scholarly journals RISK FACTORS AND PREVENTIVE INTERVENTIONS FOR PRESSURE INJURIES IN CANCER PATIENTS

2021 ◽  
Author(s):  
Andressa Renata Lima ◽  
Camila Ribeiro Palmer ◽  
Paula Cristina Nogueira
Keyword(s):  
Risk Factors ◽  
Data Collection ◽  
Literature Review ◽  
Nutritional Status ◽  
Cancer Patients ◽  
Web Of Science ◽  
Nutritional Assessment ◽  
Preventive Interventions ◽  
Assessment And Monitoring ◽  
Support Surfaces

Objective: identify and describe the risk factors for the development of pressure injuries in adult cancer patients and interdisciplinary preventive interventions. Method: integrative literature review. Data collection was carried out between March and April 2019 and December 2020, using the databases: BDENF; PubMed/Medline; Embase; Scopus; Cinahal and Web of Science. Results: the sample consisted of 16 articles published from 2008 to 2019. Among the risk factors identified, the following stand out: nutritional status, advanced age, incontinence and immobility; the interdisciplinary preventive interventions identified were: decubitus change, nutritional assessment and monitoring, skin care and use of support surfaces. Conclusion: further studies are needed to take a careful and assertive look at cancer patients.

A Systematic Literature Review of the EFQM Excellence Model from 1991 to 2019

1970 ◽  
Vol 2 (2) ◽  
pp. 11-15
Author(s):  
Muhammad Yousaf ◽  
Petr Bris
Keyword(s):  
Quality Management ◽  
Data Collection ◽  
Literature Review ◽  
Systematic Literature Review ◽  
Quantitative Research ◽  
Web Of Science ◽  
State Of The Art ◽  
Future Research ◽  
European Foundation ◽  
The Subject

A systematic literature review (SLR) from 1991 to 2019 is carried out about EFQM (European Foundation for Quality Management) excellence model in this paper. The aim of the paper is to present state of the art in quantitative research on the EFQM excellence model that will guide future research lines in this field. The articles were searched with the help of six strings and these six strings were executed in three popular databases i.e. Scopus, Web of Science, and Science Direct. Around 584 peer-reviewed articles examined, which are directly linked with the subject of quantitative research on the EFQM excellence model. About 108 papers were chosen finally, then the purpose, data collection, conclusion, contributions, and type of quantitative of the selected papers are discussed and analyzed briefly in this study. Thus, this study identifies the focus areas of the researchers and knowledge gaps in empirical quantitative literature on the EFQM excellence model. This article also presents the lines of future research.

Enteral nutritional support in patients undergoing chemoradiotherapy for esophageal carcinoma

2020 ◽  
Vol 16 (35) ◽  
pp. 2949-2957
Author(s):  
Bei Wang ◽  
Xiaowen Jiang ◽  
Dalong Tian ◽  
Wei Geng
Keyword(s):  
Esophageal Cancer ◽  
High Risk ◽  
Enteral Nutrition ◽  
Nutritional Status ◽  
Cancer Patients ◽  
Nutritional Support ◽  
Nutritional Assessment ◽  
Assessment Tools ◽  
Tumor Patients ◽  
Selection Of

Esophageal cancer patients are at a high risk of malnutrition. Both the disease itself and chemoradiotherapy will lead to the deterioration of nutritional status. The development of nutritional oncology promotes the application of enteral nutrition in tumor patients. Through nutritional support, prognosis is improved and the incidence of adverse chemoradiotherapy reactions is reduced, especially in those with head and neck or esophageal cancer. This review summarizes enteral nutritional support in esophageal cancer patients undergoing chemoradiotherapy in recent years, including a selection of nutritional assessment tools, the causes and consequences of malnutrition in esophageal cancer patients, types of access and effects of enteral nutrition. More patients with esophageal cancer will benefit from the development of enteral nutrition technology in the future.

scholarly journals Nutritional Status and Cardiometabolic Risk Factors in Institutionalized Adults with Cerebral Palsy

Medicina ◽  
2019 ◽  
Vol 55 (5) ◽  
pp. 157 ◽  
Author(s):  
Aurora Norte ◽  
Coral Alonso ◽  
José Miguel Martínez-Sanz ◽  
Ana Gutierrez-Hervas ◽  
Isabel Sospedra
Keyword(s):  
Risk Factors ◽  
At Risk ◽  
Cerebral Palsy ◽  
Nutritional Status ◽  
Cardiometabolic Risk ◽  
Nutritional Assessment ◽  
Mini Nutritional Assessment ◽  
Density Lipoprotein ◽  
Cardiometabolic Risk Factors ◽  
Lipoprotein Cholesterol

