192x Filetype PPTX File size 2.91 MB Source: higherlogicdownload.s3.amazonaws.com
Objectives Define and interpret the etiology, severity, and mechanism of pediatric malnutrition Identify AND/ASPEN pediatric malnutrition indicators and apply them to clinical practice Describe best practice and considerations in the nutrition treatment plan for pediatric patients with malnutrition Importance of Identifying Malnutrition Malnutrition Can Lead To… Increase Increase Increase Increase Increase d Poor d Days d d Re- d Infection Wound on Hospital Admissi Mortalit Risk Healing Ventilat LOS/ICU on Rate y or LOS Improve nutrition status earlier in order to improve outcomes The sooner it is identified, the sooner nutrition intervention can occur If patient not identified as malnourished on admission but "develops the condition" during hospitalization and malnutrition is not identified and treated, CMS may deem it Hospital Acquired Condition* • less likely to pay additional monies • may penalize institution Frequency of Malnutrition Previously under recognized 6-51% prevalence of illness-related malnutrition in hospitalized children McLaren Criteria < 4 years; MAC and HC used Gomez Criteria Fails to assess proportionality of wt in relation to ht FTT Decrease by 2 centiles of wt <5%tile Waterlow Criteria 1-3 years; acute and chronic malnutrition criteria Goals of New Definition Early identification of malnutrition Development of uniform screening tools Malnutrition prevalence comparison between studies and centers Collect meaningful data Development of thresholds for intervention Evidence-based analysis of the impact of malnutrition and its treatment on patient outcomes
no reviews yet
Please Login to review.