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Resources and routi...
Resources and routines for nutritional assessment of patients with severe traumatic brain injury
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- Krakau, Karolina, 1968- (författare)
- Karolinska Institutet,Uppsala universitet,Rehabiliteringsmedicin
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- Hansson, Annette (författare)
- Department of Pediatric Anesthesia and Intensive Care, Karolinska University Hospital, Stockholm
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- Olin, Ann Ödlund (författare)
- Karolinska Institutet
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- Karlsson, Torbjörn (författare)
- Uppsala universitet,Anestesiologi och intensivvård
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- de Boussard, Catharina Nygren (författare)
- Karolinska Institutet
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- Borg, Jörgen (författare)
- Karolinska Institutet,Uppsala universitet,Rehabiliteringsmedicin
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(creator_code:org_t)
- Wiley, 2010
- 2010
- Engelska.
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Ingår i: Scandinavian Journal of Caring Sciences. - : Wiley. - 0283-9318 .- 1471-6712. ; 24:1, s. 3-13
- Relaterad länk:
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https://urn.kb.se/re...
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https://doi.org/10.1...
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http://kipublication...
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Abstract
Ämnesord
Stäng
- Objective: To describe the resources and routines for nutritional management until 6 months after severe traumatic brain injury. Methods: Data collection was performed by use of questionnaires to staff professionals at three regional neurosurgical intensive and 75 other care units and a retrospective survey of medical and nursing records from 64 patients treated at these units. Results: Resources in terms of qualified staff members were reportedly good, while nutritional guidelines were adopted in less than half of the units. Screening for malnutrition at admission was rarely performed and the nutritional data in medical and nursing records were incomplete, i.e. there was a lack of body weight measurements in more than one-third of the care unit episodes and of body height data in more than half of the patients and a declining surveillance of energy intake when patients changed from parenteral or enteral nutrition to oral intake. Assessment of energy requirements relied on calculations and the assignment of who was to estimate it varied depending on which nutritional route was used and also between unit specialities. Finally, information on energy requirement, weight development and body mass index was present in only 16%, 7% and in 2% of the transferrals. Conclusions: Despite good resources of qualified staff, the nutritional assessment routines were deficient, resulting in incomplete nutritional data and lost nutritional information.
Nyckelord
- Nutrition
- Head injury
- Nutritional assessment
- Critical care
- Questionnaires
- Quantitative approaches
- MEDICINE
- MEDICIN
- Nutrition
- Nutrition
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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