Background and Objectives: Cerebral palsy (CP) is a set of permanent disorders that limit physical activity and increase the risk of developing other diseases, such as metabolic syndrome (MS). Adequate nutrition can contribute to the prevention of associated symptoms. The main objective of this study is to evaluate the nutritional status and the prevalence of cardiometabolic risk factors in adults with CP and Gross Motor Function Classification System (GMFCS) levels between IV and V. Materials and Methods: A sample of 41 adults with CP and GMFCS levels from IV to V were studied. The variables used in the study were age, sex, weight, height, mean age, and GMFCS level range. To evaluate nutritional status, body mass index and the Mini Nutritional Assessment (MNA), a nutritional screening tool, were used. To assess cardiometabolic risk, data on obesity, central obesity, blood pressure, fasting plasma glucose, total cholesterol, high-density lipoprotein cholesterol, low-density lipoprotein cholesterol, and triglycerides were collected. Results: More than 80% of the population studied was malnourished or at risk of malnutrition, according to the MNA tool classification ranges, and around 35% of the studied population was within the underweight range. Regarding cardiometabolic risk factors, only one adult with CP was diagnosed with MS. Conclusions: The studied population of adults with CP and GMFCS levels between IV and V is not a population at risk of MS; however, the high prevalence of malnutrition, as well as some of the most prevalent cardiovascular risk factors, should be taken into consideration.

scholarly journals The Nutritional Status Sensitivity of the Assessment of Nutritional Status Based on Mini Nutritional Assessment (MNA) Was Compared with Patient-Generated Subjective Global Assessment (PG-SGA) in Cancer Patients Undergoing Chemotherapy in RSUP Dr Wahidin Sudirohusoda Makassar

2020 ◽  
Vol 4 (2) ◽  
pp. 76
Author(s):  
Khoirul Anam ◽  
Takdir Tahir ◽  
Ilkafah Ilkafah
Keyword(s):  
Body Mass Index ◽  
Nutritional Status ◽  
Cancer Patients ◽  
Body Mass ◽  
Global Assessment ◽  
Nutritional Assessment ◽  
Subcutaneous Fat ◽  
Mini Nutritional Assessment ◽  
Subjective Global Assessment ◽  
Cross Sectional

Background: Chemotherapy is highly recommended for cancer treatment, however can cause some side effects such as nausea and vomiting. This will affect food intake and nutritional status in cancer patients who undergo chemotherapy. Aim: To describe nutritional status based on anthropometry Body Mass Index (BMI), hemoglobin (Hb), Patient-Generated Subjective Global Assessment (PG-SGA) and Mini Nutritional Assessment (MNA) in cancer patients undergoing chemotherapy in RSUP. Dr. Wahidin sudirohusodo Makassar. Methode: This experiment uses a quantitative non-experimental research method with cross sectional approach on 1010 patients, nonprobability sampling with purposive sampling technique on 70 respondents, data collection with interview and observation techniques. Results: Nutritional status based on Body Mass Index (BMI) shows that 39 people (55.7%) had normal BMI values. About 37 people (52.9%) had good / normal nutritional status based on Patient-Generated Subjective Global Assessment (PG-SGA)  while Mini Nutritional Assessment (MNA) reveals 100% of respondents experienced nutritional status problems. Conclusion: Mini Nutritional Assessment (MNA) is the best tool to identify nutritional status of cancer patients that undergo chemotherapy since this instrument is very sensitive and practical. Patient-Generated Subjective Global Assessment (PG-SGA) is good to assess nutritional status in subject who have lost weight drastically and shows signs of subcutaneous fat loss and muscle mass loss. Keyword: Cancer, chemotherapy, body mass index (BMI), Patient-Generated Subjective Global Assessment (PG-SGA), Mini Nutritional Assessment (MNA).

scholarly journals Asuhan Gizi pada Ibu dengan Mastitis

2021 ◽  
Vol 13 (1) ◽  
pp. 70-84
Author(s):  
Wiwin Efrizal
Keyword(s):  
Literature Review ◽  
Nutritional Status ◽  
Health Professionals ◽  
Nutritional Assessment ◽  
Monitoring And Evaluation ◽  
Comprehensive Description ◽  
Nutritional Care ◽  
Nutrition Care ◽  
Nursing Mothers ◽  
Nutritional Needs

