A quality improvement nutrition screening and intervention program available to Home and Community Care eligible clients

Marion Leggo, Merrilyn Banks, Elisabeth Isenring, Lynette Stewart, Margaret Tweeddale

Research output: Contribution to journalArticleResearchpeer-review

33 Citations (Scopus)

Abstract

Objective: To develop and implement a nutrition screening and dietetic referral system for Home and Community Care (HACC) eligible clients. Design: Quality improvement project utilising a prospective, observational design. Setting: Sixteen Australian organisations caring for HACC eligible clients. Subjects: One thousand one hundred and forty-five HACC eligible clients (mean age 76.5±7.2years) were screened for nutritional risk during 2003-2005. Interventions: Nutrition screening was conducted by trained project officers, allied health staff, community care coordinators and nursing staff using a modified version of the malnutrition screening tool (MST). Dietitians performed a nutrition assessment using the scored Patient Generated-Subjective Global Assessment (PG-SGA) and provided individualised nutrition counselling for those identified to be at risk of malnutrition and agreeing to treatment. Results: According to the MST, 170 clients (15%) were identified as being at risk of malnutrition. Of these, 75 (44%) agreed to the dietetic referral and PG-SGA assessment, and 57 were subsequently assessed as malnourished (PG-SGA category B or C), suggesting a malnutrition prevalence between 5% and 11%. Of the 34 malnourished clients receiving multiple dietetic reviews (mean 4.1±2.0 per client), 28 improved, with 17 achieving a well-nourished PG-SGA A rating. Conclusion: The development and implementation of a nutrition screening and referral system can identify HACC eligible clients who would benefit from services provided by a dietitian. Further research should identify the reasons why some HACC eligible clients are reluctant to be referred to a dietitian.

Original languageEnglish
Pages (from-to)162-167
Number of pages6
JournalNutrition and Dietetics
Volume65
Issue number2
DOIs
Publication statusPublished - Jun 2008
Externally publishedYes

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Home Care Services
Quality Improvement
Malnutrition
Dietetics
Nutritionists
Referral and Consultation
Nutrition Assessment
Nursing Staff
Counseling
Organizations
Health
Research

Cite this

Leggo, Marion ; Banks, Merrilyn ; Isenring, Elisabeth ; Stewart, Lynette ; Tweeddale, Margaret. / A quality improvement nutrition screening and intervention program available to Home and Community Care eligible clients. In: Nutrition and Dietetics. 2008 ; Vol. 65, No. 2. pp. 162-167.
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A quality improvement nutrition screening and intervention program available to Home and Community Care eligible clients. / Leggo, Marion; Banks, Merrilyn; Isenring, Elisabeth; Stewart, Lynette; Tweeddale, Margaret.

In: Nutrition and Dietetics, Vol. 65, No. 2, 06.2008, p. 162-167.

Research output: Contribution to journalArticleResearchpeer-review

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