RESUMO
AIM: The aim of the study was to reach consensus on modifiable risk factors for a novel system of care to address Manifestations of Frailty in hospitalized older adults. DESIGN: Consensus study. METHOD: A modified nominal group technique, incorporating expert group face-to-face interaction, review of existing evidence and pre/post-meeting questionnaire completion was undertaken November 2019-February 2020. RESULTS: Seventy-one risk factors, within seven risk factor domains (pain, medication, fluid and nutrition intake, mobility, elimination, infection, additional patient factors) were considered. It was agreed that 44 risk factors incorporating patient, organizational and environmental risk factors were modifiable and should be included in a novel system of care.
Assuntos
Fragilidade , Humanos , Idoso , Dor , Fatores de RiscoRESUMO
Malnutrition is a major challenge in acute care. This article outlines the development of an audit tool to improve nutritional care for older people on an acute admissions unit. The aim was to examine current practice, identify aspects of good practice and areas for improvement. The audit's outcomes are also reported.
Assuntos
Desnutrição/prevenção & controle , Auditoria de Enfermagem/métodos , Avaliação Nutricional , Idoso , Humanos , Pacientes Internados , Registros de Enfermagem , Satisfação do Paciente , Reino UnidoRESUMO
This article encourages nurses working with older people in general hospital settings to reflect critically on their practice relating to nutritional care. Some approaches to developing practice in the nutritional care of older people are identified.