Mastitis is an infection of the breast that generally occurs in conjunction with lactation which often occurs in nursing mothers. Blockage of the milk ducts and infection can cause mastitis. Mastitis will result in an increase in the nutritional needs of nursing mothers and disruption of the breastfeeding process so that it has an impact on the nutritional status of the baby. The purpose of writing is to provide a comprehensive description of nutritional care for mastitis mothers using the literature review method. From the study, it is known the importance of proper nutritional care for mothers with mastitis in the form of assessment, nutritional diagnosis, intervention, monitoring and evaluation as a continuous cycle to overcome mastitis problems in collaboration with the nutrition care team. The conclusion is that collaboration with other health professionals has started since the nutritional assessment was carried out, so that the management of mastitis cases can be more optimal. Abstrak Mastitis adalah infeksi pada payudara yang umumnya terjadi bersamaan dengan laktasi. Penyumbatan pada saluran ASI dan adanya infeksi dapat menimbulkan mastitis. Mastitis akan mengakibatkan meningkatkan kebutuhan gizi pada ibu menyusui dan terganggunya proses menyusui sehingga berdampak pada status gizi bayi. Asuhan gizi yang tepat pada ibu dengan mastitis dalam bentuk  pengkajian, diagnosis gizi, intervensi, monitoring dan evaluasi sebagai siklus yang terus menerus dapat mengatasi masalah mastitis dengan kolaborasi bersama tim asuhan gizi. Kolaborasi dengan profesi kesehatan lainnya telah dimulai sejak pengkajian gizi dilakukan, sehingga penatalaksanaan kasus mastitis dapat lebih komprehensif.

scholarly journals P-P51 Assessing the severity of pre and post-operative malnutrition in cancer patients undergoing pancreaticoduodenectomy: A review of a virtual dietetic prehabilitation service

2021 ◽  
Vol 108 (Supplement_9) ◽  
Author(s):  
Leah Cox
Keyword(s):  
Pancreatic Cancer ◽  
Weight Loss ◽  
Nutritional Status ◽  
Cancer Patients ◽  
Nutritional Assessment ◽  
Nutritional Risk ◽  
Perioperative Outcomes ◽  
Risk Patients ◽  
Median Weight Loss ◽  
Dietetic Intervention

Abstract Background The prevalence of malnutrition amongst pancreatic cancer patients is widely reported. This is due to reduced nutritional intake, increased energy expenditure and increased nutrient losses secondary to malabsorption. A Whipple's procedure or pancreaticoduodenectomy is the only potentially curable intervention for pancreatic cancer patients. Malnutrition is associated with increased peri and post-operative complications including delayed wound healing, longer hospital admission and higher mortality rate. Dietetic prehabilitation is a proactive intervention to assess patients’ nutritional status in preparation for elective surgery and, through early dietetic intervention, has the potential to improve perioperative outcomes. This pilot study reviewed the severity of nutritional risk in both the pre and post-operative stages to understand the need for dietetic prehabilitation in this patient group. Methods All patients referred were nutritionally assessed as part of a dietetic cancer prehabilitation pathway, which includes pre-surgical nutritional assessment within one week of referral and early post discharge nutritional assessment. Nutritional assessment was carried out using the PG-SGA short form and patients were triaged as requiring either a universal, targeted or specialist dietetic intervention dependent on severity of nutritional risk. Patients who scored <4 were triaged as universal, and were low nutritional risk. Patients who scored 5-9 were triaged as targeted and were medium nutritional risk, and patients who scored >9 were triaged as specialist, and were high nutritional risk. Results 35 patients were referred for dietetic prehabilitation assessment. 71% of patients were triaged as requiring either a targeted or specialist prehabilitiation intervention. BMI ranged from 15.7kg/m² to 35.9kg/m² and median weight loss was 10.0%. 23 patients received early post surgical nutritional assessment, within 12 days of discharge from hospital. All 23 patients required targeted or specialist dietetic intervention. 22 patients reported post-operative weight loss, with a median weight loss of 7.5%. There was no correlation between pre-surgical and post-surgical nutritional risk. Conclusions Patients undergoing pancreaticoduodenectomy are at high nutritional risk in both the pre and post-operative periods. Patients without evidence of malnutrition in the pre-operative stage remain at high risk of malnutrition and the associated complications in the post operative stage. A prehabilitation programme can identify patients at nutritional risk and institute interventions to optimise perioperative nutritional status.  Findings from this review will form the basis of a study examining the effects of a prehabilitation programme on outcomes following pancreaticoduodenectomy.

