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Ir Med J. 2007 May;100(5):473-5.

Compliance of acute and long stay geriatric patients with nutritional supplementation.

Author information

1
St. Mary's Hospital, Phoenix Park, Dublin. siobhan.mccormick@hotmail.ie

Abstract

BACKGROUND:

Nutritional supplements are prescribed to improve nutritional status, and reduce hospital stays in manourised hospital patients. Clinical benefits are dependant on compliance, the level of which remains unclear.

AIMS:

To assess compliance levels with oral nutritional supplementation and determine methods to improve compliance.

METHODS:

Compliance was observed over 10 days by measuring total supplements prescribed and weighing wastage remaining after use. Areas for improvement were identified and implemented for 6 months. Specifically, a distinct supplement administration round was established and those patients requiring assistance with supplement consumption were identified with signage above their beds. Compliance was re-assessed in a sub sample of patients.

RESULTS:

Thirty seven elderly patients (mean age 85 years; 57% female) prescribed nutritional supplements were studied. Mean compliance was significantly greater in males than females (85.7% vs 74%) and acute wards compared to longstay (89.5% vs. 74.2 Compliance with supplements was significantly greater following intervention (mean 74.2% vs. 93%, p < 0.0001).

CONCLUSION:

Compliance with nutritional supplementation is variable among institutionalized geriatric patients. Timing of supplementation dispensation and improving staff vigilance can positively affect compliance.

PMID:
17727125
[Indexed for MEDLINE]

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