Use of the Malnutrition Screening Tool to explore dietitian

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Use of the Malnutrition Screening Tool to explore dietitian Powered By Docstoc
					               VIHA Dietetic Intern
               Research 2010/11

Dietetic Interns: Sophia Baker-French, Kim Black, Carole Douglas,
Gilana James and Nicole Lukas
Research Preceptors: Shari Young, RD, MA and Barb Roberts, RD
•   Vancouver Island Health Authority Workload
    Prioritization Tool (WPT)
     Newly implemented tool in adult acute care
     Used to help dietitians prioritize their workload
      using information from Cerner’s Powerchart,
      referrals, diet sheets and food services requests

•   Effective prioritization of workload is important
     Facilitates standardization of care

•   Malnutrition Screening Tool (MST)
     Validated tool
     Score based on appetite and weight change
•   Examine whether the WPT is being used to
    accurately prioritize patients at risk of

•   If patients are prioritized incorrectly, the study
    aims to identify how the WPT can be improved

•   Determine the percentage of admitted patients
    found to be at risk of malnutrition as
    determined by the MST
•   Conducted at Nanaimo Regional General
    Hospital over two separate one-week periods
•   MST was administered to newly admitted
•   Results from the MST were compared to how
    the patients were prioritized by dietitians using
    the WPT
•   Patients’ charts were reviewed and descriptive
    information collected to help advise
    improvements to the WPT
• 34 participants (75.6%) were classified appropriately
  by the WPT according to their MST score
• 4 participants (8.9%) were identified as at risk of
  malnutrition by the MST but as low priority by the WPT
• All patients identified as at risk of malnutrition but
  prioritized as low priority were female and an average
  of 8.5 years older than the general study population
• 12 participants (26.7%) were found to be at risk of
•   Small sample size
•   Lack of access to a statistician
•   Study population representative?
     Low participation of acutely ill patients
     Exclusion of some populations
•   All patients at risk of malnutrition may not have
    been picked up by the MST
•   Different classification criteria of two tools
     WPT also takes into account patient’s education
      needs, diet order, discharge date and referrals
•   Majority of patients were correctly prioritized
•   Further research is needed to demonstrate
    effectiveness of the WPT
     Our research served as an effective pilot study

•   No definitive conclusions can be drawn

•   The WPT does not replace RD clinical judgment

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