Auriculotherapy With Needles to Improve the Quality of Life of Cancer Patients: An Integrative Literature Review / Auriculoterapia com Agulhas para Melhora da Qualidade de Vida em Pacientes com Câncer: Revisão Integrativa

2019 ◽  
Vol 11 (5) ◽  
pp. 1376
Author(s):  
Elizabeth Tischenberg Aguiar Vallim ◽  
Aneis Louise Peres ◽  
Jéssica Fitz Pierin ◽  
Larissa Marcondes ◽  
Jorge Vinicius Cestari ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Literature Review ◽  
Cancer Patients ◽  
Web Of Science

Objetivo: Identificar a produção disponível relacionada ao uso da acupuntura auricular como intervenção para a melhoria da qualidade de vida de pacientes com câncer. Método: Revisão integrativa de literatura com busca em fontes eletrônicas de dados (BVS, CAPES, CINHAL, PUBMED, WEB of SCIENCE e SCOPUS) no período de janeiro de 2017 com os descritores câncer, neoplasia, auriculoterapia, acupuntura orelha e acupuntura auricular. A revisão integrativa proposta aconteceu em seis etapas distintas e complementares. Resultados: Foram identificados seis artigos com evidências satisfatórias das intervenções nos sintomas clínicos inerentes ao câncer e seu tratamento que demonstraram impactos positivos da auriculoterapia como intervenção. Conclusão: Os estudos relacionados ao tema são escassos, apontam uma realidade cientifica pouco explorada. Um número maior de estudos clínicos deve ocorrer para fortalecer as evidencias das intervenções terapêuticas efetivas, subsidiar a prática e assegurar assistência qualificada.

scholarly journals What Are the Risk Factors for Malnutrition in Older-Aged Institutionalized Adults?

Nutrients ◽  
2020 ◽  
Vol 12 (9) ◽  
pp. 2857
Author(s):  
Lorenzo M. Donini ◽  
Blossom C. M. Stephan ◽  
Aldo Rosano ◽  
Alessio Molfino ◽  
Eleonora Poggiogalle ◽  
...  
Keyword(s):  
Risk Factors ◽  
Nutritional Status ◽  
Regression Model ◽  
Physical Performance ◽  
Functional Impairment ◽  
Nutritional Assessment ◽  
Intervention Strategy ◽  
Mini Nutritional Assessment ◽  
Effective Prevention ◽  
Age Range

Malnutrition is common in older adults and is associated with functional impairment, reduced quality of life, and increased morbidity and mortality. The aim of this study was to explore the association between health (including depression), physical functioning, disability and cognitive decline, and risk of malnutrition. Participants were recruited from nursing homes in Italy and completed a detailed multidimensional geriatric evaluation. All the data analyses were completed using Stata Version 15.1. The study included 246 participants with an age range of 50 to 102 (80.4 ± 10.5). The sample was characterised by a high degree of cognitive and functional impairment, disability, and poor health and nutritional status (according to Mini Nutritional Assessment (MNA), 38.2% were at risk for malnutrition and 19.5% were malnourished). Using a stepwise linear regression model, age (B = −0.043, SE = 0.016, p = 0.010), depression (B = −0.133, SE = 0.052, p = 0.011), disability (B = 0.517, SE = 0.068, p < 0.001), and physical performance (B = −0.191, SE = 0.095, p = 0.045) remained significantly associated with the malnutrition risk in the final model (adjusted R-squared = 0.298). The logistic regression model incorporating age, depression, disability, and physical performance was found to have high discriminative accuracy (AUC = 0.747; 95%CI: 0.686 to 0.808) for predicting the risk of malnutrition. The results of the study confirm the need to assess nutritional status and to investigate the presence of risk factors associated with malnutrition in order to achieve effective prevention and plan a better intervention strategy.

scholarly journals A Cross-sectional Study to Assess the Nutritional Status of Cancer Clients at Selected Hospitals of Mangaluru – A Pilot Study

