J Nutr Health Aging 2017; 21:1057–64.Disponible en: https://doi.org/10.1007/s12603-017-0970-8.