Nutritionspolicyn på en kirurgavdelning
En utvärdering av följsamheten till riktlinjerna
NutritionNutritional needsNutritional guidelinesSurgical careMalnutrition.NutritionNutritionsbehovRiktlinjer för nutritionKirurgisk vårdMalnutrition.
Introduction: Balance between the essential nutritive substances is important for aperson to maintain health. The surgical patient can be stricken with conditions, whichhave a negative impact on this balance and can lead to malnutrition. Working as a nurseit is important to identify patients that are malnourished or is in the risk zone ofmalnourishment since 30 % of all patients in hospitals are malnourished.Aim: The aim of this study was to examine the compliance to the guidelines fornutritional assessment and parenteral nutrition on a surgical ward. Also whether thenutritional treatment/-support was reported to the next caregivers if the patient wasmalnourished or was in the risk zone of malnourishment at the time of discharge.Method: 80 patients enrolled on the ward in the beginning of year 2011 were included.Audit of patient records was made according to the hospital guidelines for nutrition andparenteral nutrition and followed a study specific protocol.Results: The examination of the case records showed that the guidelines for nutritionwere partly complied with. Nutritional treatment/-support was reported to the nextcaregivers when needed. Compliance to the guidelines for parenteral nutrition wasdeficient.Conclusion: The guidelines for nutritional assessment and parenteral nutrition are notused adequately.