2021 ◽  
pp. 16-22
Author(s):  
. Shambhavi ◽  
S. Shanthi
Keyword(s):  
At Risk ◽  
Nutritional Status ◽  
Cancer Patients ◽  
Family Income ◽  
Nutritional Assessment ◽  
Medical Science ◽  
Mini Nutritional Assessment ◽  
Research Centre ◽  
Breast Cancer Patients ◽  
Cross Sectional

Aims: Malnutrition is an overlooked and undertreated problem among the cancer population. It is necessary to identify at-risk patients early and provide appropriate and effective nutritional interventions which in turn help the cancer patients to improve treatment tolerance and prognosis. Hence, the study was undertaken with the aim to assess the nutritional status of cancer clients admitted in the hospital. Study design: A cross sectional descriptive survey was used. Place and Duration of Study: Oncology wards of the AJ Institute of Medical Science and Research Centre, Mangalore between December 2019 to March 2020, then again December 2020 to February 2021. Methodology: We included 100 cancer patients (39 males and 61 females). Participants were selected purposively. Head, neck and breast cancer patients who are aged above 18 years, admitted in the wards were included in the study. Data were collected by using demographic proforma and Mini Nutritional Assessment (MNA) scale. Results: Data were analyzed by descriptive and inferential statistics. The findings of the study revealed that more than half (56%) of the cancer clients are malnourished and 43% are at risk for malnutrition. Study found that there is a significant association of degree of malnutrition with demographic variables such as education and family income (at p=.05) Conclusion: Based on the result, it was concluded that the patients with cancer should undergo nutrition screening at the early so that appropriate nutrition intervention could be planned to have positive outcomes.

Abstract WP385: Gender Differences in Nutritional Status After a Stroke

Stroke ◽  
2017 ◽  
Vol 48 (suppl_1) ◽  
Author(s):  
Estela Sanjuan Menendez ◽  
Fidel Lopez Espuela ◽  
Juan Carlos Portilla ◽  
Katherine E Santana ◽  
Marta Holguin Mohedas ◽  
...  
Keyword(s):  
Risk Factors ◽  
Gender Differences ◽  
Nutritional Status ◽  
Acute Stroke ◽  
Nutritional Assessment ◽  
Mini Nutritional Assessment ◽  
Female Gender ◽  
Stroke Severity ◽  
Anthropometric Parameters ◽  
The Impact

Introduction: Malnutrition has been associated with a worse outcome in stroke. Its frequency is not well established and sometimes the impact is not considered. Objective: To explore gender differences on nutritional status (NS) after acute stroke and its impact on stroke outcome at 90 days. Methods: We evaluated consecutive acute stroke patients admitted to the Stroke Unit. We analyzed baseline demographics, vascular risk factors, analytic and anthropometric parameters, and stroke characteristics. We determined NS at baseline and 90 days by Mini Nutritional Assessment (MNA) scale to detect patients at malnutrition risk (MR). We divided groups by gender. Chi square test was applied for qualitative variables and T student for quantitative. A probability value of <0.05 was considered significant for all tests. Results: We included 95 patients, 45 women (47,4%). Differences were found comparing women vs men and age (77,9 ± 1,02 vs 75,1 ± 0,9), alcohol consumption (6,7% vs 60%), smoking (4,4% vs 26%) and body mass index (30,1 ± 5,1 vs 27,3 ± 4,5); p<0.05. There were no significant differences related to gender and stroke type (ischemic 88,9% vs 84%, p=0.49) nor stroke severity at baseline (NIHSS 5±4 vs 4±4 p=0.18), neither in risk factors (hypertension, diabetes, atrial fibrillation, dislipidemia), comorbidities nor socioeconomic differences. There were no gender differences in the occurrence of in-hospital complications (27,3% vs 16,3%; p=0,2), dysphagia (6,7% vs 6,0%; p=0.89) nor in NIHSS scoring at discharge (3±3 vs 2±3; p=0.08). On admission, MR was present in 28,5% of the patients. There were no differences between gender and DR (31,1% vs 26%; p=0.58). At 90 days, MR increased to 46,4%. We found significant gender differences (57,8% vs 32%; p=0.024). In the adjusted analysis, female gender was associated with a worst NS at 90days [OR 3,56 (1,1-11,5)]. Modified Rankin scale (mRs) score at 90 days was <=2 in 77,8% of women and 82% of men, p=0.607. MNA score at 90 days was independently associated with a better outcome (mRs<=2) at 90 days adjusted by gender OR 0,13 (0,14-0,46). Conclusion: In our series, female gender was independently related to worse nutritional status at 90 days after the stroke.

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