ABSTRACT
Objective To investigate the prevalence of malnutrition and nutritional support and interventions in geriatric inpatients.Methods The elderly patients (aged ≥ 65 years)from the geriatric demonstration ward were consecutively enrolled from July 2010 to January 2012.MiniNutritional Assessment-short form (MNA-SF) was performed after admission,and data of nutritional support were collected.Results A total of 179 patients were enrolled in this study.According to MNA-SF,42 cases (23.5％)were rated as malnutrition,and 55 cases (30.7％) were rated as at risk of malnutrition.Totally,45 patients received nutritional support.50.0％ (21/42) patients with malnutrition,and 29.1％ (16/55) patients at risk of malnutrition received nutritional support.As to the route of nutrition therapy,the ratio of the enteral to parenteral to combination of enteral and parental nutrition was 4.4 ∶ 1.0 ∶ 1.0.Conclusions The incidence of malnutrition is high in the geriatric inpatients,and routine nutritional risk screening and assessment are essential for the elderly patients.Nutritional support and other comprehensive treatment are in great need,and the enteral nutrition is appropriate and preferred.
ABSTRACT
Objective To evaluate the risk of pressure ulcers (PU) in older Chinese patients as well the effectiveness of preventive and therapeutic measures for pressure ulcers.Methods Totally 780 elderly patients admitted to the Geriatrics Demonstration Word at Peking Union Medical College Hospital during last four years were retrospectively analyzed.Braden scale was administered to predict the risk of pressure ulcers.Results Pressure ulcers had been prevented effectively in all patients with no new cases occurred.8 patients had pressure ulcers at stage Ⅱ and above on the admission.With implementation of preventive and treatment measures,including functional rehabilitation,individualized chronic disease management,moist wound healing method,proper wound dressings,these pressure ulcers were healed.Conclusions Risk assessment with Braden scale,individualized prevention and treatment appear to be effective for pressure ulcer management.Further studies are needed for evaluation of these measures,in the elderly.